OBJECTIVETo examine the role of parenting style in achieving metabolic control and treatment adherence in adolescents with type 1 diabetes.RESEARCH DESIGN AND METHODSParents of 100 adolescents with type 1 diabetes completed assessments of their parenting style and sense of helplessness. Parents and patients rated patient adherence to the treatment regimen. Glycemic control was evaluated by HbA1c values.RESULTSAn authoritative paternal parenting style predicted better glycemic control and adherence in the child; a permissive maternal parenting style predicted poor adherence. A higher sense of helplessness in both parents predicted worse glycemic control and lesser adherence to treatment. Parental sense of helplessness was a significant predictor of diabetes control after correcting for other confounders (patient age, sex, and treatment method).CONCLUSIONSAn authoritative nonhelpless parenting style is associated with better diabetes control in adolescents. Paternal involvement is important in adolescent diabetes management. These results have implications for psychological interventions.
Children's emotional adjustment during stressogenic events is highly dependent on their parents' emotional state. The present study explored young children's emotional adjustment during the COVID19 outbreak as it relates to their exposure to stress, and their parents' emotion regulation and playfulness. A sample of 351 Israeli parents of children aged 2-7 years completed online questionnaires. The most frequent stress symptoms in children were nervousness, agitation, and aggression, separation fears and clinging. Parental difficulties in emotion regulation, and the level of exposure to stressogenic situations were both significantly associated with children's stress reactions. Parental emotion regulation fully mediated the relationship between exposure to stress and children's stress reactions. Parental playfulness was only inversely related to children's stress reaction in fathers. These findings underscore the importance of parental emotion skills for children's emotional adjustment during stressful times.
Purpose
A growing number of studies report that persons of all ages, infected with SARS-CoV-2, may experience long-term persistent symptoms, known as Long-COVID (LC) or post COVID-19 condition. This is one of the first studies examining the consequences of LC on children’s mental health.
Method
In this case control study, we compared select mental health aspects of 103 children diagnosed with LC to a control group of 113 children uninfected with SARS-COV-2; all 4–18 years old. Both groups were assessed via parents’ questionnaires.
Results
In comparison to the control group, children with LC exhibited more memory difficulties. However, no group differences emerged in other functional aspects (connection with friends and engagement in physical activities), problems with concentration, or levels of emotional-behavioral problems (externalizing, internalizing, ADHD, and PTSD symptoms). We also found that children with LC had greater exposure to COVID 19 related stressors. Higher levels of parental worries regarding their children’s functioning and economic difficulties at home significantly predicted higher levels of children’s emotional-behavioral problems and were better predictors than the child’s age, social functioning, or LC diagnosis.
Conclusions
LC was associated with impairments in some aspects of children’s memory which may relate to academic functioning, but not with higher rates of emotional-behavioral problems, thus warranting interventional programs addressing school functioning and cognitive abilities in this population. Additionally, parents' economic stress and worries regarding their child’s emotional adjustment during the pandemic, are important factors affecting pandemic-related emotional-behavioral problems among children, regardless of COVID-19 infection, that should be addressed.
These findings underscore the importance of emotional status in the diagnosis of PPCS among children who suffer from PTSD. It is possible that PPCS reflect a more general expression of accident-related emotional distress, rather than being a direct result of the injury. (PsycINFO Database Record
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