Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes: Longitudinal Data from the DINO Study

Minke M A Eilander; Frank J Snoek; Joost Rotteveel; Henk-Jan Aanstoot; Willie M Bakker-van Waarde; Euphemia C A M Houdijk; Roos Nuboer; Per Winterdijk; Maartje de Wit

doi:10.1155/2017/1462064

Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes: Longitudinal Data from the DINO Study

Minke M A Eilander, Frank J Snoek, Joost Rotteveel, Henk-Jan Aanstoot, Willie M Bakker-van Waarde, Euphemia C A M Houdijk, Roos Nuboer, Per Winterdijk, Maartje de Wit

Youth and Lifestyle

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Objective: To evaluate (1) the longitudinal relationship between parental well-being and glycemic control in youth with type 1 diabetes and (2) if youth's problem behavior, diabetes parenting behavior, and parental diabetes-distress influence this relationship.

Research Design and Methods: Parents of youth 8-15 yrs (at baseline) (N = 174) participating in the DINO study completed questionnaires at three time waves (1 yr interval). Using generalized estimating equations, the relationship between parental well-being (WHO-5) and youth's HbA1c was examined. Second, relationships between WHO-5, Strength and Difficulties Questionnaire (SDQ), Diabetes Family Behavior Checklist (DFBC), Problem Areas In Diabetes-Parent Revised (PAID-Pr) scores, and HbA1c were analyzed.

Results: Low well-being was reported by 32% of parents. No relationship was found between parents' WHO-5 scores and youth's HbA1c (β = -0.052, p = 0.650). WHO-5 related to SDQ (β = -0.219, p < 0.01), DFBC unsupportive scale (β = -0.174, p < 0.01), and PAID-Pr (β = -0.666, p < 0.01). Both DFBC scales (supportive β = -0.259, p = 0.01; unsupportive β = 0.383, p = 0.017), PAID-Pr (β = 0.276, p < 0.01), and SDQ (β = 0.424, p < 0.01) related to HbA1c.

Conclusions: Over time, reduced parental well-being relates to increased problem behavior in youth, unsupportive parenting, and parental distress, which negatively associate with HbA1c. More unsupportive diabetes parenting and distress relate to youth's problem behavior.

Original language	English
Article number	1462064
Journal	Journal of diabetes research
Volume	2017
DOIs	https://doi.org/10.1155/2017/1462064
Publication status	Published - 2017

Funding

Minke M. A. Eilander collected and researched the data, wrote the manuscript, and is a guarantor of the work. Frank J. Snoek, Joost Rotteveel, Henk-Jan Aanstoot, Willie M. Bakker-van Waarde, Euphemia C. A. M. Houdijk, Per Winterdijk, and Maartje de Wit reviewed and edited the manuscript. The authors would like to thank Professor Jos Twisk of the Department of Epidemiology and Biostatistics of the VU University Medical Center for his advisory role in the statistical analyses. This work was supported by the Dutch Diabetes Foundation (Grant no. 2009.80.103).

Funders	Funder number
Diabetes Fonds	2009.80.103

Keywords

Adolescent
Child
Cost of Illness
Diabetes Mellitus, Type 1/blood
Family Health
Female
Glycated Hemoglobin A/analysis
Humans
Hyperglycemia/prevention & control
Hypoglycemia/prevention & control
Longitudinal Studies
Male
Maternal Behavior/psychology
Netherlands
Paternal Behavior/psychology
Patient Compliance/psychology
Problem Behavior/psychology
Psychiatric Status Rating Scales
Psychosocial Support Systems
Stress, Psychological/etiology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1155/2017/1462064

Persistent URL (handle)

Persistent link

Cite this

Eilander, M. M. A., Snoek, F. J., Rotteveel, J., Aanstoot, H.-J., Bakker-van Waarde, W. M., Houdijk, E. C. A. M., Nuboer, R., Winterdijk, P., & de Wit, M. (2017). Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes: Longitudinal Data from the DINO Study. Journal of diabetes research, 2017, Article 1462064. https://doi.org/10.1155/2017/1462064

