Adolescent and parent diabetes distress in type 1 diabetes: The role of self-efficacy, perceived consequences, family responsibility and adolescent-parent discrepancies

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• 作者：G. Urquhart Law ; ^{g.u.law@bham.ac.uk} ; Jennifer Walsh ; Victoria Queralt ; Arie Nouwen
• 关键词：Adolescent ; Distress ; Parent ; Responsibility ; Self-efficacy ; Type 1 diabetes
• 刊名：Journal of Psychosomatic Research
• 出版年：2013
• 出版时间：April, 2013
• 年：2013
• 卷：74
• 期：4
• 页码：334-339
• 全文大小：181 K

文摘

Objective

To examine the association of adolescent and parent diabetes distress with perceived consequences, dietary self-efficacy, and discrepancies in diabetes family responsibility, in type 1 diabetes (T1D).

Methods

203 adolescents with T1D, aged 12-18, and their parents completed self-report questionnaires cross-sectionally.

Results

Higher HbA1c, greater perceived negative consequences of diabetes, and reduced self-efficacy predicted adolescent diabetes distress. Higher HbA1c predicted parental diabetes distress, as did diabetes family responsibility disagreements when both family members claimed responsibility, and parents' perception of reduced adolescent self-efficacy.

Conclusion

Dietary self-efficacy and perceived negative consequences of diabetes are important factors to consider in assessing and managing adolescent diabetes distress. Perceptions of family responsibility for self-care tasks and parental confidence in adolescents' self-management have implications for parental diabetes distress. Clinical implications support long-held recommendations of taking a family-perspective of T1D care.