Körner Annett, Würz Julia, Brosseau Danielle C, Brähler Elmar, Kapellen Thomas, Kiess Wieland
J Pediatr Endocrinol Metab. 2013;26(9-10):867-75. doi: 10.1515/jpem-2012-0410.
The strains of type 1 diabetes mellitus in children and adolescents pose a challenge to the minor and his/her parents.
The objective of this study was to identify parental dyadic coping patterns and explore their relation to psychosocial and disease variables.
Parents (n=44 dyads) of children/adolescents with type 1 diabetes.
Cluster analysis employing Ward's method was conducted as a multivariate classification procedure without predetermined cluster centers.
Three parental coping clusters were identified and labeled: avoiders, negotiators, and doers. Although not reaching statistical significance, the HbA1c levels of children/adolescents with parental dyads exhibiting the negotiator coping pattern were consistently lower than the levels of children with parents classified as avoiders or doers.
Parental dyads were distinguishable based on their dyadic coping patterns with a substantial proportion employing avoidant coping and suboptimal communication strategies. These parental dyads may benefit from minimal psychosocial intervention.
儿童和青少年1型糖尿病菌株对未成年人及其父母构成挑战。
本研究的目的是识别父母的二元应对模式，并探讨它们与心理社会和疾病变量的关系。
1型糖尿病儿童/青少年的父母（44对）。
采用Ward法进行聚类分析，作为一种没有预先确定聚类中心的多变量分类程序。
识别并标记了三个父母应对聚类：回避者、协商者和行动者。尽管未达到统计学显著性，但表现出协商者应对模式的父母二元组的儿童/青少年的糖化血红蛋白水平始终低于被归类为回避者或行动者的父母的儿童的水平。
父母二元组可根据其二元应对模式进行区分，相当一部分采用回避应对和次优沟通策略。这些父母二元组可能会从最小化的心理社会干预中受益。
