O. Ryden et al., COOPERATION BETWEEN PARENTS IN CARING FOR DIABETIC CHILDREN - RELATIONS TO METABOLIC CONTROL AND PARENTS FIELD-DEPENDENCE-INDEPENDENCE, Diabetes research and clinical practice, 20(3), 1993, pp. 223-229
Aspects of parental interaction were assessed in 20 families with diab
etic, insulin-dependent children, using hour-long video-taped intervie
ws, the children being in optimal (O, n = 10) or poor (P, n = 10) meta
bolic control and showing optimal or poor psychological adaptation. In
comparison with the O-group parents, the P-group parents were less ap
preciative of one another, were less congruent in their attitudes to d
iabetes care, and appeared not to respect their childrens' independenc
e and integrity; the mothers were discontented with the support given
them by their husbands; the children assumed less responsibility for m
anaging their diabetes and seemed less confident during the interview.
The results are interpreted in light of an earlier finding that the P
-group fathers are more field-dependent (FD) than their wives while th
e opposite is true for the O-group fathers. With reference to evidence
from the cognitive style literature, we suggest that the relatively F
D P-group fathers have difficulties in acting as autonomous sources of
support to their wives resulting in marital discord and a delayed tra
nsition from maternal to self care in their children.