1型糖尿病幼儿的保护因素
Protective Factors in Young Children With Type 1 Diabetes.
作者信息
Monaghan Maureen, Clary Lauren, Stern Alexa, Hilliard Marisa E, Streisand Randi
机构信息
Children's National Health System, Washington, DC, George Washington University School of Medicine, and
Children's National Health System, Washington, DC, George Washington University School of Medicine, and.
出版信息
J Pediatr Psychol. 2015 Oct;40(9):878-87. doi: 10.1093/jpepsy/jsv041. Epub 2015 May 15.
OBJECTIVE
To characterize protective factors in young children with type 1 diabetes, and evaluate associations among child protective factors and indicators of diabetes resilience, including better child and parent psychosocial functioning and glycemic control.
METHODS
Parents of 78 young children with type 1 diabetes reported on child protective factors, child quality of life, parent depressive symptoms, and disease-specific parenting stress. A1c values were collected from medical records.
RESULTS
Young children with type 1 diabetes were rated as having similar levels of protective factors as normative samples. Greater child protective factors were associated with indicators of diabetes resilience, including higher child quality of life and lower parent depressive symptoms and parenting stress. Regression analyses demonstrated that child protective factors were associated with 16% of the variance in parent-reported depressive symptoms.
CONCLUSIONS
Attention to child protective factors can enhance understanding of adjustment to type 1 diabetes and may have implications for intervention.
目的
确定1型糖尿病幼儿的保护因素，并评估儿童保护因素与糖尿病恢复力指标之间的关联，包括儿童和家长更好的心理社会功能及血糖控制。
方法
78名1型糖尿病幼儿的家长报告了儿童保护因素、儿童生活质量、家长抑郁症状及疾病特异性育儿压力。糖化血红蛋白（A1c）值从病历中收集。
结果
1型糖尿病幼儿的保护因素水平与正常样本相似。更多的儿童保护因素与糖尿病恢复力指标相关，包括更高的儿童生活质量、更低的家长抑郁症状和育儿压力。回归分析表明，儿童保护因素与家长报告的抑郁症状中16%的方差相关。
结论
关注儿童保护因素可增进对1型糖尿病适应情况的理解，并可能对干预措施产生影响。
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