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Family adjustment to diabetes diagnosis in children : Can participation in a study on type 1 diabetes genetic risk be helpful?

Smith, Laura B.; Liu, Xiang; Johnson, Suzanne Bennett LU ; Tamura, Roy; Elding Larsson, Helena LU ; Ahmed, Simi; Veijola, Riitta; Haller, Michael J.; Akolkar, Beena and Hagopian, William A., et al. (2018) In Pediatric Diabetes
Abstract

Background: Diagnosis of type 1 diabetes often causes a negative psychological impact on families. We examined whether parents and children enrolled in The Environmental Determinants of Diabetes in the Young (TEDDY) study differ in their psychological adjustment to diabetes diagnosis compared to children diagnosed with diabetes in the community. Methods: TEDDY follows 8676 children at genetic risk for type 1 diabetes from birth. Fifty-four TEDDY children diagnosed with diabetes and 54 age-matched community control children diagnosed with diabetes were enrolled. Participants were aged 3 to 10years and study visits occurred at 3, 6, and 12 months postdiagnosis. Psychological measures included an adapted diabetes-specific State Anxiety... (More)

Background: Diagnosis of type 1 diabetes often causes a negative psychological impact on families. We examined whether parents and children enrolled in The Environmental Determinants of Diabetes in the Young (TEDDY) study differ in their psychological adjustment to diabetes diagnosis compared to children diagnosed with diabetes in the community. Methods: TEDDY follows 8676 children at genetic risk for type 1 diabetes from birth. Fifty-four TEDDY children diagnosed with diabetes and 54 age-matched community control children diagnosed with diabetes were enrolled. Participants were aged 3 to 10years and study visits occurred at 3, 6, and 12 months postdiagnosis. Psychological measures included an adapted diabetes-specific State Anxiety Inventory, the Pediatric Quality of Life Inventory-Diabetes Module, and the Pediatric Inventory for Parents, which measures frequency and difficulty of parenting stress. Results: A generalized estimating equation analysis based on a difference score between TEDDY children and community controls found no significant differences between TEDDY parents and community controls on parent diabetes-specific anxiety (P=.30). However, TEDDY children exhibited better diabetes-specific quality of life (P=.03) and TEDDY parents reported lower frequency (P=.004) and difficulty (P=.008) of parenting stress compared to community controls. Conclusions: Children diagnosed with at-risk for type 1 diabetes who have previously enrolled in research monitoring have improved diabetes quality of life and lower parenting stress postdiagnosis compared to children diagnosed in the community. Families in follow-up studies may be more prepared if their child is diagnosed with diabetes.

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publication status
epub
subject
keywords
Diagnosis, Family adjustment, Pediatric diabetes, Prospective, Psychological measures, Type 1 diabetes
in
Pediatric Diabetes
publisher
Wiley-Blackwell
external identifiers
  • scopus:85046280459
ISSN
1399-543X
DOI
10.1111/pedi.12674
language
English
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yes
id
7586807e-9277-4ec8-b89f-c80c76294db7
date added to LUP
2018-05-17 13:59:36
date last changed
2018-05-18 03:00:03
@article{7586807e-9277-4ec8-b89f-c80c76294db7,
  abstract     = {<p>Background: Diagnosis of type 1 diabetes often causes a negative psychological impact on families. We examined whether parents and children enrolled in The Environmental Determinants of Diabetes in the Young (TEDDY) study differ in their psychological adjustment to diabetes diagnosis compared to children diagnosed with diabetes in the community. Methods: TEDDY follows 8676 children at genetic risk for type 1 diabetes from birth. Fifty-four TEDDY children diagnosed with diabetes and 54 age-matched community control children diagnosed with diabetes were enrolled. Participants were aged 3 to 10years and study visits occurred at 3, 6, and 12 months postdiagnosis. Psychological measures included an adapted diabetes-specific State Anxiety Inventory, the Pediatric Quality of Life Inventory-Diabetes Module, and the Pediatric Inventory for Parents, which measures frequency and difficulty of parenting stress. Results: A generalized estimating equation analysis based on a difference score between TEDDY children and community controls found no significant differences between TEDDY parents and community controls on parent diabetes-specific anxiety (P=.30). However, TEDDY children exhibited better diabetes-specific quality of life (P=.03) and TEDDY parents reported lower frequency (P=.004) and difficulty (P=.008) of parenting stress compared to community controls. Conclusions: Children diagnosed with at-risk for type 1 diabetes who have previously enrolled in research monitoring have improved diabetes quality of life and lower parenting stress postdiagnosis compared to children diagnosed in the community. Families in follow-up studies may be more prepared if their child is diagnosed with diabetes.</p>},
  author       = {Smith, Laura B. and Liu, Xiang and Johnson, Suzanne Bennett and Tamura, Roy and Elding Larsson, Helena and Ahmed, Simi and Veijola, Riitta and Haller, Michael J. and Akolkar, Beena and Hagopian, William A. and Rewers, Marian J. and Krischer, Jeffrey and Steck, Andrea K.},
  issn         = {1399-543X},
  keyword      = {Diagnosis,Family adjustment,Pediatric diabetes,Prospective,Psychological measures,Type 1 diabetes},
  language     = {eng},
  month        = {03},
  publisher    = {Wiley-Blackwell},
  series       = {Pediatric Diabetes},
  title        = {Family adjustment to diabetes diagnosis in children : Can participation in a study on type 1 diabetes genetic risk be helpful?},
  url          = {http://dx.doi.org/10.1111/pedi.12674},
  year         = {2018},
}