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

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, Str... Mehr ...

Verfasser: Eilander, Minke M A
Snoek, Frank J
Rotteveel, Joost
Aanstoot, Henk-Jan
Bakker-van Waarde, Willie M
Houdijk, Euphemia C A M
Nuboer, Roos
Winterdijk, Per
de Wit, Maartje
Dokumenttyp: Artikel
Erscheinungsdatum: 2017
Reihe/Periodikum: Eilander , M M A , Snoek , F J , Rotteveel , J , Aanstoot , H-J , Bakker-van Waarde , W M , Houdijk , E C A M , Nuboer , R , Winterdijk , P & de Wit , M 2017 , ' Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes : Longitudinal Data from the DINO Study ' , Journal of diabetes research , vol. 2017 , 1462064 . https://doi.org/10.1155/2017/1462064
Schlagwörter: Adolescent / Child / Cost of Illness / Diabetes Mellitus / Type 1/blood / Family Health / Female / Glycated Hemoglobin A/analysis / Humans / Hyperglycemia/prevention & control / Hypoglycemia/prevention & control / Longitudinal Studies / Male / Maternal Behavior/psychology / Netherlands / Paternal Behavior/psychology / Patient Compliance/psychology / Problem Behavior/psychology / Psychiatric Status Rating Scales / Psychosocial Support Systems / Stress / Psychological/etiology / /dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being / name=SDG 3 - Good Health and Well-being
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27622617
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://research.vu.nl/en/publications/a1a99c55-10f3-4753-958f-248e183454fd

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.