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J Pediatr Endocrinol Metab. 2013;26(9-10):867-75. doi: 10.1515/jpem-2012-0410.

Parental dyadic coping in families of children and adolescents with type 1 diabetes.



The strains of type 1 diabetes mellitus in children and adolescents pose a challenge to the minor and his/her parents.


The objective of this study was to identify parental dyadic coping patterns and explore their relation to psychosocial and disease variables.


Parents (n=44 dyads) of children/adolescents with type 1 diabetes.


Cluster analysis employing Ward's method was conducted as a multivariate classification procedure without predetermined cluster centers.


Three parental coping clusters were identified and labeled: avoiders, negotiators, and doers. Although not reaching statistical significance, the HbA1c levels of children/adolescents with parental dyads exhibiting the negotiator coping pattern were consistently lower than the levels of children with parents classified as avoiders or doers.


Parental dyads were distinguishable based on their dyadic coping patterns with a substantial proportion employing avoidant coping and suboptimal communication strategies. These parental dyads may benefit from minimal psychosocial intervention.

[PubMed - indexed for MEDLINE]
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