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. 2017 Mar;24(1):74-81.
doi: 10.1007/s10880-017-9489-8.

Fear of Hypoglycemia, Parenting Stress, and Metabolic Control for Children with Type 1 Diabetes and Their Parents

Ann-Sofie Viaene  1   2 , Tom Van Daele  3 , Dries Bleys  4 , Kelly Faust  5 , Guy G Massa  5
Affiliations

Fear of Hypoglycemia, Parenting Stress, and Metabolic Control for Children with Type 1 Diabetes and Their Parents

Ann-Sofie Viaene et al. J Clin Psychol Med Settings. 2017 Mar.

Abstract

This study sets out to extend current knowledge of parenting stress and fear of hypoglycemia (FoH) in parents of children with type 1 diabetes mellitus (T1DM). We examined if the relationship between parental and children's FoH and metabolic control, as reflected by HbA1c, is mediated by parenting stress. A total of 63 parents and children with T1DM were recruited during their routine physician's appointment. Parents completed questionnaires on parenting stress and FoH. Children eight years and older also completed a questionnaire on FoH. HbA1c values were obtained from all children. Mediation analysis revealed an indirect association between parental FoH and HbA1c values through parenting stress (Sobel's z = 2.42, p = .02), but no indirect association between children's FoH and HbA1c. We concluded that parental FOH has an indirect association with the child's metabolic control that is mediated by parenting stress. More simply, fear of hypoglycemia predicts parent stress, which in turn, predicts metabolic control.

Keywords: Fear of hypoglycemia; Metabolic control; Parenting stress; Type 1 diabetes mellitus.

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