Fear of Hypoglycemia, Parenting Stress, and Metabolic Control for Children with Type 1 Diabetes and Their Parents.

J Clin Psychol Med Settings

Department of Pediatric Diabetology and Endocrinology, Jessa Ziekenhuis, Hasselt, Belgium.

Published: March 2017

AI Article Synopsis

  • The study explores how parenting stress impacts the relationship between parents' fear of hypoglycemia (FoH) and the metabolic control of their children with type 1 diabetes (T1DM).
  • It involved 63 parents and their children, who filled out questionnaires about stress and FoH, with HbA1c levels measured for metabolic control.
  • Results showed that parents' FoH indirectly affects their child's HbA1c levels through increased parenting stress, while children's FoH did not have a similar indirect effect.

Article Abstract

This study sets out to extend current knowledge of parenting stress and fear of hypoglycemia (FoH) in parents of children with type 1 diabetes mellitus (T1DM). We examined if the relationship between parental and children's FoH and metabolic control, as reflected by HbA1c, is mediated by parenting stress. A total of 63 parents and children with T1DM were recruited during their routine physician's appointment. Parents completed questionnaires on parenting stress and FoH. Children eight years and older also completed a questionnaire on FoH. HbA1c values were obtained from all children. Mediation analysis revealed an indirect association between parental FoH and HbA1c values through parenting stress (Sobel's z = 2.42, p = .02), but no indirect association between children's FoH and HbA1c. We concluded that parental FOH has an indirect association with the child's metabolic control that is mediated by parenting stress. More simply, fear of hypoglycemia predicts parent stress, which in turn, predicts metabolic control.

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Source
http://dx.doi.org/10.1007/s10880-017-9489-8DOI Listing

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