Skip to main content
Erschienen in: Journal of Clinical Psychology in Medical Settings 4/2011

01.12.2011

Pediatric Parenting Stress and Its Relation to Depressive Symptoms and Fear of Hypoglycemia in Parents of Young Children with Type 1 Diabetes Mellitus

verfasst von: Susana R. Patton, Lawrence M. Dolan, Laura B. Smith, Inas H. Thomas, Scott W. Powers

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 4/2011

Einloggen, um Zugang zu erhalten

Abstract

Parents of young children with type 1 diabetes (T1DM) maintain full responsibility for their child’s daily diabetes self-care and thus may be vulnerable to experiencing parenting stress. This study examined several psychological correlates of pediatric parenting stress in parents of young children with T1DM. Parents of 39 young children with T1DM (ages 2–7 years) completed measures of pediatric parenting stress, mealtime behavior problems, depressive symptoms, and fear of hypoglycemia. For parents of young children, higher stress frequency and difficulty were associated with higher parental depressive symptoms and fear. Regression analyses identified that 58% of the variance in stress frequency was associated with parental depressive symptoms. For stress difficulty, 68% of the variance was associated with parental depressive symptoms and fear. Pediatric parenting stress is common in parents of young children with T1DM. Stress and the psychological correlates measured in this study are amenable to intervention and should be regularly assessed in parents of young children with T1DM.
Literatur
Zurück zum Zitat Beck, A., Steer, R., & Brown, G. (1996). Beck Depression Inventory-II manual. San Antonio, TX: The Psychological Corp. Beck, A., Steer, R., & Brown, G. (1996). Beck Depression Inventory-II manual. San Antonio, TX: The Psychological Corp.
Zurück zum Zitat Cox, D. J., Irvine, A., Gonder-Frederick, L., Nowacek, G., & Butterfield, J. (1987). Fear of hypoglycemia: Quantification, validation, and utilization. Diabetes Care, 10, 617–621.PubMedCrossRef Cox, D. J., Irvine, A., Gonder-Frederick, L., Nowacek, G., & Butterfield, J. (1987). Fear of hypoglycemia: Quantification, validation, and utilization. Diabetes Care, 10, 617–621.PubMedCrossRef
Zurück zum Zitat Crist, W., & Napier-Phillips, A. (2001). Mealtime behaviors of young children: A comparison of normative and clinical data. Journal of Developmental and Behavioral Pediatrics, 22, 279–286.PubMedCrossRef Crist, W., & Napier-Phillips, A. (2001). Mealtime behaviors of young children: A comparison of normative and clinical data. Journal of Developmental and Behavioral Pediatrics, 22, 279–286.PubMedCrossRef
Zurück zum Zitat Golden, M. P., Russell, B. P., Ingersoll, G. M., Gray, D. L., & Hummer, K. M. (1985). Management of diabetes mellitus in children younger than 5 years of age. American Journal of Diseases of Children, 139, 448–452.PubMed Golden, M. P., Russell, B. P., Ingersoll, G. M., Gray, D. L., & Hummer, K. M. (1985). Management of diabetes mellitus in children younger than 5 years of age. American Journal of Diseases of Children, 139, 448–452.PubMed
Zurück zum Zitat Grey, M. (2009). Coping and psychosocial adjustment in mothers of young children with type 1 diabetes. Child Health Care, 38, 91–106.PubMedCrossRef Grey, M. (2009). Coping and psychosocial adjustment in mothers of young children with type 1 diabetes. Child Health Care, 38, 91–106.PubMedCrossRef
Zurück zum Zitat Kazak, A. E. (1989). Families of chronically ill children: A systems and social-ecological model of adaptation and challenge. Journal of Consulting and Clinical Psychology, 57, 25–30.PubMedCrossRef Kazak, A. E. (1989). Families of chronically ill children: A systems and social-ecological model of adaptation and challenge. Journal of Consulting and Clinical Psychology, 57, 25–30.PubMedCrossRef
