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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.

Abstract

BACKGROUND:

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

OBJECTIVE:

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

SUBJECTS:

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

METHODS:

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

RESULTS:

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.

CONCLUSIONS:

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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