Pediatric Parenting Stress Among Parents of Children with Type 1 Diabetes: The Role of Self-Efficacy, Responsibility, and Fear

Objective Parents of children with type 1 diabetes are crucial to promoting positive disease adaptation and health outcomes among these youngsters, yet this success may come at some consequence to parents’ own well-being. Little research has examined the stress faced by parents, or explored the psyc...

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Bibliographic Details
Published in:Journal of pediatric psychology 2005-09, Vol.30 (6), p.513-521
Main Authors: Streisand, Randi, Swift, Erika, Wickmark, Tara, Chen, Rusan, Holmes, Clarissa S.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Child
diabetes
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 1 - therapy
Family environment. Family history
Fear
Female
Health Behavior
Humans
Male
Medical sciences
parent psychological functioning
parent stress
Parents - psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Self Efficacy
Social psychiatry. Ethnopsychiatry
Stress, Psychological - epidemiology
Stress, Psychological - psychology
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Summary:Objective Parents of children with type 1 diabetes are crucial to promoting positive disease adaptation and health outcomes among these youngsters, yet this success may come at some consequence to parents’ own well-being. Little research has examined the stress faced by parents, or explored the psychological and behavioral correlates of their stress. Methods One hundred and thirty-four parents of children with type 1 diabetes completed measures of diabetes self-efficacy, responsibility for diabetes management, fear of hypoglycemia, and a recently developed measure of pediatric parenting stress (the Pediatric Inventory for Parents [PIP]; R. Streisand, S. Braniecki, K. P. Tercyak, & A. E. Kazak, 2001). Results Bivariate analyses suggest that pediatric parenting stress is multifaceted; the frequency of parenting stress is negatively related to child age and family socioeconomic status and positively related to single parent status and regimen status (injections vs. insulin pump). Difficulty of parenting stress is negatively related to child age and positively related to regimen status. In multivariate analyses, a significant portion of the variance in stress frequency (32%) and difficulty (19%) are associated with parent psychological and behavioral functioning, including lower self-efficacy, greater responsibility for diabetes management, and greater fear of hypoglycemia. Conclusions Each area of parent functioning associated with pediatric parenting stress is amenable to behavioral intervention aimed at stress reduction or control and improvement of parent psychological and child-health outcomes.
ISSN:0146-8693
1465-735X
DOI:10.1093/jpepsy/jsi076