This study assessed parenting satisfaction and efficacy in 53 parents
of children with diabetes and 39 parents of physically healthy childre
n. In addition, the relationship between parenting self-esteem and per
ceptions of child behavior, child age, disease duration, and metabolic
control were examined. Parents of children with diabetes reported sig
nificantly lower levels of parenting satisfaction and efficacy compare
d to parents of healthy children, and their negative parental cognitio
ns are most influenced by perceptions of more internalizing child prob
lems, shorter diabetes duration, and poorer metabolic control. Parenti
ng self-esteem was significantly inversely correlated with both intern
alizing and externalizing child behavior problems for parents of healt
hy children. The clinical implications of poor parental cognitions and
directions for future research are highlighted.