Zurück zum Zitat Mistry, R., Stevens, G. D., Sareen, H., De Vogli, R., & Halfon, N. (2007). Parenting-related stressors and self-reported mental health of mothers with young children. American Journal of Public Health, 97, 1261–1268.PubMedCrossRef Mistry, R., Stevens, G. D., Sareen, H., De Vogli, R., & Halfon, N. (2007). Parenting-related stressors and self-reported mental health of mothers with young children. American Journal of Public Health, 97, 1261–1268.PubMedCrossRef
Zurück zum Zitat Mitchell, S. J., Hilliard, M. E., Mednick, L., Henderson, C., Cogen, F. R., & Streisand, R. (2009). Stress among fathers of young children with type 1 diabetes. Families, Systems, and Health, 27, 314–324.PubMedCrossRef Mitchell, S. J., Hilliard, M. E., Mednick, L., Henderson, C., Cogen, F. R., & Streisand, R. (2009). Stress among fathers of young children with type 1 diabetes. Families, Systems, and Health, 27, 314–324.PubMedCrossRef
Zurück zum Zitat Monaghan, M. C., Hilliard, M. E., Cogen, F. R., & Streisand, R. (2009). Nighttime caregiving behaviors among parents of young children with Type 1 diabetes: Associations with illness characteristics and parent functioning. Families, Systems, and Health, 27, 28–38.PubMedCrossRef Monaghan, M. C., Hilliard, M. E., Cogen, F. R., & Streisand, R. (2009). Nighttime caregiving behaviors among parents of young children with Type 1 diabetes: Associations with illness characteristics and parent functioning. Families, Systems, and Health, 27, 28–38.PubMedCrossRef
Zurück zum Zitat Patton, S. R., Dolan, L. M., Henry, R., & Powers, S. W. (2007). Parental fear of hypoglycemia: Young children treated with continuous subcutaneous insulin infusion. Pediatric Diabetes, 8, 362–368.PubMedCrossRef Patton, S. R., Dolan, L. M., Henry, R., & Powers, S. W. (2007). Parental fear of hypoglycemia: Young children treated with continuous subcutaneous insulin infusion. Pediatric Diabetes, 8, 362–368.PubMedCrossRef
Zurück zum Zitat Patton, S. R., Dolan, L. M., Henry, R., & Powers, S. W. (2008). Fear of hypoglycemia in parents of young children with type 1 diabetes mellitus. Journal of Clinical Psychology in Medical Settings, 15, 252–259.PubMedCrossRef Patton, S. R., Dolan, L. M., Henry, R., & Powers, S. W. (2008). Fear of hypoglycemia in parents of young children with type 1 diabetes mellitus. Journal of Clinical Psychology in Medical Settings, 15, 252–259.PubMedCrossRef
Zurück zum Zitat Patton, S. R., Dolan, L. M., & Powers, S. W. (2006a). Mealtime interactions relate to dietary adherence and glycemic control in young children with type 1 diabetes. Diabetes Care, 29, 1002–1006.PubMedCrossRef Patton, S. R., Dolan, L. M., & Powers, S. W. (2006a). Mealtime interactions relate to dietary adherence and glycemic control in young children with type 1 diabetes. Diabetes Care, 29, 1002–1006.PubMedCrossRef
Zurück zum Zitat Patton, S. R., Dolan, L. M., & Powers, S. W. (2006b). Parent report of mealtime behaviors in young children with type 1 diabetes mellitus: Implications for better assessment of dietary adherence problems in the clinic. Journal of Developmental and Behavioral Pediatrics, 27, 202–208.PubMedCrossRef Patton, S. R., Dolan, L. M., & Powers, S. W. (2006b). Parent report of mealtime behaviors in young children with type 1 diabetes mellitus: Implications for better assessment of dietary adherence problems in the clinic. Journal of Developmental and Behavioral Pediatrics, 27, 202–208.PubMedCrossRef
Zurück zum Zitat Patton, S. R., Williams, L. B., Dolan, L. M., Chen, M., & Powers, S. W. (2009). Feeding problems reported by parents of young children with type 1 diabetes on insulin pump therapy and their associations with children’s glycemic control. Pediatric Diabetes, 10, 455–460.PubMedCrossRef Patton, S. R., Williams, L. B., Dolan, L. M., Chen, M., & Powers, S. W. (2009). Feeding problems reported by parents of young children with type 1 diabetes on insulin pump therapy and their associations with children’s glycemic control. Pediatric Diabetes, 10, 455–460.PubMedCrossRef
