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Journal of Clinical Psychology in Medical Settings

Published in:

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

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

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2011

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.

Beck, A., Steer, R., & Brown, G. (1996). Beck Depression Inventory-II manual. San Antonio, TX: The Psychological Corp.

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

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

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

Grey, M. (2009). Coping and psychosocial adjustment in mothers of young children with type 1 diabetes. Child Health Care, 38, 91–106.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

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

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

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

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. (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., & 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. (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., 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

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

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

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., 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., 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

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

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

Title: Pediatric Parenting Stress and Its Relation to Depressive Symptoms and Fear of Hypoglycemia in Parents of Young Children with Type 1 Diabetes Mellitus
Authors: Susana R. Patton
Lawrence M. Dolan
Laura B. Smith
Inas H. Thomas
Scott W. Powers
Publication date: 01-12-2011
Publisher: Springer US
Published in: Journal of Clinical Psychology in Medical Settings / Issue 4/2011
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-011-9256-1

Keynote webinar | Spotlight on medication adherence

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

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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