Top

Gepubliceerd in:

01-02-2014 | Original Paper

Family Cohesion and Health-Related Quality of Life of Children with Type 1 Diabetes: The Mediating Role of Parental Adjustment

Auteurs: Helena Moreira, Roberta Frontini, Monika Bullinger, Maria Cristina Canavarro

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 2/2014

Abstract

Despite the increasing number of studies on the health-related quality of life (HRQOL) of children with type 1 diabetes (T1D), little is known about the influence of family and parental factors on this outcome. This study aimed to explore whether family cohesion and children’s HRQOL were connected through three indicators of parental psychological adjustment (parenting stress, depressive symptoms, and anxious symptoms) as well as whether these links varied according to the child’s age. Levels of family cohesion, parenting stress, and depression/anxiety symptoms of parents of children with T1D and parents of healthy children were compared. The sample included 88 child–parent dyads composed of children/adolescents (8–18 years old) with T1D and one of their parents and 121 dyads composed of healthy children/adolescents and one of their parents. The parents completed self-report measures of family cohesion, parenting stress, and emotional adjustment, and the children completed measures of HRQOL. Testing of the hypothesized moderated mediational model showed that higher HRQOL ratings in children were associated with higher levels of cohesion through lower levels of parental stress, regardless of the child’s age. Parents of children with T1D perceived less cohesion and felt more anxiety and stress about parenting tasks compared to parents of healthy children. Our findings suggest that parents of children with T1D are at an increased risk of psychological maladjustment. Moreover, this study highlights the interrelation between family/parental functioning and child adjustment and makes an innovative contribution by identifying a mechanism that may account for the link between family and child variables.

vorige artikel Ethnic Differences in the Effect of Perceived Parenting on Juvenile Violent Delinquency of Dutch and Moroccan-Dutch Boys

volgende artikel Transactional Paths Between Children and Parents in Pediatric Asthma: Associations Between Family Relationships and Adaptation

Abidin, R. R. (1995). Parenting stress index: Professional manual (3rd ed.). Odessa, FL: Psychological Assessment Resources, Inc.

Anderson, B. (2004). Family conflict and diabetes management in youth: Clinical lessons from child development and diabetes research. Diabetes Spectrum, 17, 22–26. doi:10.2337/diaspect.17.1.22.CrossRef

Anderson, B., Ho, J., Brackett, J., Finkelstein, D., & Laffel, L. (1997). Parental involvement in diabetes management tasks: Relationships to blood glucose monitoring adherence and metabolic control in young adolescents with insulin-dependent diabetes mellitus. The Journal of Pediatrics, 130, 257–265.PubMedCrossRef

Baars, R., Atherton, C., Koopman, H., Bullinger, M., Power, M., & the DISABKIDS group. (2005). The European DISABKIDS project: Development of seven condition-specific modules to measure health related quality of life in children and adolescents. Health and Quality of Life Outcomes, 3, 70. doi:10.1186/1477-7525-3-70.PubMedCentralPubMedCrossRef

Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.

Blankfeld, D., & Holahan, C. (1996). Family support, coping strategies, and depressive symptoms among mothers of children with diabetes. Journal of Family Psychology, 10, 173–179.CrossRef

Bullinger, M., Schmidt, S., Petersen, C., & Ravens-Sieberer, U. (2006). Quality of life: Evaluation criteria for children with chronic conditions in medical care. Journal of Public Health, 14, 343–355. doi:10.1007/s10389-006-0066-0.CrossRef

Burke, P., Neigut, D., Kocoshis, S., Chandra, R., & Sauer, J. (1994). Correlates of depression in new onset pediatric inflammatory bowel disease. Child Psychiatry and Human Development, 4, 275–283. doi:10.1007/BF02353203.CrossRef

Cameron, L., Young, M., & Wiebe, D. (2007). Maternal trait anxiety and diabetes control in adolescence with type 1 diabetes. Journal of Pediatric Psychology, 32, 733–744. doi:10.1093/jpepsy/jsl053.PubMedCrossRef

Carona, C., Crespo, C., Silva, N., Lopes, A. F., Canavarro, M. C., & Bullinger, M. (2012). Examining a developmental approach to health-related quality of life assessment: Psychometric analysis of DISABKIDS generic module in a Portuguese sample. Vulnerable Children and Youth Studies. Advance online publication. doi: 10.1080/17450128.2012.736647.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum.

