Authoritarian parenting style predicts poorer glycemic control in children with new-onset type 1 diabetes

Amy E Noser1,2, Shideh Majidi3, Jonathan Finch2,4

  • 1Clinical Child Psychology Program, University of Kansas, Lawrence, Kansas.

Pediatric Diabetes
|July 18, 2018
PubMed

Insights

Parenting styles impact glycemic control in children with new-onset type 1 diabetes (T1D). Authoritarian parenting was linked to higher HbA1c levels over six months, suggesting a negative influence on diabetes management.

Area of Science:

  • Pediatric Endocrinology
  • Behavioral Science
  • Diabetes Management

Background:

  • Type 1 diabetes (T1D) management requires consistent self-care behaviors.
  • Parenting styles can influence child health behaviors and outcomes.
  • Limited research exists on the specific impact of parenting on glycemic control in new-onset T1D.

Purpose of the Study:

  • To investigate the relationship between parenting styles (authoritative, authoritarian, permissive) and youth glycated hemoglobin (HbA1c).
  • To examine both cross-sectional and longitudinal associations in children newly diagnosed with T1D.
  • To identify specific parenting strategies that may affect glycemic control.

Main Methods:

  • A cohort of 102 families with children newly diagnosed with T1D participated.
  • Parents completed baseline measures of parenting style.
  • Child HbA1c levels were collected at baseline, 3-month, and 6-month follow-ups. Multiple regressions controlled for baseline HbA1c, income, and T1D duration.

Main Results:

  • Authoritative parenting strategies showed negative associations with child HbA1c at all assessment points.
  • Authoritarian strategies were positively associated with child HbA1c at 3- and 6-month follow-ups.
  • Regression analyses indicated that authoritarian-like strategies were significantly associated with child HbA1c at 3- and 6-month follow-ups, after controlling for covariates.

Conclusions:

  • Parenting styles, particularly authoritarian approaches, may negatively influence glycemic control in children with new-onset T1D.
  • These findings highlight the importance of considering parental behaviors in diabetes management interventions for pediatric populations.
  • Further research is warranted to explore mechanisms and develop targeted parental support strategies.
Abstract

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