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Erschienen in:

05.01.2022

Parent–Child Conflict Moderates the Relationship Between Executive Functioning and Child Disruptive Behaviors in Youth with T1D

verfasst von: Alexandra D. Monzon, Christopher C. Cushing, Mark A. Clements, Susana R. Patton

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 2/2022

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Abstract

Executive function (EF) skills, parent–child conflict, and high blood glucose (BG) may impact child externalizing behaviors. We examined these child and parent factors in families of 5–9 year olds with recent-onset type 1 diabetes (T1D). Parents (N = 125) reported child EF, child externalizing behaviors, and conflict regarding T1D-specific tasks. We used self-monitoring BG uploads to calculate the percentage of time children had high BG (> 180 mg/dl). We entered data into a moderated path analysis using MPlus8. The path analysis revealed a positive direct effect for parent-reported child EF and child externalizing behavior (p < .01). Further, T1D-specific conflict moderated the positive association between parent-reported child EF and child externalizing behaviors (p < .05). Early screening of child EF, externalizing behavior, and family conflict may be particularly important in the recent-onset period of T1D. The introduction of T1D-related conflict after diagnosis may impact child externalizing behavior and limited child EF skills that pre-date diagnosis.
Literatur
Zurück zum Zitat Bergenstal, R. M., Ahmann, A. J., Bailey, T., Beck, R. W., Bissen, J., Buckingham, B., & Wesley, D. M. (2013). Recommendations for standardizing glucose reporting and analysis to optimize clinical decision making in diabetes: The ambulatory glucose profile (AGP). Diabetes Technology &amp; Therapeutics, 15(3), 198–211. https://doi.org/10.1089/dia.2013.0051CrossRef Bergenstal, R. M., Ahmann, A. J., Bailey, T., Beck, R. W., Bissen, J., Buckingham, B., & Wesley, D. M. (2013). Recommendations for standardizing glucose reporting and analysis to optimize clinical decision making in diabetes: The ambulatory glucose profile (AGP). Diabetes Technology &amp; Therapeutics, 15(3), 198–211. https://​doi.​org/​10.​1089/​dia.​2013.​0051CrossRef
Zurück zum Zitat Cohen, D. M., Lumley, M. A., Naar-King, S., Partridge, T., & Cakan, N. (2004). Child behavior problems and family functioning as predictors of adherence and glycemic control in economically disadvantaged children with type 1 diabetes: A prospective study. Journal of Pediatric Psychology, 29(3), 171–184. https://doi.org/10.1093/jpepsy/jsh019CrossRefPubMed Cohen, D. M., Lumley, M. A., Naar-King, S., Partridge, T., & Cakan, N. (2004). Child behavior problems and family functioning as predictors of adherence and glycemic control in economically disadvantaged children with type 1 diabetes: A prospective study. Journal of Pediatric Psychology, 29(3), 171–184. https://​doi.​org/​10.​1093/​jpepsy/​jsh019CrossRefPubMed
Zurück zum Zitat Deater-Deckard, K., Wang, Z., Chen, N., & Bell, M. A. (2012). Maternal executive function, harsh parenting, and child conduct problems. Journal of Child Psychology and Psychiatry, 53(10), 1084–1091.CrossRef Deater-Deckard, K., Wang, Z., Chen, N., & Bell, M. A. (2012). Maternal executive function, harsh parenting, and child conduct problems. Journal of Child Psychology and Psychiatry, 53(10), 1084–1091.CrossRef
Zurück zum Zitat Gonder-Frederick, L. A., Zrebiec, J. F., Bauchowitz, A. U., Ritterband, L., Magee, J. C., Cox, D. J., & Clarke, W. L. (2009). Cognitive function is disrupted by both hypo-and hyperglycemia in school-agedchildren with type 1 diabetes: A field study. Diabetes Care, 32(6), 1001–1006.CrossRef Gonder-Frederick, L. A., Zrebiec, J. F., Bauchowitz, A. U., Ritterband, L., Magee, J. C., Cox, D. J., & Clarke, W. L. (2009). Cognitive function is disrupted by both hypo-and hyperglycemia in school-agedchildren with type 1 diabetes: A field study. Diabetes Care, 32(6), 1001–1006.CrossRef
Zurück zum Zitat McDonnell, C. M., Northam, E. A., Donath, S. M., Werther, G. A., & Cameron, F. J. (2007). Hyperglycemia and externalizing behavior in children with type 1 diabetes. Diabetes Care, 30(9), 2211–2215.CrossRef McDonnell, C. M., Northam, E. A., Donath, S. M., Werther, G. A., & Cameron, F. J. (2007). Hyperglycemia and externalizing behavior in children with type 1 diabetes. Diabetes Care, 30(9), 2211–2215.CrossRef
Zurück zum Zitat Muthén, L. K., & Muthén, B. O. (2017). MPlus: Statistical analysis with latent variables user’s guide. In Muthén & Muthén. www.StatModel.com Muthén, L. K., & Muthén, B. O. (2017). MPlus: Statistical analysis with latent variables user’s guide. In Muthén & Muthén. www.​StatModel.​com
Zurück zum Zitat Wasserman, R. M., Hilliard, M. E., Schwartz, D. D., & Anderson, B. J. (2015). Practical strategies to enhance executive functioning and strengthen diabetes management across the lifespan. Current Diabetes Reports, 15(8), 1–9.CrossRef Wasserman, R. M., Hilliard, M. E., Schwartz, D. D., & Anderson, B. J. (2015). Practical strategies to enhance executive functioning and strengthen diabetes management across the lifespan. Current Diabetes Reports, 15(8), 1–9.CrossRef
Zurück zum Zitat Wysocki, T., Harris, M. A., Buckloh, L. M., Mertlich, D., Lochrie, A. S., Taylor, A., & White, N. H. (2006). Effects of behavioral family systems therapy for diabetes on adolescents’ family relationships, treatment adherence, and metabolic control. Journal of Pediatric Psychology, 31(9), 928–938.CrossRef Wysocki, T., Harris, M. A., Buckloh, L. M., Mertlich, D., Lochrie, A. S., Taylor, A., & White, N. H. (2006). Effects of behavioral family systems therapy for diabetes on adolescents’ family relationships, treatment adherence, and metabolic control. Journal of Pediatric Psychology, 31(9), 928–938.CrossRef
Zurück zum Zitat Wysocki, T., Iannotti, R., Weissberg-Benchell, J., Laffel, L., Hood, K., Anderson, B., Committee F.M of C. D. S. (2008). Diabetes problem solving by youths with type 1 diabetes and their caregivers: Measurement, validation, and longitudinal associations with glycemic control. Journal of Pediatric Psychology, 33(8), 875–884.CrossRef Wysocki, T., Iannotti, R., Weissberg-Benchell, J., Laffel, L., Hood, K., Anderson, B., Committee F.M of C. D. S. (2008). Diabetes problem solving by youths with type 1 diabetes and their caregivers: Measurement, validation, and longitudinal associations with glycemic control. Journal of Pediatric Psychology, 33(8), 875–884.CrossRef
Metadaten
Titel
Parent–Child Conflict Moderates the Relationship Between Executive Functioning and Child Disruptive Behaviors in Youth with T1D
verfasst von
Alexandra D. Monzon
Christopher C. Cushing
Mark A. Clements
Susana R. Patton
Publikationsdatum
05.01.2022
Verlag
Springer US
Erschienen in
Journal of Clinical Psychology in Medical Settings / Ausgabe 2/2022
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-021-09838-5