Cohen, D., Lumley, M., 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, 171–184. doi:10.1093/jpepsy/jsh019.PubMedCrossRef

Coyne, J. C., & Downey, G. (1991). Social factors and psychopathology: Stress, social support, and coping processes. Annual Review of Psychology, 42, 401–425.PubMedCrossRef

Cunningham, N., Vesco, A., Dolan, L., & Hood, K. (2011). From caregiver psychological distress to adolescent glycemic control: The mediating role of perceived burden around diabetes management. Journal of Pediatric Psychology, 36, 196–205. doi:10.1093/jpepsy/jsq071.PubMedCrossRef

Driscoll, K., Johnson, S., Barker, D., Quittner, A., Deeb, L., Geller, D., et al. (2010). Risk factors associated with depressive symptoms in caregivers of children with type 1 diabetes or cystic fibrosis. Journal of Pediatric Psychology, 35, 814–822. doi:10.1093/jpepsy/jsp138.PubMedCrossRef

Drotar, D. (1997). Relating parent and family functioning to the psychological adjustment of children with chronic health conditions: What have we learned? What do we need to know? Journal of Pediatric Psychology, 22, 149–165. doi:10.1093/jpepsy/22.2.149.PubMedCrossRef

Eckshtain, D., Ellis, D., Kolmodin, K., & Naar-King, S. (2010). The effects of parental depression and parenting practices on depressive symptoms and metabolic control in urban youth with insulin dependent diabetes. Journal of Pediatric Psychology, 35, 426–435. doi:10.1093/jpepsy/jsp068.PubMedCrossRef

Eiser, C., & Morse, R. (2001a). Can parents rate their child’s health-related quality of life? Results of a systematic review. Quality of Life Research, 10, 347–357. doi:10.1023/A:1012253723272.PubMedCrossRef

Eiser, C., & Morse, R. (2001b). The measurement of quality of life in children: Past and future perspectives. Developmental and Behavioral Pediatrics, 22, 248–256.CrossRef

Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*power 3: A flexible statistical power analysis program for the social, behavioural, and biomedical sciences. Behaviour Research Methods, 39, 175–191. doi:10.3758/BF03193146.CrossRef

Field, C., & Duchoslav, R. (2009). Family influence on adolescent treatment outcomes. In W. T. O’Donohue & L. W. Tolle (Eds.), Behavioral approaches to chronic disease in adolescence (pp. 47–54). New York: Springer.CrossRef

Gaspar, T., & Matos, M. G. (Eds.). (2008). Qualidade de vida em crianças e adolescentes: Versão portuguesa dos instrumentos KIDSCREEN-52 [quality of life in children and adolescents: Portuguese version of the instruments KIDSCREEN-52]. Cruz Quebrada: Aventura Social e Saúde.

Hamlett, K., Pellegrini, D., & Katz, K. (1992). Childhood chronic illness as a family stressor. Journal of Pediatric Psychology, 17, 33–47. doi:10.1093/jpepsy/17.1.33.PubMedCrossRef

Hauser, S., Jacobson, A., Lavori, P., Wolfsdorf, J., Herskowitz, R., Milley, J., et al. (1990). Adherence among children and adolescents with insulin-dependent diabetes mellitus over a four-year longitudinal follow-up: II. Immediate and long-term linkages with the family milieu. Journal of Pediatric Psychology, 15, 527–542. doi:10.1093/jpepsy/15.4.527.PubMedCrossRef

Hayes, A. F. (2011). SPSS MODMED macro syntax reference. Retrieved from http://www.afhayes.com/public/modmed.pdf.

Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling [white paper]. Retrieved from http://www.afhayes.com/ public/process2012.pdf.

