Mother-father informant discrepancies regarding diabetes management: associations with diabetes-specific family conflict and glycemic control

Health Psychol. 2012 Sep;31(5):571-9. doi: 10.1037/a0029006. Epub 2012 Jul 23.

Abstract

Objective: To examine the relationship of mother-father informant discrepancies regarding diabetes management to diabetes-specific family conflict and glycemic control.

Methods: One hundred thirty-six mothers and fathers of youth with Type 1 diabetes reported on the youth's diabetes management, diabetes-specific family conflict, and amount of paternal involvement in diabetes care. Glycosylated hemoglobin A1c (HbA1c) was used to measure glycemic control.

Results: As hypothesized, mother-father discrepancies regarding diabetes management were positively associated with frequency of diabetes-specific family conflict. Contrary to hypotheses, mother-father discrepancies regarding diabetes management predicted poorer glycemic control for youth with less involved fathers only.

Conclusions: Results highlight the importance of caregivers being consistent about pediatric illness management and support the idea that informant discrepancies represent an important window into the functioning of the family system.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Blood Glucose
  • Blood Glucose Self-Monitoring
  • Caregivers / psychology
  • Child
  • Conflict, Psychological*
  • Data Collection
  • Diabetes Mellitus, Type 1 / psychology
  • Diabetes Mellitus, Type 1 / therapy*
  • Disease Management
  • Family Conflict
  • Family Health*
  • Father-Child Relations*
  • Fathers / psychology
  • Female
  • Glycated Hemoglobin
  • Humans
  • Male
  • Mother-Child Relations*
  • Mothers / psychology

Substances

  • Blood Glucose
  • Glycated Hemoglobin A