Longitudinal Associations of Maternal Depressive Symptoms, Maternal Involvement, and Diabetes Management Across Adolescence

Wiebe, Deborah J.; Gelfand, Donna M.; Butler, Jorie; Korbel, Carolyn; Fortenberry, Katherine T.; McCabe, Jennifer E.; Berg, Cynthia A.

doi:10.1093/jpepsy/jsr002

Cited by 49 publications

(69 citation statements)

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“…Although previous research finds parental involvement remains high for mothers with depressive symptoms (Wiebe et al, 2011), the relation between depressive symptoms and involvement may depend on the type of parental involvement in disease care. For example, direct parental involvement that includes maternal responsibility for disease management tasks may remain high in mothers with depressive symptoms because mothers may lack the initiative or ability to transfer care to their adolescents (Wiebe et al, 2011). In contrast to direct parental involvement, indirect involvement entails parental monitoring that is less “hands-on” and consists of supervision of diabetes care tasks.…”

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confidence: 78%

Maternal depressive symptoms and disease care status in youth with type 1 diabetes.

et al. 2014

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Objective The current study assessed relations among maternal depressive symptoms, poorer youth diabetes adherence, and glycemic control. Specifically, hypothesized mediating links of lowered expectations of parental involvement, less parental monitoring and more conflict were examined. Methods Participants included 225 mothers and their young adolescents, aged 11–14 years (M = 12.73 years, SD = 1.2) diagnosed with T1D. Maternal depressive symptoms and outcome expectancies for maternal involvement were evaluated with self-report questionnaires. Multi-source, parent/youth, and multi-method assessment of adherence, parental monitoring, and conflict were evaluated during a baseline assessment from a larger randomized clinical trial. Results The first hypothesized structural equation model demonstrated a good fit and indicated that more maternal depressive symptoms were directly associated with less parental monitoring and more conflict, which in turn each were associated with poorer adherence and glycemic control. Although higher involvement expectancies were associated with more monitoring and less conflict, they were not associated with other model variables. A second alternative model also fit the data well; poorer youth adherence was associated with more conflict that in turn related to maternal depressive symptoms. Conclusions Two models were tested by which maternal depressive symptoms and poorer youth adherence were interrelated via less monitoring and more conflict. Follow-up longitudinal evaluation can best characterize the full extent of these relations.

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confidence: 78%

Maternal depressive symptoms and disease care status in youth with type 1 diabetes.

et al. 2014

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“…Mothers with higher level of depressive symptoms tend to provide lesser support and warmth, potentially leading to lower psychosocial adjustment of the child and adolescent 41,42 . Paternal and maternal stress is also related to depressive symptoms in adolescents with T1D 43 .…”

Section: Parental Mental Healthmentioning

confidence: 99%

Anxiety and depressive disorders in children and adolescents suffering from diabetes mellitus

2018

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Abstract. Diabetes mellitus (DM) and mental health problems are frequently co-occurring conditions. Anxiety and depressive disorders are the most common mental disorders that accompany DM. These conditions could have severe consequences in children and adolescents suffering from DM. Thus, it is important to pay additional attention to them. This article provides an overview of prevalence rates of DM and co-occurring anxiety and depression, as well as understanding the etiology and treatment options for anxiety and depressive disorders in children and adolescents with DM. Key words: anxiety disorders; depression; diabetes mellitusSažetak. Diabetes mellitus (DM) i psihički poremećaji često su u komorbiditetu. Anksiozni i depresivni poremećaji najčešći su duševni poremećaji koji prate DM. Ovi mentalni poremećaji mogu imati ozbiljne posljedice za djecu i adolescente koji boluju od DM-a, stoga je važno posvetiti im dodatnu pozornost. U radu donosimo kratak pregled prevalencije DM-a i komorbiditetnih anksioznih i depresivnih poremećaja te razumijevanje etioloških karakteristika. Ukratko smo se osvrnuli i na mogućnosti liječenja djece i adolescenata koji imaju DM i anksiozni odnosno depresivni poremećaj. Ključne riječi: anksiozni poremećaji; depresivni poremećaji; diabetes mellitusMini-review/Kratki pregledni članak 1 Odsjek za psihologiju, Filozofski fakultet, Sveučilište u Rijeci, Rijeka 2 Klinika za neurologiju i psihijatriju za decu i omladinu, Beograd, Srbija 3 Katedra za psihijatriju i psihološku medicinu, Medicinski fakultet, Sveučilište u Rijeci, Rijeka

