Department of Psychology and Neuroscience, 14643Baylor University, TX, USA.
J Child Health Care. 2021 Sep;25(3):379-392. doi: 10.1177/1367493520942711. Epub 2020 Jul 16.
Type 1 diabetes (T1D) is a pediatric chronic illness that is associated with significant parenting stress due to its lifelong course, burdensome disease management, and life-threatening complications. Although mothers of children with T1D have been studied extensively in relation to parenting stress, coping, and diabetes outcomes, there is a need to examine similar variables among fathers. The aim of the present study was to examine if fathers' use of problem-solving skills was related to parenting stress and diabetes regimen adherence and if problem-solving skills moderated the associations between paternal involvement in diabetes care and parenting stress in a national online sample of 215 fathers of children with T1D. Self-report measures completed by fathers through Qualtrics included a demographic and disease-related questionnaire, the Social Problem-Solving Inventory-Revised; Parenting Stress Index-Fourth Edition, Short Form; Pediatric Inventory for Parents; Dads' Active Disease Support Scale; and Self-Care Inventory-Revised. Pearson correlations were computed to assess associations among study variables. Four separate multiple linear regression analyses were conducted to determine the interactive effects of problem-solving skills and paternal involvement on parenting stress. Analyses revealed a large positive correlation between problem-solving skills and general parenting stress ( = .63), and a large negative correlation between problem-solving skills and pediatric parenting stress ( = -.52). The interaction between problem-solving skills and father involvement accounted for a significant amount of variance in a general parenting stress subscale ( < .01) and pediatric parenting stress ( < .05). These results highlight the importance of problem-solving skills for father outcomes in the context of T1D while implicating the potential benefit of a problem-solving intervention for this population.
1 型糖尿病（T1D）是一种儿科慢性疾病，由于其终身病程、繁重的疾病管理和危及生命的并发症，会给父母带来很大的压力。尽管已经对 T1D 患儿的母亲在育儿压力、应对方式和糖尿病结局方面进行了广泛研究，但仍需要在父亲中研究类似的变量。本研究旨在探讨父亲解决问题的能力是否与育儿压力和糖尿病治疗方案的遵守情况有关，以及解决问题的能力是否在全国范围内的 215 名 T1D 患儿父亲的在线样本中，调节父亲参与糖尿病护理与育儿压力之间的关系。父亲通过 Qualtrics 完成的自我报告措施包括人口统计学和疾病相关问卷、社会问题解决量表修订版；父母压力指数第四版，短表；儿科父母量表；爸爸主动疾病支持量表；和自我护理量表修订版。计算 Pearson 相关系数以评估研究变量之间的关联。进行了四项单独的多元线性回归分析，以确定解决问题的能力和父亲参与度对育儿压力的交互作用。分析结果显示，解决问题的能力与一般育儿压力呈显著正相关（ =.63），与儿科育儿压力呈显著负相关（ = -.52）。解决问题的能力和父亲参与度之间的相互作用在一般育儿压力子量表（ <.01）和儿科育儿压力（ <.05）方面解释了大量的方差。这些结果突出了在 T1D 背景下解决问题的能力对父亲结局的重要性，同时暗示了针对该人群的解决问题干预的潜在益处。
