Family Climate of Adolescents with and Without Type 1 Diabetes: Longitudinal Associations with Psychosocial Adaptation

Missotten, Lies Christine; Luyckx, Koen; Seiffge‐Krenke, Inge

doi:10.1007/s10826-012-9585-1

Cited by 16 publications

(31 citation statements)

References 43 publications

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“…Similar results were found in previous studies (Overstreet et al, 1995), although the literature is not consistent regarding this matter (Hamlett et al, 1992;Missotten et al, 2012).…”

Section: Discussionsupporting

confidence: 89%

Caring for a child with Type 1 diabetes: Links between family cohesion, perceived impact, and parental adjustment.

Moreira¹,

Frontini²,

Bullinger³

et al. 2013

Journal of Family Psychology

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This study analyzed the psychological adjustment of parents of children and adolescents with Type 1 diabetes (T1D) and examined whether family cohesion and parental adjustment were connected through the perceived impact of this condition on family functioning, as well as whether these links varied according to the child’s age. In total, 104 parents of children (8–12 years old) and adolescents (13–18 years old) with T1D and 142 parents of healthy children and adolescents completed self-report measures of family cohesion, parental stress, quality of life (QOL), anxious and depressive symptoms, and perceived impact of chronic illness. The results indicated that the parents of children and adolescents with T1D were more anxious and perceived less family cohesion than the parents of healthy children and adolescents. No significant differences were found on depressive symptoms, QOL, and parental stress. The hypothesized moderated mediation model showed that parents who perceived their family environments as more supportive and caring tended to evaluate the impact of T1D on their families less negatively; in turn, this perception was associated with better QOL and less parental stress and anxious and depressive symptoms. These associations were independent of the children’s age. Based on a risk and resistance framework, this study highlighted the relevance of the perceived impact of T1D on the family as a mechanism explaining the link between cohesion and parental adjustment. Family-centered interventions that help parents better cope with the demands of T1D and help family members be more supportive of each other seem to be particularly useful in this context.

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“…Similar results were found in previous studies (Overstreet et al, 1995), although the literature is not consistent regarding this matter (Hamlett et al, 1992;Missotten et al, 2012).…”

Section: Discussionsupporting

confidence: 89%

Caring for a child with Type 1 diabetes: Links between family cohesion, perceived impact, and parental adjustment.

Moreira¹,

Frontini²,

Bullinger³

et al. 2013

Journal of Family Psychology

View full text Add to dashboard Cite

show abstract

“…This has been recognised as a significant influence upon the quality of glycaemic control, with externalising symptoms tending to exacerbate parent-adolescent conflict and hence, reducing cooperation over treatment (Luyckx, Seiffge-Krenke, Missotten, et al, 2013). The results presented here support such a view, with the more externalising behaviour symptoms being associated with the adolescents viewing family communication as poorer than their peers.…”

Section: Discussionsupporting

confidence: 68%

The Relationship of Mental Health & Family Functioning with Maintaining Optimal Glycaemic Control in Type 1 Diabetes

Whitehead¹,

Dimmock²,

Place

2015

PRIJ

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The association between glycaemic control of type 1 diabetes and mental health issues within the family is well recognised, but the degree of difficulty that is associated with modest sub-optimal control is not. 66 families agreed to take part in the study, and they were divided into two groups according to the quality of metabolic control (good or sub-optimal). Of the 37 boys, 19 had suboptimal metabolic control, and of the 27 girls, 15 did not have a good control. Mother and child participants provided demographic information, and mothers completed the 28-item General Health Questionnaire (GHQ), the revised version of the Swanson, Nolan and Pelham Questionnaire (SNAP IV), elements of the Ontario Child Health Scale, and the Family Adaptation and Cohesion Evaluation Scale (FACES IV). The results from these scales were compared to the quality of the children's glycaemic control. Sub-optimal control was associated with the increased emotional symptoms and behavioural difficulties in the young person (p < 0.0001), and increased mental health difficulties in their mothers (p < 0.001). These elements had an adverse impact on the level of satisfaction with family life. Having sub-optimal glycaemic control is associated with an increased risk of having mental health symptoms, and a possible mechanism for this association is explored. Even modest deterioration in a family's mental health can have an adverse effect upon glycaemic control, and should be assessed as a routine in review clinics.

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“…T1D has been described as a "family disease" (Williams, Laffel, & Hood, 2009), not only because of the central role that parents play in treatment management but also because of the interrelation of family functioning and child adjustment (Drotar, 1997;Kazak, 1997). environment (Holmbeck, Coakley, Hommeyer, Shapera, & Westhoven, 2002;Missotten, Luyckx, & Seiffge-Krenke, 2012). This variable refers to appropriate, healthy, and positive interactions among family members (Field & Duchoslav, 2009), and it describes the support that family members provide one another (Soliday, Kool, & Lande, 2001).…”

Section: Introductionmentioning

confidence: 99%

“…This variable refers to appropriate, healthy, and positive interactions among family members (Field & Duchoslav, 2009), and it describes the support that family members provide one another (Soliday, Kool, & Lande, 2001). The impact of childhood T1D on family cohesion has previously been explored by comparing families who have a child with this chronic condition and families with a healthy child (e.g., Hamlett, Pellegrini, & Katz, 1992;Missotten et al, 2012;Overstreet et al, 1995). The results are not consistent, as some studies show lower levels of cohesion among families with a child with T1D (Overstreet et al, 1995), whereas others report no differences between groups (Hamlett et al, 1992).…”

Section: Introductionmentioning

confidence: 99%

Family Cohesion and Health-Related Quality of Life of Children with Type 1 Diabetes: The Mediating Role of Parental Adjustment

et al. 2013

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Family Climate of Adolescents with and Without Type 1 Diabetes: Longitudinal Associations with Psychosocial Adaptation

Cited by 16 publications

References 43 publications

Caring for a child with Type 1 diabetes: Links between family cohesion, perceived impact, and parental adjustment.

Caring for a child with Type 1 diabetes: Links between family cohesion, perceived impact, and parental adjustment.

The Relationship of Mental Health & Family Functioning with Maintaining Optimal Glycaemic Control in Type 1 Diabetes

Family Cohesion and Health-Related Quality of Life of Children with Type 1 Diabetes: The Mediating Role of Parental Adjustment

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