Psychological interventions in childhood chronic illness.

Drotar, Dennis

doi:10.1037/11412-000

Cited by 58 publications

(49 citation statements)

References 420 publications

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“…This more multi-faceted approach to parental involvement may assist in unraveling what are the critical aspects of parental involvement to guide interventions in families with type 1 diabetes (Drotar, 2006) and to select key mediating mechanisms of these interventions. The current study indicates that during young adolescence a high-quality parent-adolescent relationship is key, including the adolescent feeling accepted by parents.…”

Section: Discussionmentioning

confidence: 99%

Parental Involvement and Adolescents' Diabetes Management: The Mediating Role of Self-Efficacy and Externalizing and Internalizing Behaviors

Berg

King

Butler

et al. 2010

Journal of Pediatric Psychology

105

106

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Objective To examine mediating processes linking parental involvement to diabetes management (adherence and metabolic control) during adolescence. Methods A total of 252 young adolescents (M age ¼ 12.49 years, SD ¼ 1.53, 53.6% females) with type 1 diabetes reported their parents' involvement in diabetes management (relationship quality, monitoring, and behavioral involvement), their own externalizing and internalizing behaviors, diabetes-self efficacy, and adherence behaviors. HbA1c was drawn from medical records. Results SEM analyses indicated that the associations of mothers' and fathers' relationship quality with diabetes outcomes were mediated by adolescents' perceptions of self-efficacy and externalizing behaviors, and the associations of fathers' monitoring and behavioral involvement with adherence were partially mediated by adolescents' self-efficacy. There were also direct (non-mediated) associations between mothers' monitoring and adherence, and fathers' monitoring and adherence and metabolic control. Conclusions Quality of the parent-adolescent relationship and monitoring are important for better adherence and metabolic control among adolescents through higher diabetes self-efficacy.

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Section: Discussionmentioning

confidence: 99%

Parental Involvement and Adolescents' Diabetes Management: The Mediating Role of Self-Efficacy and Externalizing and Internalizing Behaviors

Berg

King

Butler

et al. 2010

Journal of Pediatric Psychology

105

106

View full text Add to dashboard Cite

show abstract

“…Therefore, further assessment of adherence is strongly indicated for adolescents who either report difficulty with their oral medication regimen or evidence metabolic profile consistent with 6MP nonadherence. To our knowledge there are no empirically supported interventions to promote adherence to treatment in children and adolescents in ALL (Drotar, 2006). Further development of the measurement techniques examined in this study will be necessary to test adherence interventions for this population in the future.…”

Section: Implications For Practicementioning

confidence: 99%

Correspondence Between Objective and Subjective Reports of Adherence Among Adolescents With Acute Lymphoblastic Leukemia

Pai

Drotar

Kodish

2008

Children's Health Care

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“…Usually, parents take considerable responsibility for the treatment management, particularly during the pre-adolescent years, which includes several tasks such as the monitoring of blood glucose levels and insulin administration several times a day, as well as a heightened attention to physical activity and dietary intake (Drotar, 2006;Wysocki, Buckloh, & Greco, 2009). Consequently, family functioning may be disturbed (Overstreet et al, 1995), and the likelihood of parental maladjustment may increase (De Beaufort & Barnard, 2012).…”

mentioning

confidence: 99%

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.

show abstract

Psychological interventions in childhood chronic illness.

Cited by 58 publications

References 420 publications

Parental Involvement and Adolescents' Diabetes Management: The Mediating Role of Self-Efficacy and Externalizing and Internalizing Behaviors

Parental Involvement and Adolescents' Diabetes Management: The Mediating Role of Self-Efficacy and Externalizing and Internalizing Behaviors

Correspondence Between Objective and Subjective Reports of Adherence Among Adolescents With Acute Lymphoblastic Leukemia

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

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