Families with pediatric type 1 diabetes: A comparison with the general population on child well‐being, parental distress, and parenting behavior
Autor: | Saskia van der Straaten, Marieke den Brinker, Liesbet Goubert, Sylvia Depoorter, Daniel Klink, Eveline R. Goethals, Jesse Vanbesien, Kristina Casteels, Martine Cools, Jolien Laridaen, Cynthia Van Gampelaere, Koen Luyckx |
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Přispěvatelé: | Pediatrics |
Rok vydání: | 2019 |
Předmět: |
Male
STRESS PERCEPTIONS Endocrinology Diabetes and Metabolism Social Sciences Psychological Distress Pediatrics Fathers 0302 clinical medicine AUTONOMY SUPPORT Quality of life QUALITY-OF-LIFE parenting ADOLESCENTS Medicine and Health Sciences ANXIETY 030212 general & internal medicine Child Quality Of Life education.field_of_study PSYCHOLOGICAL CONTROL MOTHERS Child Health Middle Aged Distress type 1 YOUTH Child Preschool diabetes mellitus Anxiety Female medicine.symptom Life Sciences & Biomedicine Clinical psychology Adult YOUNG-CHILDREN Population Mothers 030209 endocrinology & metabolism Glycemic Control Endocrinology & Metabolism 03 medical and health sciences Diabetes mellitus Internal Medicine medicine Humans education Parental distress Glycemic Type 1 diabetes Science & Technology business.industry medicine.disease Cross-Sectional Studies Diabetes Mellitus Type 1 quality of life Case-Control Studies Pediatrics Perinatology and Child Health Human medicine business |
Zdroj: | PEDIATRIC DIABETES Pediatric diabetes |
ISSN: | 1399-5448 1399-543X |
Popis: | AIMS: The aim of this study was to compare families with a child (2-12 years) with type 1 diabetes (T1D) to families which are not confronted with chronic illness, with regard to children's well-being, parental distress, and parenting behavior. In addition, differences were explored between families whose child has optimal vs suboptimal glycemic control. METHODS: Mothers, fathers, and children of 105 families with pediatric T1D completed questionnaires assessing child well-being, parental distress, and parenting. The control group consisted of 414 families without chronic illness. RESULTS: With regard to child well-being, children with T1D had more adjustment difficulties (as reported by mothers) and lower quality of life (QoL) (as reported by mothers and fathers), whereas children themselves (8-12 years) reported higher QoL compared to controls. In terms of parental distress, mothers, but not fathers, of children with T1D reported more stress, anxiety symptoms, and depressive symptoms than controls. With regard to parenting behavior, parent reports revealed less protectiveness in fathers and less autonomy support and responsiveness in both parents as compared to controls. No differences were found in parent-reported psychological control between parents of children with and without T1D, but children with T1D perceived lowered parental psychological control. Lastly, secondary analyses indicated that especially families with suboptimal child glycemic control showed more maternal distress and worse child well-being (according to parents). CONCLUSIONS: Families confronted with pediatric T1D differ from families without chronic illness: childhood T1D impacts parental perceptions of child well-being and differentially affects mothers' and fathers' distress levels and behaviors. ispartof: Pediatric Diabetes vol:21 issue:2 pages:395-408 ispartof: location:Denmark status: Published online |
Databáze: | OpenAIRE |
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