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“…37 One additional family factor that has been found to significantly impact adherence among youth with type 1 diabetes is maternal psychological functioning, including separation anxiety and depression. 16,39 Maternal caregivers, who demonstrate difficulties with separation anxiety and attachment issues with their adolescents, are hypothesized to also have difficulties with their adolescent's eventual need for autonomy for diabetes care. 16 Similarly, higher maternal depressive symptoms have been found to be associated with poorer youth diabetes adherence.…”

Section: Familymentioning

confidence: 99%

“…16 Similarly, higher maternal depressive symptoms have been found to be associated with poorer youth diabetes adherence. 39 Researchers suggested that the maternal depression symptoms may impede the ability of mothers to facilitate their youth's self-management skills over time. 39 …”

Section: Familymentioning

confidence: 99%

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Behavioral Factors Influencing Health Outcomes in Youth with Type 1 Diabetes

Kichler¹,

Moss²,

Kaugars³

2012

US Endocrinology

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Adherence to medical regimen is often identified as a hallmark modifiable factor that impacts health outcomes for those with chronic medical illnesses. Rapoff suggests that adherence to medical regimens is estimated to be between 50-55 % for all chronically ill patients. 1 He describes a number of patient and family (e.g., demographic, adjustment/coping, family involvement), disease-and regimen-related correlates to adherence; however, correlates do not imply causation and should be interpreted cautiously.1 Researchers have rated non-adherence rates to be between 20 to 93 % 1-3 for youth with type 1 diabetes and have found that adherence is widely accepted as related to diabetes control. 4In a recent review article, Modi et al. make a distinction between two constructs: self-management (i.e., the interactions of health behaviors and related processes that patients and families engage in to carefor chronic medical conditions) and adherence (i.e., the extent to which a person's behavior coincides with medical or health advice). 5 In their Pediatric Self-Management Model, self-management influences adherence, which then affects outcomes, including health outcomes. The authors also suggest that there may be certain self-management factors that impact outcomes without the mediating role of adherence in pediatric conditions. 5This present review article will focus on the first two of three stages in the Pediatric Self-Management Model, self-management and adherence, to discuss the behavioral factors that may influence health outcomes for youth with type 1 diabetes during adolescence (see Figure 1). Findings from individual, family, peer, and group therapy interventions that have targeted these behavioral factors in order to improve health outcomes will then be outlined. Self-managementModi et al. describe the construct of self-management as having three components. 5 The first component is self-management behaviors, which are the actual behaviors performed by the youth and/or family in order to care for a chronic medical illness. Secondly, there are contextual variables, which are four systems that impact how the self-management behaviors occur. These include individual, family, community, and healthcare domains. Finally, there are processes that link the self-management behaviors with the contextual systems.These processes include individuals' cognitive, emotional, and social perceptions. Three components of self-management, self-management behaviors, contextual variables, and processes as they relate to youth with type 1 diabetes, will be reviewed below (see Table 1). Self-management BehaviorsSelf-management behaviors, defined as examples of the 'neutral'behaviors that are employed to help manage a chronic medical illness, have been widely examined in youth with type 1 diabetes.Some examples of self-management behaviors that researchers have repeatedly identified as relevant to the management of diabetes are parental involvement and collaboration, the division of diabetes responsibility in the family and subsequent ...

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Longitudinal Associations of Maternal Depressive Symptoms, Maternal Involvement, and Diabetes Management Across Adolescence

Abstract: Mothers' depressive symptoms may undermine her care-giving effectiveness during adolescence.

Cited by 49 publications

References 28 publications

Maternal depressive symptoms and disease care status in youth with type 1 diabetes.

Maternal depressive symptoms and disease care status in youth with type 1 diabetes.

Anxiety and depressive disorders in children and adolescents suffering from diabetes mellitus

Behavioral Factors Influencing Health Outcomes in Youth with Type 1 Diabetes

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