Teasdale Ashley, Limbers Christine
Department of Psychology and Neuroscience, Baylor University, Waco, TX, USA.
J Child Health Care. 2018 Dec;22(4):606-618. doi: 10.1177/1367493518767068. Epub 2018 Apr 1.
Fathers may experience greater parenting stress and anxiety when they are more involved in their child's type 1 diabetes (T1D) care. The present study evaluated whether seeking social support and avoidant coping strategies moderate the relationship between paternal involvement in the child's T1D care and parenting stress in an international sample. Two hundred forty-nine fathers of young children with T1D completed the Parenting Stress Index (PSI), Pediatric Inventory for Parents (PIP), Dads' Active Disease Support scale (DADS), COPE Inventory, Self-Care Inventory (SCI-R), and a demographic questionnaire online. Pearson's product moment correlations were computed, and multiple linear regression analysis was conducted with three separate models in which the PSI Child Domain, PIP Frequency, and PIP Difficulty scores represented different parenting stress outcomes. The interaction between use of denial coping and DADS Involvement was significantly correlated with general parenting stress ( < .05). There were no significant interactions between instrumental social support and DADS Involvement; however, use of instrumental social support coping was significantly correlated with difficulty of pediatric parenting stress ( < .05), DADS Involvement ( < .001), and SCI-R better adherence to the child diabetes treatment regimen ( < .001). Avoidant coping strategies are associated with more general parenting stress, especially when fathers are more involved in T1D management.
当父亲更多地参与到孩子的1型糖尿病（T1D）护理中时，他们可能会经历更大的育儿压力和焦虑。本研究评估了寻求社会支持和回避应对策略是否会调节在一个国际样本中，父亲参与孩子T1D护理与育儿压力之间的关系。249名患有T1D的幼儿的父亲在线完成了育儿压力指数（PSI）、父母儿科量表（PIP）、父亲积极疾病支持量表（DADS）、应对量表、自我护理量表（SCI-R）以及一份人口统计学问卷。计算了皮尔逊积差相关系数，并通过三个独立模型进行了多元线性回归分析，其中PSI儿童领域、PIP频率和PIP难度得分代表不同的育儿压力结果。否认应对方式的使用与DADS参与度之间的交互作用与总体育儿压力显著相关（<.05）。工具性社会支持与DADS参与度之间没有显著的交互作用；然而，工具性社会支持应对方式的使用与儿科育儿压力的难度显著相关（<.05）、与DADS参与度显著相关（<.001），并且与SCI-R中更好地坚持孩子糖尿病治疗方案显著相关（<.001）。回避应对策略与更普遍的育儿压力相关，尤其是当父亲更多地参与T1D管理时。