Holmbeck, G., Coakley, R., Hommeyer, J., Shapera, W., & Westhoven, V. (2002). Observed and perceived dyadic and systemic functioning in families of preadolescents with spina bifida. Journal of Pediatric Psychology, 27, 177–189. doi:10.1093/jpepsy/27.2.177.PubMedCrossRef

Horsch, A., McManus, F., Kennedy, P., & Edge, J. (2007). Anxiety, depressive, and posttraumatic stress symptoms in mothers of children with type 1 diabetes. Journal of Traumatic Stress, 20, 881–891. doi:10.1002/jts.20247.PubMedCrossRef

Jaser, S., Whittemore, R., Ambrosino, J., Lindemann, E., & Grey, M. (2008). Mediators of depressive symptoms in children with type 1 diabetes and their mothers. Journal of Pediatric Psychology, 33, 509–519. doi:10.1093/jpepsy/jsm104.PubMedCentralPubMedCrossRef

Kazak, A. (1997). A contextual family/systems approach to pediatric psychology: Introduction to the special issue. Journal of Pediatric Psychology, 22, 141–148. doi:10.1093/jpepsy/22.2.141.PubMedCrossRef

Kazak, A., Rourke, M., & Navsaria, N. (2009). Families and other systems in pediatric psychology. In M. C. Roberts & R. G. Steele (Eds.), Handbook of pediatric psychology (4th ed., pp. 656–671). New York: The Guilford Press.

Kovaks, M., Obrosky, D., Goldston, D., & Bonar, L. (1997). Psychiatric disorders in youths with IDDM: Rates and risk factors. Diabetes Care, 20, 36–44. doi:10.2337/diacare.20.1.36.CrossRef

Lewin, A., Heidgerken, A., Geffken, G., Williams, L., Storch, E., Gelfand, K., et al. (2006). The relation between family factors and metabolic control: The role of diabetes adherence. Journal of Pediatric Psychology, 31, 174–183. doi:10.1093/jpepsy/jsj004.PubMedCrossRef

MacCallum, R. C., Zhang, S., Preacher, K. J., & Rucker, D. D. (2002). On the practice of dichotomization of quantitative variables. Psychological Methods, 7, 19–40.PubMedCrossRef

Matos, P.M., & Fontaine, M. (1992). Family Environment Scale. Adaptação portuguesa [Family Environment Scale—Portuguese version]. Unpublished manuscript, Faculdade de Psicologia e de Ciências da Educação, Universidade do Porto, Porto, Portugal.

Missotten, L., Luyckx, K., & Seiffge-Krenke, I. (2012). Family climate of adolescents with and without type 1 diabetes: Longitudinal associations with psychosocial adaptation. Journal of Child and Family Studies. Advance online publication. doi: 10.1007/s10826-012-9585-1.

Moos, R. H., & Moos, B. S. (1986). Family environment scale manual (2nd ed.). Palo Alto, CA: Consulting Psychologists Press.

Mullins, L., Fuemmeler, B., Hoff, A., Chaney, J., Pelt, J., & Ewing, C. (2004). The relationship of parental overprotection and perceived child vulnerability to depressive symptomatology in children with type 1 diabetes mellitus: The moderating influence of parenting stress. Children’s Health Care, 33, 21–34. doi:10.1207/s15326888chc3301_2.CrossRef

Northam, E., Anderson, P., Adler, R., Werther, G., & Warne, G. (1996). Psychosocial and family functioning in children with insulin-dependent diabetes at diagnosis and one year later. Journal of Pediatric Psychology, 21, 699–717. doi:10.1093/jpepsy/21.5.699.PubMedCrossRef

Overstreet, S., Goins, J., Chen, R., Holmes, S., Greer, T., Dunlap, W., et al. (1995). Family environment and the interrelation of family structure, child behavior, and metabolic control for children with diabetes. Journal of Pediatric Psychology, 20, 435–447. doi:10.1093/jpepsy/20.4.435.PubMedCrossRef

Pais-Ribeiro, J., Silva, I., Ferreira, T., Martins, A., Meneses, R., & Baltar, M. (2007). Validation study of a portuguese version of the hospital anxiety and depression scale. Psychology, Health & Medicine, 12, 225–235. doi:10.1080/13548500500524088.CrossRef

Peterson, C., Schmidt, S., Power, M., Bullinger, M., & The DISABKIDS Group. (2005). Development and pilot-testing of a health-related quality of life chronic generic module for children and adolescents with chronic health conditions: A European perspective. Quality of Life Research, 14, 1065–1077. doi:10.1007/s11136-004-2575-z.CrossRef

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. doi:10.3758/BRM.40.3.879.PubMedCrossRef

Ravens-Sieberer, U., Erhart, M., Rajmil, L., Herdman, M., Auquier, P., Bruil, J., et al. (2010). Reliability, construct and criterion validity of the KIDSCREEN-10 score: A short measure for children and adolescents’ well-being and health-related quality of life. Quality of Life Research, 19, 1487–1500. doi:10.1007/s11136-010-9706-5.PubMedCentralPubMedCrossRef

Rentinck, I. C., Ketelaar, M., Jongmans, M. J., & Gorter, J. W. (2006). Parents of children with cerebral palsy: A review of factors related to the process of adaptation. Child: Care, Health and Development, 33, 161–169.

