Volume 24, Issue 11 (5-2026)
JRUMS 2026, 24(11): 997-1010 |
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Ethics code: IR.ACECR.ROYAN.REC.1401.121
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Serajpour N, Abed N, Rajab A, Yasari azad M. The Relationship between the Quality of Parent-Child Interaction and Social Support of Friends with Type 1 Diabetes Self-Management in Adolescents:
A Descriptive Study. JRUMS 2026; 24 (11) :997-1010
URL: http://journal.rums.ac.ir/article-1-7778-en.html
URL: http://journal.rums.ac.ir/article-1-7778-en.html
Science and culture University
Abstract: (26 Views)
Background and Objectives: Diabetes self-management is one of the most critical aspects of controlling and treating this disease, especially in adolescents. Identifying factors related to it, such as family and peer variables, can also play an effective role in this field. The present study aimed to determine the relationship between the quality of parent-child interaction and friends' social support with self-management of type 1 diabetes in adolescents.
Materials and Methods: This descriptive-correlational study included 131 adolescents aged 13 to 18 years with type 1 diabetes residing in Tehran, 2022-2023. The sample was selected using the convenience sampling method from members of the Tehran Diabetes Association. The research instruments included the standard Parent-Child Relationship Questionnaire, the Social Support Questionnaire - Friends Scale (PSS-Fr), and the Type 1 Diabetes Self-Management Questionnaire for Adolescents. Data were analyzed using correlation and multiple regression analysis.
Results: The findings revealed that diabetes self-management has a significant positive correlation with mother-child interaction (r=0.46, p<0.01) and friends' social support (r=0.27, p<0.01). Furthermore, the results of multiple regression analysis indicated that these two variables, in combination, can predict 22.7% of the variance in diabetes self-management.
Conclusion: According to the current study, self-management of diabetes in affected adolescents is directly related to the quality of mother-child interaction and the support they receive from their friends. Therefore, it can be predicted that educating mothers to enhance positive interactions with their affected children and educating friends to provide greater support to their peers with diabetes can be a step towards improving self-management behaviors.
Keywords: Type 1 diabetes, Diabetes Self-management, Quality of parent-child interaction, Social support of friends
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of the Royan Institute-ACECR approved this study (IR.ACECR.ROYAN.REC.1401.121).
Authors' contributions:
- Conceptualization: Narges Serajpour, Nazanin Abed
- Methodology: Narges Serajpour, Nazanin Abed, Asadollah Rajab
- Data collection: Narges Serajpour
-Formal analysis: Narges Serajpour, Mahdieh Yasari Azad
-Supervision: Nazanin Abed, Asadollah Rajab
- Project administration: Nazanin Abed, Asadollah Rajab
- Writing – original draft: Mahdieh Yasari Azad, Narges Serajpour
-Writing – review & editing: Mahdieh Yasari Azad, Narges Serajpour, Nazanin Abed
Materials and Methods: This descriptive-correlational study included 131 adolescents aged 13 to 18 years with type 1 diabetes residing in Tehran, 2022-2023. The sample was selected using the convenience sampling method from members of the Tehran Diabetes Association. The research instruments included the standard Parent-Child Relationship Questionnaire, the Social Support Questionnaire - Friends Scale (PSS-Fr), and the Type 1 Diabetes Self-Management Questionnaire for Adolescents. Data were analyzed using correlation and multiple regression analysis.
Results: The findings revealed that diabetes self-management has a significant positive correlation with mother-child interaction (r=0.46, p<0.01) and friends' social support (r=0.27, p<0.01). Furthermore, the results of multiple regression analysis indicated that these two variables, in combination, can predict 22.7% of the variance in diabetes self-management.
Conclusion: According to the current study, self-management of diabetes in affected adolescents is directly related to the quality of mother-child interaction and the support they receive from their friends. Therefore, it can be predicted that educating mothers to enhance positive interactions with their affected children and educating friends to provide greater support to their peers with diabetes can be a step towards improving self-management behaviors.
Keywords: Type 1 diabetes, Diabetes Self-management, Quality of parent-child interaction, Social support of friends
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of the Royan Institute-ACECR approved this study (IR.ACECR.ROYAN.REC.1401.121).
