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Maternal Parenting Styles and Glycemic Control in Children with Type 1 Diabetes
Riitta Hannonen1, Kaisa Aunola2, Kenneth Eklund3
1Kymsote-Kymenlaakso Social and Health Services, Department of Psychology, Kotkantie 41, FI-48210 Kotka, Finland. riitta.hannonen@kymsote.fi.
International Journal of Environmental Research and Public Health
|January 17, 2019
Summary
Mothers of children with type 1 diabetes use more psychological control. This parenting style is linked to poorer glycemic control in children with diabetes, especially girls.
Area of Science:
- Pediatric Endocrinology
- Developmental Psychology
- Behavioral Medicine
Background:
- Parenting styles significantly influence child health outcomes.
- Type 1 diabetes management requires adherence to complex self-care behaviors.
- Understanding the interplay between parenting and pediatric chronic illness is crucial.
Purpose of the Study:
- To compare parenting styles between mothers of children with type 1 diabetes and healthy children.
- To investigate the association between maternal parenting styles and glycemic control in children with type 1 diabetes.
Main Methods:
- Cross-sectional study comparing mothers of 63 children with type 1 diabetes and 83 healthy children.
- Maternal parenting styles assessed using the Blocks' Child Rearing Practices Report at child age 9-10 years.
- Glycemic control (HbA1c) evaluated at diagnosis (<6 years) and at study enrollment (9-10 years).
Main Results:
- Mothers of children with type 1 diabetes exhibited higher levels of psychological control compared to mothers of healthy children.
- In girls with type 1 diabetes, poorer early glycemic control correlated with increased subsequent maternal psychological control.
- Maternal psychological control was associated with poorer current glycemic control in boys and girls with type 1 diabetes.
- Behavioral control was linked to poorer current glycemic control in children with diabetes.
Conclusions:
- Maternal psychological control is a significant factor associated with poorer diabetes management in children.
- Parenting interventions focusing on reducing psychological control may improve glycemic outcomes in pediatric type 1 diabetes.
- Further research is warranted to explore the mechanisms linking parenting styles to diabetes care.
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