Sameroff, A. (1975). Transactional models of early social relations. Human Development, 18, 65–79. doi:10.1159/000271476.CrossRef

Schwarzer, R., & Leppin, A. (1991). Social support and health: A theoretical and empirical overview. Journal of Social and Personal Relationships, 8, 99–127. doi:10.1177/0265407591081005.CrossRef

Shor, E. L., & American Academy of Pediatrics Task Force on the Family. (2003). Family pediatrics: Report of the Task Force on the Family. Pediatrics, 111, 1541–1571.

Small, S. A., Eastman, G., & Cornelius, S. (1988). Adolescent autonomy and parental stress. Journal of Youth and Adolescence, 17, 377–391. doi:10.1007/BF01537880.PubMedCrossRef

Soliday, E., Kool, E., & Lande, M. (2001). Family environment, child behavior, and medical indicators in children with kidney disease. Child Psychiatry and Human Development, 31, 279–295. doi:10.1023/A:1010282305881.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. doi:10.1093/jpepsy/26.3.155.PubMedCrossRef

Streisand, R., Mackey, E., & Herge, W. (2010). Associations of parent coping, stress, and well-being in mothers of children with diabetes: Examination of data from a national sample. Maternal and Child Health Journal, 14, 612–617. doi:10.1007/s10995-009-0497-7.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, 513–521. doi:10.1093/jpepsy/jsi076.PubMedCrossRef

Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Allyn and Bacon.

The European DISABKIDS Group. (2006). The DISABKIDS Questionnaires—Quality of Life questionnaires for children with chronic conditions. Lengerich: Pabst Science Publishers.

Varni, J., Seid, M., & Kurtin, P. (1999). Pediatric health-related quality of life measurement technology: A guide for health care decisions makers. Journal of Clinical Outcomes Management, 6, 33–40.

Weissberg-Benchell, J., Nansel, T., Holmbeck, G., Chen, R., Anderson, B., Wysocki, T., et al. (2009). Generic and diabetes-specific parent–child behaviors and quality of life among youth with type 1 diabetes. Journal of Pediatric Psychology, 34, 977–988. doi:10.1093/jpepsy/jsp003.PubMedCrossRef

Williams, L., Laffel, L., & Hood, K. (2009). Education and psychological aspects diabetes-specific family conflict and psychological distress in paediatric type 1 diabetes. Diabetic Medicine, 26, 908–914. doi:10.1111/j.1464-5491.2009.02794.x.PubMedCrossRef

Wysocki, T., Buckloh, L., & Greco, P. (2009). The psychological context of diabetes mellitus in youths. In M. C. Roberts & R. G. Steele (Eds.), Handbook of pediatric psychology (4th ed., pp. 287–302). New York: The Guilford Press.

Zigmond, A. P., & Snaith, R. P. (1983). The hospital and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370. doi:10.1111/j.1600-0447.1983.tb09716.x.PubMedCrossRef

Titel: Family Cohesion and Health-Related Quality of Life of Children with Type 1 Diabetes: The Mediating Role of Parental Adjustment
Auteurs: Helena Moreira
Roberta Frontini
Monika Bullinger
Maria Cristina Canavarro
Publicatiedatum: 01-02-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 2/2014
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-013-9758-6

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 2/2014

Bidirectional Effects of Parenting Quality and Child Externalizing Behavior in Predominantly Single Parent, Under-Resourced African American Families

Characteristics and Effects of the Co-parenting Alliance between Incarcerated Parents and Child Caregivers

Family Financial Pressure and Maternal and Adolescent Socioemotional Adjustment: Moderating Effects of Kin Social Support in Low Income African American Families

Parent–Child Cultural Value Gaps and Depressive Symptoms Among Mexican American Youth

Factors Associated with 3-Year Stability and Change in Parenting Behavior of Abusive Parents

Transactional Paths Between Children and Parents in Pediatric Asthma: Associations Between Family Relationships and Adaptation