Authors' contributions:
- Conceptualization: Narges Serajpour, Nazanin Abed
- Methodology: Narges Serajpour, Nazanin Abed, Asadollah Rajab
- Data collection: Narges Serajpour
-Formal analysis: Narges Serajpour, Mahdieh Yasari Azad
-Supervision: Nazanin Abed, Asadollah Rajab
- Project administration: Nazanin Abed, Asadollah Rajab
- Writing – original draft: Mahdieh Yasari Azad, Narges Serajpour
-Writing – review & editing: Mahdieh Yasari Azad, Narges Serajpour, Nazanin Abed
Keywords: Type 1 diabetes, Diabetes Self-management, Quality of parent-child interaction, Social support of friends
Type of Study: Research |
Subject:
روانپزشكي
Received: 2025/07/12 | Accepted: 2025/12/30 | Published: 2026/05/20
Received: 2025/07/12 | Accepted: 2025/12/30 | Published: 2026/05/20
References
1. Atkinson MA, Eisenbarth GS, Michels AW. Type 1 diabetes. The Lancet 2014; 383(9911): 69-82. [Farsi]
2. Ministry of Health and Medical Education, Non-communicable Diseases Department. Atlas of Non-communicable Disease Risk Factors in Iran, 2021 (1400). Tehran: Tehran University of Medical Sciences; 2022. [Farsi]
3. American Diabetes Association. Lifestyle management: standards of medical care in diabetes. Diabetes Care 2018; 41(Suppl 1): S38-S50.
4. Sheikhan H. Looking at diabetes from a psychological perspective. Tehran: Arvaneh Pub; 2020. [Farsi]
5. Aghajari N, Dashtbozorgi B, Rostami S, Latifi SM. Relationship between family functioning and self-care behaviors of adolescents with type 1 diabetes, referring to diabetes clinics of Ahvaz Jundishapur University of Medical Sciences – 2019. Iranian Journal of Nursing Research 2021; 16(4): 1 16. [Farsi]
6. Lee AA, Piette JD, Heisler M, Janevic MR, Rosland AM. Diabetes self-management and glycemic control: The role of autonomy support from informal health supporters. Health Psychol 2019; 38(2): 122-32.
7. Noh JH, Cho YJ, Nam HW, Kim JH, Kim DJ, Yoo HS, et al. Web-based comprehensive information system for self-management of diabetes mellitus. Diabetes Technol Ther 2010; 12(5): 333-7.
8. McGowan P. Self-management: a background paper. In: New perspectives: international conference on patient self-management; 2005 Sep; Victoria, Canada. p. 1-10.
9. Lee AA, Piette JD, Heisler M, Janevic MR, Rosland AM. Diabetes self-management and glycemic control: The role of autonomy support from informal health supporters. Health Psychol 2019; 38(2): 122-32.
10. Hosseinzadegan F, Azimzadeh R, Parizad N, Esmaeili R, Alinejad V, Hemmati Maslakpak M. Psychometric evaluation of the Diabetes Self-Management Questionnaire - Revised Form DSMQ-R in patients with Diabetes. Nursing and Midwifery Journal 2021; 19(2): 109-18. [Farsi]
11. Lambrinou E, Hansen TB, Beulens JW. Lifestyle factors, self-management and patient empowerment in diabetes care. Eur J Prev Cardiol. 2019; 26(2_suppl): 55-63.
12. Schilling LS, Dixon JK, Knafl KA, Lynn MR, Murphy K, Dumser S, et al. A new self-report measure of self-management of type 1 diabetes for adolescents. Nurs Res 2009; 58(4): 228-36.
13. Sulistyarini RR, Andriansyah Y. Social support, gratitude, and quality of life of patients with chronic disease in Yogyakarta, Indonesia. Psychol Educ 2019; 56(1-2): 1-12.
14. Nansel TR, Anderson BJ, Laffel LM, Simons-Morton BG, Weissberg-Benchell J, Wysocki T, et al. A multisite trial of a clinic-integrated intervention for promoting family management of pediatric type 1 diabetes: feasibility and design. Pediatr Diabetes 2009; 10(2): 105-15.
15. Schofield TJ, Conger RD, Gonzales JE, Merrick MT. Harsh parenting, physical health, and the protective role of positive parent-adolescent relationships. Soc Sci Med 2016; 157: 18-26.
16. Karimi M, Ghorbani S. Prediction of Self-Care based on Problem-Solving Skills, Parent-Child Relationship and Emotional Independence with Regard to the Mediating Role of Social Support in Adolescents with Diabetes. Health Psychology 2025; 13(52): 47-64. [Farsi]
17. Villaécija J, Luque B, Castillo-Mayén R, Farhane-Medina NZ, Tabernero C. Influence of family social support and diabetes self-efficacy on the emotional wellbeing of children and adolescents with type 1 diabetes: A longitudinal study. Children (Basel) 2023; 10(7): 1196.
