Department of Clinical Sciences, Unit for Pediatric Endocrinology, Lund University, Malmö, Sweden.
Pediatr Diabetes. 2020 Aug;21(5):878-889. doi: 10.1111/pedi.13024. Epub 2020 May 6.
Parents of children participating in screening studies may experience increased levels of anxiety. The aim of this study was to assess parental anxiety levels after 5 years of participation in the Diabetes Prediction in Skåne study. Associations between parental anxiety about their child developing type 1 diabetes and clinical, demographic, and immunological factors were analyzed.
Mothers and fathers of participating 5-year-old children answered a questionnaire regarding parental anxiety associated with their child's increased risk of type 1 diabetes. Anxiety levels were assessed using the State Anxiety Inventory scale. Data were analyzed using logistic and multinomial regression.
Parents of 2088 5-year-old children participated. Both parents answered the questionnaire for 91.2% (n = 1904) of children. In 67.1% of families, neither parent reported being anxious that their child had an increased risk of developing type 1 diabetes. Anxiety was higher in mothers of children positive for autoantibodies (OR 2.21 95% CI 1.41, 3.48, P < .001) and those perceiving their child had a higher risk for type 1 diabetes (2.01; 1.29, 3.13, P = .002). Frequency of worry was associated with parental anxiety (mothers 5.33; 3.48, 8.17, P < .001, fathers 5.27; 3.51, 7.92, P < .001). Having a family member with type 1 diabetes and having lower education level were also associated with increased anxiety.
Diabetes in the family, the child's autoantibody status, education level, frequency of worry and risk perception where associated with higher parental anxiety. These findings add to our understanding of the impact of screening for type 1 diabetes in children on parental anxiety.
参与筛查研究的儿童的父母可能会经历更高水平的焦虑。本研究旨在评估参与斯科讷糖尿病预测研究 5 年后父母的焦虑水平。分析了父母对子女患 1 型糖尿病的焦虑与临床、人口统计学和免疫学因素之间的关系。
参与研究的 5 岁儿童的母亲和父亲回答了一份与子女患 1 型糖尿病风险增加相关的父母焦虑问卷。使用状态焦虑量表评估焦虑水平。使用逻辑回归和多项逻辑回归分析数据。
共有 2088 名 5 岁儿童的父母参与。91.2%（n=1904）的儿童的父母双方都回答了问卷。在 67.1%的家庭中，没有父母报告说他们的孩子患 1 型糖尿病的风险增加，感到焦虑。自身抗体阳性儿童的母亲（OR 2.21，95%CI 1.41，3.48，P < 0.001）和认为孩子患 1 型糖尿病风险更高的母亲（OR 2.01，95%CI 1.29，3.13，P = 0.002）焦虑程度更高。担心的频率与父母的焦虑程度相关（母亲为 5.33；3.48，8.17，P < 0.001，父亲为 5.27；3.51，7.92，P < 0.001）。有 1 型糖尿病家族史和受教育程度较低也与焦虑程度增加有关。
家庭中的糖尿病、儿童的自身抗体状态、受教育程度、担忧频率和风险感知与父母的焦虑程度增加有关。这些发现增加了我们对儿童 1 型糖尿病筛查对父母焦虑影响的理解。
