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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.
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.
Objective:
To examine cross-sectional and longitudinal associations among parenting styles (ie, authoritative, authoritarian, and permissive) and youth glycated hemoglobin (HbA1c) in a cohort of families of children with new-onset type 1 diabetes (T1D).
Methods:
One-hundred two parents completed a baseline measure of parenting style, and we collected child HbA1c values at baseline and at three- and six-month follow-ups. We examined correlations among use of different parenting strategies and child HbA1cs. We conducted multiple regressions to assess the impact of these strategies on child HbA1c at three-month and six-month follow-ups, while controlling for baseline HbA1c, family income, and T1D duration.
Results:
Correlational analyses showed negative associations between authoritative strategies and child HbA1c at baseline, three-month, and six-month assessments and positive associations between authoritarian strategies and child HbA1c at three-month and six-month assessments. Regression analyses found use of authoritarian-like strategies were the only parenting strategies associated with child HbA1c at three-month and six-month follow-ups, while controlling for baseline HbA1c, family income, and T1D duration.
Conclusion:
Parents' use of authoritarian-like strategies may negatively impact glycemic control over the course of six-month in children with new-onset T1D.
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