Parental dyadic coping in families of children and adolescents with type 1 diabetes

J Pediatr Endocrinol Metab. 2013;26(9-10):867-75. doi: 10.1515/jpem-2012-0410.

Abstract

Background: The strains of type 1 diabetes mellitus in children and adolescents pose a challenge to the minor and his/her parents.

Objective: The objective of this study was to identify parental dyadic coping patterns and explore their relation to psychosocial and disease variables.

Subjects: Parents (n=44 dyads) of children/adolescents with type 1 diabetes.

Methods: Cluster analysis employing Ward's method was conducted as a multivariate classification procedure without predetermined cluster centers.

Results: Three parental coping clusters were identified and labeled: avoiders, negotiators, and doers. Although not reaching statistical significance, the HbA1c levels of children/adolescents with parental dyads exhibiting the negotiator coping pattern were consistently lower than the levels of children with parents classified as avoiders or doers.

Conclusions: Parental dyads were distinguishable based on their dyadic coping patterns with a substantial proportion employing avoidant coping and suboptimal communication strategies. These parental dyads may benefit from minimal psychosocial intervention.

Publication types

  • Comparative Study

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Child
  • Child, Preschool
  • Cost of Illness*
  • Cross-Sectional Studies
  • Denial, Psychological
  • Diabetes Mellitus, Type 1 / blood
  • Diabetes Mellitus, Type 1 / physiopathology
  • Diabetes Mellitus, Type 1 / therapy*
  • Female
  • Germany
  • Glycated Hemoglobin / analysis
  • Health Behavior
  • Humans
  • Hyperglycemia / prevention & control*
  • Hypoglycemia / prevention & control*
  • Interpersonal Relations
  • Male
  • Maternal Behavior*
  • Negotiating
  • Parenting
  • Paternal Behavior*
  • Social Support

Substances

  • Glycated Hemoglobin A
  • hemoglobin A1c protein, human