Family stress and metabolic control in diabetes.

Viner, RM; McGrath, M; Trudinger, Philip

doi:10.1136/adc.74.5.418

Cited by 59 publications

(50 citation statements)

References 32 publications

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“…T1DM affects the whole life of the child and his family, and the prognosis of the child can be determined to a great extent by mental and social resources of the families [8][9][10][11]. The findings from this study suggest that glycemic control among children with T1DM is significantly influenced by parents` higher educational level and occupational status.…”

Section: Discussionmentioning

confidence: 56%

Effect of Parents’ Educational Level and Occupational Status on Child Glycemic Control

Al-Agha¹,

Majdi²,

Aljefri³

et al. 2017

J Pat Care

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IntroductionType 1 diabetes mellitus (T1DM) is one of the most common chronic metabolic disorders affecting children worldwide. The prevalence of (T1DM) was 109.5 per 100,000 in children and adolescents of Saudi Arabia in 2008, while it was 1.93 per 1000 in 2009 in the United States of America [1,2]. Parents involvement is the key to meet the goal of better management outcome of glycemic control and quality of life in pediatric patients [3,4]. One of the most important aims of health care team is to know the parents' knowledge and educational level to build up from different bases according to their information, also knowing their job and socioeconomic state to work together as a team to keep up the child glycemic control. It is well-established that the glycemic control and readmission rate of the child are affected by educational level and occupational position of the family [5]. In literature, better glycemic control in children with T1DM was found among families with higher parents' educational level, however not much is known on this topic in Saudi Arabia [6,7].We aimed of this cross-sectional hospital-based study to assess parents` higher educational level and occupational status in relation to glycemic control among children with T1DM at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Methodology ParticipantsOur sample was taken from outpatients' diabetic clinic at King Abdulaziz University Hospital in Jeddah (KAUH) between 2013 and 2014. There were children and adolescents with T1DM between 1and 18 years of age and their caregivers. Of the 450 eligible participants only 243, has completed the study to the end. For glycemic control, Objective: To investigate the relationship between glycemic controls measured as glycosylated hemoglobin (HbA1c) with parental higher education and occupational status in children and adolescents with T1DM.

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Section: Discussionmentioning

confidence: 56%

Effect of Parents’ Educational Level and Occupational Status on Child Glycemic Control

Al-Agha¹,

Majdi²,

Aljefri³

et al. 2017

J Pat Care

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“…One of these is social support, and research has shown this may provide a buffering effect in times of stress. 13 Psychological support is also important. In a recent meta-analysis of randomized controlled trials, Ismail et al 23 concluded that people with type 2 diabetes who received behavioralbased diabetes education or psychological interventions were likely to show improvements in both glycemic control and psychological distress.…”

Section: Stress and Diabetes Controlmentioning

confidence: 99%

“…[12][13][14][15] This potential influence is important, not only for the often debilitating effects poor blood glucose control can have on daily life, but also because of the known association between chronically high blood glucose levels and the development of diabetes complications. 16 It is a complex area of research, much of it having been conducted in children and adolescents, with fewer studies in adults or in those with type 2 diabetes, and using a number of different measurement tools.…”

Section: Stress and Diabetes Controlmentioning

confidence: 99%

Stress and Diabetes: A Review of the Links

Lloyd¹,

Smith²,

Weinger³

2005

Diabetes Spectrum

218

161

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“…In addition, stress can disrupt diabetes control indirectly through effects on diet, exercise, and other self-care behaviors. Several studies have demonstrated a relationship of stress to glycemic control in samples of patients with type 2 diabetes (3,4). Stress can be managed through the use of behavioral stress management programs or through the administration of anxiolytic medications.…”

mentioning

confidence: 99%

Stress Management Improves Long-Term Glycemic Control in Type 2 Diabetes

et al. 2002

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OBJECTIVE -There is conflicting evidence regarding the utility of stress management training in the treatment of diabetes. The few studies that have shown a therapeutic effect of stress management have used time-intensive individual therapy. Unfortunately, widespread use of such interventions is not practical. The aim of the present investigation is to determine whether a cost-effective, group-based stress management training program can improve glucose metabolism in patients with type 2 diabetes and to determine whether a particular subset of patients is more likely to get positive results.RESEARCH DESIGN AND METHODS -Patients with type 2 diabetes were randomized to undergo a five-session group diabetes education program with or without stress management training. Participants (n ϭ 108) were followed for 1 year, during which HbA 1c tests and questionnaires assessing perceived stress, anxiety, and psychological health were administered at regular intervals to evaluate treatment effects.RESULTS -Stress management training was associated with a small (0.5%) but significant reduction in HbA 1c . Compliance with the treatment regimen decreased over time but was similar to that seen in patients receiving stress management for other reasons in the clinic. Trait anxiety (a measure of stable individual differences in anxiety proneness) did not predict response to treatment, showing that highly anxious patients did not derive more benefit from training. CONCLUSIONS -The current results indicate that a cost-effective, group stress management program in a "real-world" setting can result in clinically significant benefits for patients with type 2 diabetes.

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Family stress and metabolic control in diabetes.

Cited by 59 publications

References 32 publications

Effect of Parents’ Educational Level and Occupational Status on Child Glycemic Control

Effect of Parents’ Educational Level and Occupational Status on Child Glycemic Control

Stress and Diabetes: A Review of the Links

Stress Management Improves Long-Term Glycemic Control in Type 2 Diabetes

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