18. Tuohy E, Gallagher P, Rawdon C, Murphy N, Swallow V, Lambert V. Adolescent perspectives on negotiating self-management responsibilities for type 1 diabetes with their parents. Patient Educ Couns 2023; 109: 107629.
19. Steele EH, McKinney C. Emerging adult psychological problems and parenting style: Moderation by parent-child relationship quality. Pers Individ Dif 2019; 146: 201-8.
20. Chen CY, Lo FS, Wang RH. Roles of emotional autonomy, problem-solving ability and parent-adolescent relationships on self-management of adolescents with type 1 diabetes in Taiwan. J Pediatr Nurs 2020; 55: 263-9.
21. Link E, Reifegerste D, Klimmt C. Family involvement in the context of chronic diseases: The role of social support in treatment decision-making for surgical procedures. J Fam Res 2020; 32(1): 45-71.
22. Berkanish P, Pan S, Viola A, Rademaker Q, Devine KA. Technology-based peer support interventions for adolescents with chronic illness: a systematic review. J Clin Psychol Med Settings 2022; 29(4): 911-42.
23. Veenstra R, Laninga-Wijnen L. Peer network studies and interventions in adolescence. Curr Opin Psychol 2022; 44: 157-63.
24. Camp-Spivey LJ, Logan A, Nichols M. Theoretical and contextual considerations for self-management strategies of children and adolescents with chronic diseases: An integrative review. J Child Health Care 2022; 26(2): 242-61.
25. Song Y, Nam S, Park S, Shin IS, Ku BJ. The impact of social support on self-care of patients with diabetes: What is the effect of diabetes type? Systematic review and meta-analysis. Diabetes Educ 2017; 43(4): 396-412.
26. Ramkisson S, Pillay BJ, Sibanda W. Social support and coping in adults with type 2 diabetes. Afr J Prim Health Care Fam Med 2017; 9(1): e1-e8.
27. Jafari S, Mohtashami J, Alaee Karahroudi F, Mansouri S, Rassouli M. Perceived Social Support and Its Correlated Factors in Adolescents with Chronic Disease. Hayat 2016; 22(1): 65-78. [Farsi]
28. Yang PY, Lou MF, Lien ASY, Gau BS. Adolescent Perceptions of Peer Responses to Diabetes Self-Management: A Qualitative Study. J Nurs Res 2018; 26(2): 104-11.
29. Raymaekers K, Oris L, Prikken S, Moons P, Goossens E, Weets I, et al. The role of peers for diabetes management in adolescents and emerging adults with type 1 diabetes: a longitudinal study. Diabetes Care 2017; 40(12): 1678-84.
30. Kazemi S, Parvizy S, Atlasi R, Baradaran HR. Evaluating the effectiveness of peer-based intervention in managing type I diabetes mellitus among children and adolescents: A systematic review. Med J Islam Repub Iran 2016; 30: 442.
31. Luo D, Cai X, Wang H, Wang Y, Xu J. The role of peer social relationships in psychological distress and quality of life among adolescents with type 1 diabetes mellitus: a longitudinal study. BMC Psychiatry 2024; 24(1): 270.
32. Núñez-Baila MÁ, Gómez-Aragón A, González-López JR. Social Support and Peer Group Integration of Adolescents with Diabetes. Int J Environ Res Public Health 2021; 18(4): 2064.
33. Sanaei B, Alaghband S, Falahati Sh, Hooman A. Family and marriage assessment scales. Tehran: Besat Pub; 2008. [Farsi]
34. Green SB. How many subjects does it take to do a regression analysis? Multivariate Behav Res 1991; 26(3): 499 510.
35. Fine MA, Schwebel AI. Long-term effects of divorce on parent-child relationships. Dev Psychol 1983; 19(5): 703 13.
36. Bearman KJ, La Greca AM. Assessing friend support of adolescents' diabetes care: the diabetes social support questionnaire-friends version. J Pediatr Psychol 2002; 27(5): 417-28.
37. Ghamary L, Sadeghi N, Azarbarzin M. The relationship between perceived support from friends and psychosocial adjustment to illness in adolescents with cancer. Nursing and Midwifery Journal 2021; 19(1): 77-86. [Farsi]
38. Keough L, Sullivan-Bolyai S, Crawford S, Schilling L, Dixon J. Self-management of type 1 diabetes across adolescence. Diabetes Educ 2011; 37(4): 486-500.
39. Alaee Karahroudy F, Mahammadi Shahbalaghi F, Hoseiny MA, Rassouli M. Experiences of Self-management of Type I Diabetes in Adolescents: A Phenomenological Study. Iranian Journal of Endocrinology and Metabolism 2016; 17(6): 425-34. [Farsi]
40.
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