Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes: Longitudinal Data from the DINO Study.

Autor: Eilander MMA; Department of Medical Psychology, VU University Medical Center, De Boelenlaan 1117, 1081 HV Amsterdam, Netherlands.; Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Van der Boechorststraat 7, 1081 BT Amsterdam, Netherlands.; Diabeter, Center for Pediatric and Adolescent Diabetes Care and Research, Blaak 6, 3011 TA Rotterdam, Netherlands., Snoek FJ; Department of Medical Psychology, VU University Medical Center, De Boelenlaan 1117, 1081 HV Amsterdam, Netherlands.; Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Van der Boechorststraat 7, 1081 BT Amsterdam, Netherlands.; Department of Medical Psychology, Academic Medical Center, Meibergdreef 9, 1100 DD Amsterdam, Netherlands., Rotteveel J; Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Van der Boechorststraat 7, 1081 BT Amsterdam, Netherlands.; Department of Pediatrics, VU University Medical Center, De Boelelaan 1118, 1081 HV Amsterdam, Netherlands., Aanstoot HJ; Diabeter, Center for Pediatric and Adolescent Diabetes Care and Research, Blaak 6, 3011 TA Rotterdam, Netherlands., Bakker-van Waarde WM; Department of Pediatrics, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, Netherlands., Houdijk ECAM; Department of Pediatrics, Juliana Children's Hospital/Haga Hospital, Els Borst-Eilersplein 275, 2545 AA The Hague, Netherlands., Nuboer R; Department of Pediatrics, Meander Medical Center, Maatweg 3, 3813 TZ Amersfoort, Netherlands., Winterdijk P; Diabeter, Center for Pediatric and Adolescent Diabetes Care and Research, Blaak 6, 3011 TA Rotterdam, Netherlands., de Wit M; Department of Medical Psychology, VU University Medical Center, De Boelenlaan 1117, 1081 HV Amsterdam, Netherlands.; Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Van der Boechorststraat 7, 1081 BT Amsterdam, Netherlands.
Jazyk: angličtina
Zdroj: Journal of diabetes research [J Diabetes Res] 2017; Vol. 2017, pp. 1462064. Date of Electronic Publication: 2017 Dec 10.
DOI: 10.1155/2017/1462064
Abstrakt: Objective: To evaluate (1) the longitudinal relationship between parental well-being and glycemic control in youth with type 1 diabetes and (2) if youth's problem behavior, diabetes parenting behavior, and parental diabetes-distress influence this relationship.
Research Design and Methods: Parents of youth 8-15 yrs (at baseline) ( N = 174) participating in the DINO study completed questionnaires at three time waves (1 yr interval). Using generalized estimating equations, the relationship between parental well-being (WHO-5) and youth's HbA1c was examined. Second, relationships between WHO-5, Strength and Difficulties Questionnaire (SDQ), Diabetes Family Behavior Checklist (DFBC), Problem Areas In Diabetes-Parent Revised (PAID-Pr) scores, and HbA1c were analyzed.
Results: Low well-being was reported by 32% of parents. No relationship was found between parents' WHO-5 scores and youth's HbA1c ( β = -0.052, p = 0.650). WHO-5 related to SDQ ( β = -0.219, p < 0.01), DFBC unsupportive scale ( β = -0.174, p < 0.01), and PAID-Pr ( β = -0.666, p < 0.01). Both DFBC scales (supportive β = -0.259, p = 0.01; unsupportive β = 0.383, p = 0.017), PAID-Pr ( β = 0.276, p < 0.01), and SDQ ( β = 0.424, p < 0.01) related to HbA1c.
Conclusions: Over time, reduced parental well-being relates to increased problem behavior in youth, unsupportive parenting, and parental distress, which negatively associate with HbA1c. More unsupportive diabetes parenting and distress relate to youth's problem behavior.
Databáze: MEDLINE
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