Factors Related to Behavioral Functioning in Mothers of Children with Type 1 Diabetes: Application of Transactional Model of Stress and Coping

Abstract

Background:Having a child with diabetes creates a great deal of stress for mothers. The transactional model of stress and coping is one of the best conceptual frameworks for stressors. Objectives: This study aimed to investigate factors related to health promoting behaviors based on transactional model in mothers of children with type 1 diabetes. Methods: This study was conducted on 180 mothers of children with type 1 diabetes. The data was collected using a multi-sectional questionnaire including demographic characteristics and questions about the model constructs. Data were analyzed by SPSS software (version 19) and using statistical tests. Results:The highest mean score was related to interpersonal relationships (13.8 ± 4.5) and the lowest was related to stress management (10.8 ± 4.2). Linear regression model showed that mother's education, information seeking, and social support had a positive effect, and primary appraisal and emotion-focused coping had a negative effect on the mother's health promotion behaviors. In the regression model R-square accounts for 53.7% of the variance. Conclusions: The transactional model was an appropriate framework for explaining the coping outcomes in mothers of children with type 1 diabetes. By mothers' attempts to improve attitude about diabetes and reduce their vulnerability, training to use coping strategies, increasing information and inter-sectoral interventions for attracting sufficient support from patients' families can be hopeful in improving mothers' behavioral Functioning.

Cognitive appraisal of health and its influencing factors among pregnant women with gestational diabetes mellitus: A cross‐sectional study

“…Moreover, nonuse of insulin was found to positively predict benign/irrelevant cognitive appraisal in pregnant women with GDM. This was similar to a previous study, which found no significant correlation between use of insulin and negative cognitive appraisal of mothers 43 . A possible explanation was that pregnant women who did not use insulin may generally have milder disease or have relatively easy blood sugar control during pregnancy, with fewer negative experiences associated with blood sugar management 4 .…”

“…This was similar to a previous study, which found no significant correlation between use of insulin and negative cognitive appraisal of mothers. 43 A possible explanation was that pregnant women who did not use insulin may generally have milder disease or have relatively easy blood sugar control during pregnancy, with fewer negative experiences associated with blood sugar management. 4 Alternatively, pregnant women using insulin may worry about side effects of insulin treatment and lack knowledge about glucose management and self-care ability, 44 making it difficult to evaluate their health status as benign/irrelevant.…”

Stressful Experiences of Parents in the Paediatric Intensive Care Unit: Searching for the Most Intensive PICU Stressors

“…A perception and anticipation of possible harm and threat can significantly impair one’s own mental functions [ 25 , 26 ]. Transactional Theory of Stress and Coping is often the theoretical starting point for the studies of stress in children and their parents/caregivers [ 6 , 27 , 28 , 29 ]. The theory interprets the psychologically stressful experience of parents in the PICU as a result of a complex transaction between the personal characteristics of the parents (e.g., age, gender, level of education, number of children in the family, etc.…”

Online social support and collective empowerment: Serial mediation effect on self‐efficacy among mothers of children with type 1 diabetes

“…Third, contrary to expectations, the present finding demonstrated that OHSS alone did not show a mediating effect on the relationship between DRB and DSE; however, OHCE through OHSS demonstrated a serial mediation effect. Social support positively affected coping outcomes, as indicated by the results of mothers coping with a stressful situation and behavioural function of children with T1D (Asadi Shavaki et al, 2020). In OHC for chronic disease patients, informational and emotional support positively influences individual engagement in OHC, and individual engagement in OHC affects self‐care efficacy (Mirzaei & Esmaeilzadeh, 2021).…”