Linking caregiver strain to diabetes illness management and health outcomes in a sample of adolescents in chronically poor metabolic control.

Journal of Developmental and Behavioral Pediatrics : JDBP
April Idalski CarconeSylvie Naar-King

Abstract

This study examined a multivariate model of the relationship between caregiver strain and adolescent diabetes illness outcomes in a sample of caregivers of adolescents in chronically poor metabolic control (hemoglobin A1c ≥8.0% at enrollment and for previous 12 mo). Caregiver mental health symptoms were hypothesized to mediate the relationship between caregiver strain and adolescent illness management behavior and metabolic control. Caregivers' perceptions of social support and their level of responsibility for diabetes care tasks were hypothesized to be directly related to caregiver strain and indirectly to caregiver mental health symptoms. One hundred forty-six caregiver-adolescent dyads completed baseline measures of caregiver strain, responsibility for diabetes care, social support, mental health symptoms, and illness management behavior. Adolescent metabolic control was also assessed. Findings from structural equation modeling suggested that caregiver strain was directly and positively associated with caregiver mental health symptoms which mediated the relationship to adolescent diabetes management behavior and metabolic control. Caregivers' responsibility for diabetes care tasks was directly related to caregiver strain an...Continue Reading

References

Jun 1, 1992·Journal of Developmental and Behavioral Pediatrics : JDBP·T WysockiL B Green
Aug 1, 1990·Journal of Pediatric Psychology·B J AndersonJ V Santiago
Oct 1, 1989·ANS. Advances in Nursing Science·M A Frey, M J Denyes
Jul 24, 1986·The New England Journal of Medicine·S A AmielW V Tamborlane
Jan 1, 1995·Diabetes Care·J Weissberg-BenchellJ Ward
Sep 1, 1993·Journal of Gerontology·E H ThompsonS B Lovett
Oct 1, 1996·Journal of Pediatric Psychology·R D CanningK J Kelleher
Feb 12, 1998·Journal of Developmental and Behavioral Pediatrics : JDBP·J M PattersonR W Blum
May 16, 1998·American Journal of Public Health·A AngoldB J Burns
Apr 26, 2000·Journal of Pediatric Psychology·S B JohnsonJ H Silverstein
Jun 12, 2002·Journal of Pediatric Psychology·Karen J Bearman, Annette M La Greca
Jan 25, 2003·Journal of the American Academy of Child and Adolescent Psychiatry·Regina BussingCynthia Wilson Garvan
Jun 24, 2003·Journal of the American Academy of Child and Adolescent Psychiatry·Regina BussingCynthia Wilson Garvan
Aug 29, 2003·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Inge Seiffge-Krenke, Mark Stemmler
Oct 21, 2003·Journal of the American Academy of Child and Adolescent Psychiatry·Claudia CooperGill Livingston
Nov 25, 2003·The Diabetes Educator·Lynne S SchillingKathleen A Knafl
May 6, 2004·The Journal of Pediatrics·Michael J HallerJanet H Silverstein
Dec 24, 2004·Diabetes Care·Janet SilversteinUNKNOWN American Diabetes Association
Jan 27, 2005·The Diabetes Educator·Maureen A FreyNancy Greger
Jun 3, 2005·Pediatrics·Parminder RainaEllen Wood
Jan 31, 2006·Diabetes Care·Joyce M LeeJames G Gurney
Feb 10, 2007·British Journal of Health Psychology·Gail Dovey-PearceCarl May
Sep 9, 2008·Pediatric Diabetes·Deborah A ButlerLori M B Laffel
Aug 20, 2010·Journal of Pediatric Psychology·Caterina CalderónConsuelo Pedrón-Giner
Sep 10, 2011·Journal of Developmental and Behavioral Pediatrics : JDBP·April Idalski CarconeSylvie Naar-King

❮ Previous
Next ❯

Citations

Feb 20, 2013·Maternal and Child Health Journal·Sarah S JaserMargaret Grey
Sep 13, 2014·Current Diabetes Reports·Mackenzie T YoungSarah S Jaser
Jan 29, 2013·Pediatric Diabetes·Agnieszka ButwickaWojciech Mlynarski
Sep 24, 2016·Canadian Journal of Diabetes·Benjamin MarkowitzAndrew Advani
Feb 28, 2018·The Diabetes Educator·Michelle M NessJanice Selekman
Nov 2, 2019·Social Work in Health Care·Benjamin D CapistrantSharad Pendsey
Jan 30, 2020·Journal of Pediatric Psychology·Ashley M ButlerDeborah Thompson
Apr 22, 2020·Pediatric Diabetes·Sofie PrikkenKoen Luyckx
Sep 30, 2021·BMJ Open Diabetes Research & Care·Cindy X CaiMelissa L McCarthy

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.