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. 2011 Mar;36(2):196-205.
doi: 10.1093/jpepsy/jsq071. Epub 2010 Aug 24.

From caregiver psychological distress to adolescent glycemic control: the mediating role of perceived burden around diabetes management

Natoshia Raishevich Cunningham  1 , Anthony T Vesco, Lawrence M Dolan, Korey K Hood
Affiliations

From caregiver psychological distress to adolescent glycemic control: the mediating role of perceived burden around diabetes management

Natoshia Raishevich Cunningham et al. J Pediatr Psychol. 2011 Mar.

Abstract

Objective: To examine whether perceived caregiver burden around diabetes management mediated the relationship between caregivers' psychological distress and adolescents' glycemic control.

Methods: Across three visits spanning 9 months, caregivers of 147 adolescents with type 1 diabetes completed measures of anxiety and depressive symptoms and a measure of perceived burden specific to diabetes management. Adolescents' glycemic control was also measured.

Results: Perceived burden mediated the relationship between caregiver depressive symptoms and adolescents' glycemic control. The overall model was significant, F(10,132) = 5.0, p < .001, R(2) = 0.27. Fifty percent of the relationship was explained by diabetes-specific burden. The relationship between caregiver anxiety symptoms and adolescent glycemic control was partially mediated by diabetes-specific burden, F(10,133) = 5.7, p < .001, R(2) = 0.30, explaining 26% of this relationship.

Discussion: A variable linking caregiver psychological distress to adolescent glycemic control is perceived caregiver burden around diabetes management. Implications for clinical practice include targeting caregiver psychological functioning and reducing global and diabetes-specific distress.

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Figures

Figure 1.
Figure 1.
Mediating role of diabetes-specific burden.
See this image and copyright information in PMC

References

    1. Amiel S. A., Sherwin R. S., Simonson D. C., Lauritano A. A., Tamborlane W. V. Impaired insulin action in puberty. A contributing factor to poor glycemic control in adolescents with diabetes. New England Journal of Medicine. 1986;315:215–219. - PubMed
    1. Anderson B., Ho J., Brackett J., Finkelstein D., Laffel L. Parental involvement in diabetes management tasks: relationships to blood glucose monitoring adherence and metabolic control in young adolescents with insulin-dependent diabetes mellitus. Journal of Pediatrics. 1997;130:257–265. - PubMed
    1. Anderson B. J., Auslander W. F., Jung K. C., Miller J. P., Santiago J. V. Assessing family sharing of diabetes responsibilities. Journal of Pediatric Psychology. 1990;15:477–492. - PubMed
    1. Anderson B. J., Holmbeck G., Iannotti R. J., McKay S. V., Lochrie A., Volkening L. K., Laffel L. Dyadic measures of the parent–child relationship during the transition to adolescence and glycemic control in children with type 1 diabetes. Families, Systems & Health. 2009;27:141–152. - PMC - PubMed
    1. Antisdel J. E. Diabetes-specific distress among parents of youth with type 1 diabetes. Dissertation Abstracts International. 2001;61:6123.

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