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父母养育压力及其对儿科糖尿病患儿心理社会功能的感知:一项初步研究。

Mothers and Fathers Parenting Stress and Their Perception of Children's Psychosocial Functioning in Paediatric Diabetes: A Pilot Study.

机构信息

Department of Developmental Psychology and Socialization, University of Padova, 35122 Padova, Italy.

Fondazione Bruno Kessler, 38123 Trento, Italy.

出版信息

Int J Environ Res Public Health. 2020 Jul 1;17(13):4734. doi: 10.3390/ijerph17134734.

Abstract

(1) : In the context of a child with Type 1 Diabetes Mellitus (T1DM), the rearrangement of the family's lifestyle can account for an increased risk of experiencing psychosocial problems for both child and parents. Those few studies on pediatric diabetes, which focused on parents' perception of children's psychological strengths and weaknesses, reported significantly higher rates of children's emotional and conduct problems associated with an imbalance in the Hemoglobin A1c (HbA1c). The main aim of this paper was to assess the role of parental perception of children's psychosocial symptoms as a mediator of the perceived parenting stress, considering mother and father separately. (2) : The study involved 12 parent couples (Mothers M = 40.25, SD = 6.58; Fathers M = 42.5, SD = 6.38) of children with T1DM aged between 7 and 11 years (M = 8.8, SD = 0.996). Parents completed questionnaires such as the Strengths and Difficulties Questionnaire for parents and their perspective of their child, and the Parenting Stress Index-Short Form. (3) : Mothers and fathers had significant differences in the perception of their child's internalizing symptoms. Specifically, mothers present a greater perception of the mentioned symptoms compared to fathers. Mediation models showed that only for fathers' perception of the child conduct problems has a significant role between the fathers' perception of dysfunctional interaction with the child and the HbA1c. (4) : The current study provides useful evidence also for clinical settings, suggesting that an interesting interplay between parenting stress, perception of children's symptoms and glucometabolic control should be taken into consideration.

摘要

(1) :在 1 型糖尿病患儿的背景下,家庭生活方式的改变可能会导致患儿及其父母面临更高的心理社会问题风险。少数针对儿科糖尿病的研究关注父母对孩子心理强弱的感知,报告称与糖化血红蛋白(HbA1c)失衡相关的儿童情绪和行为问题的发生率显著更高。本文的主要目的是评估父母对孩子心理社会症状的感知作为父母感知压力的中介,分别考虑母亲和父亲的作用。

(2) :该研究涉及 12 对父母(母亲 M = 40.25,SD = 6.58;父亲 M = 42.5,SD = 6.38),其孩子患有 7 至 11 岁(M = 8.8,SD = 0.996)的 1 型糖尿病。父母完成了父母的优势与困难问卷和他们对孩子的看法,以及父母压力指数-短表等问卷。

(3) :母亲和父亲在孩子的内化症状感知方面存在显著差异。具体来说,母亲对这些症状的感知比父亲更强烈。中介模型表明,只有父亲对孩子行为问题的感知在父亲对与孩子功能失调互动的感知与 HbA1c 之间具有显著作用。

(4) :本研究为临床环境提供了有用的证据,表明父母压力、对孩子症状的感知和血糖代谢控制之间存在有趣的相互作用,应该加以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccad/7369791/8b255201ebd3/ijerph-17-04734-g001.jpg

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