Understanding the Areas and Correlates of Diabetes-Related Distress in Parents of Teens With Type 1 Diabetes

被引:59
作者
Hessler, Danielle [1 ]
Fisher, Lawrence [1 ]
Polonsky, William
Johnson, Nicole [2 ]
机构
[1] UCSF, Dept Family & Community Med, Box 0900, San Francisco, CA 94143 USA
[2] Univ S Florida, Tampa, FL USA
关键词
Adolescents; diabetes; parent-adolescent communication; parent stress; parenting style; psychosocial functioning; GLYCEMIC CONTROL; CHILDREN; STRESS; FAMILY; ADOLESCENTS; STYLES;
D O I
10.1093/jpepsy/jsw002
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
ObjectiveaEuro integral To identify the unique areas of diabetes-related distress (DD) for parents of teens with type 1 diabetes and parent and teen characteristics associated with DD.aEuro integral MethodsaEuro integral Areas of DD were developed from structured interviews and translated into 46 survey items. Items were analyzed with exploratory factor analysis (EFA).aEuro integral ResultsaEuro integral An EFA with 332 parents (88% mothers) reduced items to four Parent Diabetes Distress Scale (PDDS) factors (20 items, alpha = .94): Personal, Teen Management, Parent/Teen Relationship, and Healthcare Team Distress. Parent DD was higher among fathers, younger or single parents, parents of teens with higher hemoglobin A1c or severe low blood glucose levels, authoritarian parenting, depressive symptoms, and low emotional support.aEuro integral ConclusionsaEuro integral 4 areas of parent DD were identified using a newly developed measure, the PDDS. DD was associated with family demographic, teen diabetes status, and parent contextual factors, and can help identify parents who may be more vulnerable to DD.
引用
收藏
页码:750 / 758
页数:9
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