Zurück zum Zitat Powers, S. W., Byars, K. C., Mitchell, M. J., Patton, S. R., Standiford, D. A., & Dolan, L. M. (2002). Parent report of mealtime behavior and parenting stress in young children with type 1 diabetes and in healthy control subjects. Diabetes Care, 25, 313–318.PubMedCrossRef Powers, S. W., Byars, K. C., Mitchell, M. J., Patton, S. R., Standiford, D. A., & Dolan, L. M. (2002). Parent report of mealtime behavior and parenting stress in young children with type 1 diabetes and in healthy control subjects. Diabetes Care, 25, 313–318.PubMedCrossRef
Zurück zum Zitat Silverstein, J., Klingensmith, G., Copeland, K., Plotnick, L., Kaufman, F., Laffel, L., et al. (2005). Care of children and adolescents with type 1 diabetes: A statement of the American Diabetes Association. Diabetes Care, 28, 186–212.PubMedCrossRef Silverstein, J., Klingensmith, G., Copeland, K., Plotnick, L., Kaufman, F., Laffel, L., et al. (2005). Care of children and adolescents with type 1 diabetes: A statement of the American Diabetes Association. Diabetes Care, 28, 186–212.PubMedCrossRef
Zurück zum Zitat Streisand, R., Braniecki, S., Tercyak, K. P., & Kazak, A. E. (2001). Childhood illness-related parenting stress: The Pediatric Inventory for Parents. Journal of Pediatric Psychology, 26, 155–162.PubMedCrossRef Streisand, R., Braniecki, S., Tercyak, K. P., & Kazak, A. E. (2001). Childhood illness-related parenting stress: The Pediatric Inventory for Parents. Journal of Pediatric Psychology, 26, 155–162.PubMedCrossRef
Zurück zum Zitat Streisand, R., Mackey, E. R., Elliot, B. M., Mednick, L., Slaughter, I. M., Turek, J., et al. (2008). Parental anxiety and depression associated with caring for a child newly diagnosed with type 1 diabetes: Opportunities for education and counseling. Patient Education and Counseling, 73, 333–338.PubMedCrossRef Streisand, R., Mackey, E. R., Elliot, B. M., Mednick, L., Slaughter, I. M., Turek, J., et al. (2008). Parental anxiety and depression associated with caring for a child newly diagnosed with type 1 diabetes: Opportunities for education and counseling. Patient Education and Counseling, 73, 333–338.PubMedCrossRef
Zurück zum Zitat Streisand, R., Swift, E., Wickmark, T., Chen, R., & Holmes, C. (2005). Pediatric parenting stress among parents of children with type 1 diabetes: The role of self-efficacy, responsibility, and fear. Journal of Pediatric Psychology, 30, 287–291.CrossRef Streisand, R., Swift, E., Wickmark, T., Chen, R., & Holmes, C. (2005). Pediatric parenting stress among parents of children with type 1 diabetes: The role of self-efficacy, responsibility, and fear. Journal of Pediatric Psychology, 30, 287–291.CrossRef
Zurück zum Zitat Sullivan-Bolyai, S., Deatrick, J., Gruppuso, P., Tamborlane, W., & Grey, M. (2002). Mothers’ experiences raising young children with type 1 diabetes. Journal for Specialists in Pediatric Nursing, 7, 93–103.PubMedCrossRef Sullivan-Bolyai, S., Deatrick, J., Gruppuso, P., Tamborlane, W., & Grey, M. (2002). Mothers’ experiences raising young children with type 1 diabetes. Journal for Specialists in Pediatric Nursing, 7, 93–103.PubMedCrossRef
Zurück zum Zitat Wysocki, T., Huxtable, K., Linscheid, T. R., & Wayne, W. (1989). Adjustment to diabetes mellitus in preschoolers and their mothers. Diabetes Care, 12, 524–529.PubMedCrossRef Wysocki, T., Huxtable, K., Linscheid, T. R., & Wayne, W. (1989). Adjustment to diabetes mellitus in preschoolers and their mothers. Diabetes Care, 12, 524–529.PubMedCrossRef
Metadaten
Titel
Pediatric Parenting Stress and Its Relation to Depressive Symptoms and Fear of Hypoglycemia in Parents of Young Children with Type 1 Diabetes Mellitus
verfasst von
Susana R. Patton
Lawrence M. Dolan
Laura B. Smith
Inas H. Thomas
Scott W. Powers
Publikationsdatum
01.12.2011
Verlag
Springer US
Erschienen in
Journal of Clinical Psychology in Medical Settings / Ausgabe 4/2011
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-011-9256-1

Weitere Artikel der Ausgabe 4/2011

Journal of Clinical Psychology in Medical Settings 4/2011 Zur Ausgabe