Maternal distress in the context of their child’s type 1 diabetes: exploring the role of adaptive maternal emotion regulation on child outcomes

Gampelaere, Cynthia Van; Vervoort, Tine; Luyckx, Koen; Paepe, Annick De; Aken, Sara Van; Goubert, Liesbet

doi:10.1080/13548506.2017.1394475

Cited by 10 publications

(10 citation statements)

References 45 publications

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“…Parents of children with T1DM seem to be at greater risk for mental health issues [33]. Indeed, studies report parents to show higher levels of depressive as opposed to anxious symptoms compared to the general population [5,27,31] while others observed mothers, in particular, to be often above the clinical cut-off for both depression and anxiety symptoms [22,27]. Moreover, trait-anxious mothers appear as particularly over-protective toward their adolescents and children with T1DM, as they perceived them to be less capable in dealing with their disease [45].…”

Section: Discussionmentioning

confidence: 99%

“…Parents who report their children's behaviour as more problematic, showed greater difficulties associated to paediatric parenting stress and increased child-reported critical parenting behaviours [18,30]. Moreover, maternal illness related stress associates with the children's mental state [31]. Considering the differences referred to children's age, parents of children (Mage = 10.8 years) report, overall, less paediatric parenting stress compared to parents of preadolescents (Mage = 12.9 years) [26].…”

Section: Parental Stress and Parenting Stressmentioning

confidence: 99%

“…Nevertheless, the greater consideration of mothers throughout the paediatric diabetes literature could be due to reports of them being more preoccupied with the internal suffering of their children with T1DM, while also showing greater feelings of sadness and anxiety compared to fathers [34]. Maternal depression and anxiety symptoms thus seem strongly interrelated, with depression resulting as the greatest predictor of adverse outcomes on children diabetes than anxiety [23,31].…”

Section: Mothers Involvement In the Management Of Children With T1dmmentioning

confidence: 99%

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Parental Stress, Anxiety and Depression Symptoms Associated with Self-Efficacy in Paediatric Type 1 Diabetes: A Literature Review

Bassi

Mancinelli

Riso

et al. 2020

IJERPH

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Background: Parents play a significant role in the management and monitoring of their children’s Type 1 diabetes mellitus (T1DM), being considered a family disease. The current review intends to investigate parental stress, depression and anxiety symptoms associated with self-efficacy referred to paediatric diabetes management. Method: A literature review was carried out using PsycINFO, Web of Science and PubMed where the following terms were considered: diabetes mellitus, paediatric, parent-child relationship, self-efficacy, parenting stress, perceived stress, stress, depression, anxiety. Standing a defined list of inclusion and exclusion criteria, a total of 33 papers were finally included. Results: Findings have shown that parents experience relatively high levels of anxiety, depression and stress symptoms related to managing a child with T1DM and are associated with parental self-efficacy. Parental stress predicts a worsening in the control of HbA1c levels, while parental diabetes-specific distress predicts an increase in children depression symptoms. High parental self-efficacy associates with better monitoring, allowing better adherence and more balanced HbA1c levels in the children. Conclusions: Interventions aimed at fostering social support, improving diabetes management, and decreasing perceived stress, might alleviate parents’ psychological symptoms by focusing on increasing their self-efficacy. Digital interventions might also represent valuable solutions to support parents in the management of paediatric diabetes not presented and substantiated in the main text and should not exaggerate the main conclusions.

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Section: Discussionmentioning

confidence: 99%

Section: Parental Stress and Parenting Stressmentioning

confidence: 99%

Section: Mothers Involvement In the Management Of Children With T1dmmentioning

confidence: 99%

See 1 more Smart Citation

Parental Stress, Anxiety and Depression Symptoms Associated with Self-Efficacy in Paediatric Type 1 Diabetes: A Literature Review

Bassi

Mancinelli

Riso

et al. 2020

IJERPH

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“…Second, in line with previous research, mothers of children with T1D, especially children with suboptimal glycemic control, reported elevated distress, and their mean scores for anxiety were above the clinically relevant cutoff (ie, 55) for mild anxiety ( M = 56.27‐58.04). Therefore, additional support for parents seems meaningful, especially as previous research demonstrated that parental distress is related to parent and child functioning, glycemic control, and parental behavior . Diabetes healthcare teams may opt to integrate screening for parental distress into clinical care, and choose to make a clinical assessment of parents in general, and of mothers of children with suboptimal glycemic control more specifically.…”

