TY - JOUR
T1 - Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes: Longitudinal Data from the DINO Study
T2 - Longitudinal Data from the DINO Study
AU - Eilander, Minke M. A.
AU - Snoek, Frank J.
AU - Rotteveel, Joost
AU - Aanstoot, Henk-Jan
AU - Bakker-van Waarde, Willie M.
AU - Houdijk, Euphemia C. A. M.
AU - Nuboer, Roos
AU - Winterdijk, Per
AU - de Wit, Maartje
PY - 2017
Y1 - 2017
N2 - 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. 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. 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. 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
AB - 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. 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. 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. 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
KW - Adolescent
KW - Child
KW - Cost of Illness
KW - Diabetes Mellitus, Type 1/blood
KW - Family Health
KW - Female
KW - Glycated Hemoglobin A/analysis
KW - Humans
KW - Hyperglycemia/prevention & control
KW - Hypoglycemia/prevention & control
KW - Longitudinal Studies
KW - Male
KW - Maternal Behavior/psychology
KW - Netherlands
KW - Paternal Behavior/psychology
KW - Patient Compliance/psychology
KW - Problem Behavior/psychology
KW - Psychiatric Status Rating Scales
KW - Psychosocial Support Systems
KW - Stress, Psychological/etiology
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U2 - https://doi.org/10.1155/2017/1462064
DO - https://doi.org/10.1155/2017/1462064
M3 - Article
C2 - 29376080
SN - 2314-6745
VL - 2017
SP - 1462064
JO - Journal of diabetes research
JF - Journal of diabetes research
M1 - 1462064
ER -