Section: Discussionmentioning

confidence: 99%

Families with pediatric type 1 diabetes: A comparison with the general population on child well‐being, parental distress, and parenting behavior

et al. 2019

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Aims: The aim of this study was to compare families with a child (2-12 years) with type 1 diabetes (T1D) to families which are not confronted with chronic illness, with regard to children's well-being, parental distress, and parenting behavior. In addition, differences were explored between families whose child has optimal vs suboptimal glycemic control.Methods: Mothers, fathers, and children of 105 families with pediatric T1D completed questionnaires assessing child well-being, parental distress, and parenting. The control group consisted of 414 families without chronic illness.Results: With regard to child well-being, children with T1D had more adjustment difficulties (as reported by mothers) and lower quality of life (QoL) (as reported by mothers and fathers), whereas children themselves (8-12 years) reported higher QoL compared to controls. In terms of parental distress, mothers, but not fathers, of children with T1D reported more stress, anxiety symptoms, and depressive symptoms than controls. With regard to parenting behavior, parent reports revealed less protectiveness in fathers and less autonomy support and responsiveness in both parents as compared to controls. No differences were found in parent-reported psychological

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“…Despite this, the literature stressed the importance of taking into account both mother and father, in a multi-informant approach, to assess mental health in children [ 21 ]. Indeed, within pediatric T1DM, most studies have only included mothers in their sample [ 20 , 21 , 22 , 23 , 24 , 25 ], often evaluating mother–child reciprocal depressive symptoms [ 13 , 26 ], how mothers’ parenting influences the child’s glycemic control [ 25 ] or reporting an association between maternal parenting stress and the child’s internalizing and externalizing problems [ 27 ]. Conversely, studies that considered fathers did not analyze them and their psychological function related to the management of a child with T1DM so specifically, most often due to the uneven presence of both mothers and fathers within the samples [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Mothers and Fathers Parenting Stress and Their Perception of Children’s Psychosocial Functioning in Paediatric Diabetes: A Pilot Study

Riso

Bassi

Mancinelli

et al. 2020

IJERPH

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(1) Background: In the context of a child with Type 1 Diabetes Mellitus (T1DM), the rearrangement of the family’s lifestyle can account for an increased risk of experiencing psychosocial problems for both child and parents. Those few studies on pediatric diabetes, which focused on parents’ perception of children’s psychological strengths and weaknesses, reported significantly higher rates of children’s emotional and conduct problems associated with an imbalance in the Hemoglobin A1c (HbA1c). The main aim of this paper was to assess the role of parental perception of children’s psychosocial symptoms as a mediator of the perceived parenting stress, considering mother and father separately. (2) Methods: The study involved 12 parent couples (Mothers Mage = 40.25, SD = 6.58; Fathers Mage = 42.5, SD = 6.38) of children with T1DM aged between 7 and 11 years (Mage = 8.8, SD = 0.996). Parents completed questionnaires such as the Strengths and Difficulties Questionnaire for parents and their perspective of their child, and the Parenting Stress Index–Short Form. (3) Results: Mothers and fathers had significant differences in the perception of their child’s internalizing symptoms. Specifically, mothers present a greater perception of the mentioned symptoms compared to fathers. Mediation models showed that only for fathers’ perception of the child conduct problems has a significant role between the fathers’ perception of dysfunctional interaction with the child and the HbA1c. (4) Conclusions: The current study provides useful evidence also for clinical settings, suggesting that an interesting interplay between parenting stress, perception of children’s symptoms and glucometabolic control should be taken into consideration.

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Maternal distress in the context of their child’s type 1 diabetes: exploring the role of adaptive maternal emotion regulation on child outcomes

Cited by 10 publications

References 45 publications

Parental Stress, Anxiety and Depression Symptoms Associated with Self-Efficacy in Paediatric Type 1 Diabetes: A Literature Review

Parental Stress, Anxiety and Depression Symptoms Associated with Self-Efficacy in Paediatric Type 1 Diabetes: A Literature Review

Families with pediatric type 1 diabetes: A comparison with the general population on child well‐being, parental distress, and parenting behavior

Mothers and Fathers Parenting Stress and Their Perception of Children’s Psychosocial Functioning in Paediatric Diabetes: A Pilot Study

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