@article{a1a99c5510f34753958f248e183454fd,

title = "Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes: Longitudinal Data from the DINO Study",

abstract = "Objective: To evaluate (1) the longitudinal relationship between parental well-being and glycemic control in youth with type 1 diabetes and (2) if youth's problem behavior, diabetes parenting behavior, and parental diabetes-distress influence this relationship.Research Design and Methods: Parents of youth 8-15 yrs (at baseline) (N = 174) participating in the DINO study completed questionnaires at three time waves (1 yr interval). Using generalized estimating equations, the relationship between parental well-being (WHO-5) and youth's HbA1c was examined. Second, relationships between WHO-5, Strength and Difficulties Questionnaire (SDQ), Diabetes Family Behavior Checklist (DFBC), Problem Areas In Diabetes-Parent Revised (PAID-Pr) scores, and HbA1c were analyzed.Results: Low well-being was reported by 32% of parents. No relationship was found between parents' WHO-5 scores and youth's HbA1c (β = -0.052, p = 0.650). WHO-5 related to SDQ (β = -0.219, p < 0.01), DFBC unsupportive scale (β = -0.174, p < 0.01), and PAID-Pr (β = -0.666, p < 0.01). Both DFBC scales (supportive β = -0.259, p = 0.01; unsupportive β = 0.383, p = 0.017), PAID-Pr (β = 0.276, p < 0.01), and SDQ (β = 0.424, p < 0.01) related to HbA1c.Conclusions: Over time, reduced parental well-being relates to increased problem behavior in youth, unsupportive parenting, and parental distress, which negatively associate with HbA1c. More unsupportive diabetes parenting and distress relate to youth's problem behavior.",

keywords = "Adolescent, Child, Cost of Illness, Diabetes Mellitus, Type 1/blood, Family Health, Female, Glycated Hemoglobin A/analysis, Humans, Hyperglycemia/prevention & control, Hypoglycemia/prevention & control, Longitudinal Studies, Male, Maternal Behavior/psychology, Netherlands, Paternal Behavior/psychology, Patient Compliance/psychology, Problem Behavior/psychology, Psychiatric Status Rating Scales, Psychosocial Support Systems, Stress, Psychological/etiology",

author = "Eilander, {Minke M A} and Snoek, {Frank J} and Joost Rotteveel and Henk-Jan Aanstoot and {Bakker-van Waarde}, {Willie M} and Houdijk, {Euphemia C A M} and Roos Nuboer and Per Winterdijk and {de Wit}, Maartje",

year = "2017",

doi = "10.1155/2017/1462064",

language = "English",

volume = "2017",

journal = "Journal of diabetes research",

issn = "2314-6753",

publisher = "Hindawi",

}

TY - JOUR

T1 - Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes

T2 - Longitudinal Data from the DINO Study

AU - Eilander, Minke M A

AU - Snoek, Frank J

AU - Rotteveel, Joost

AU - Aanstoot, Henk-Jan

AU - Bakker-van Waarde, Willie M

AU - Houdijk, Euphemia C A M

AU - Nuboer, Roos

AU - Winterdijk, Per

AU - de Wit, Maartje

PY - 2017

Y1 - 2017

N2 - Objective: To evaluate (1) the longitudinal relationship between parental well-being and glycemic control in youth with type 1 diabetes and (2) if youth's problem behavior, diabetes parenting behavior, and parental diabetes-distress influence this relationship.Research Design and Methods: Parents of youth 8-15 yrs (at baseline) (N = 174) participating in the DINO study completed questionnaires at three time waves (1 yr interval). Using generalized estimating equations, the relationship between parental well-being (WHO-5) and youth's HbA1c was examined. Second, relationships between WHO-5, Strength and Difficulties Questionnaire (SDQ), Diabetes Family Behavior Checklist (DFBC), Problem Areas In Diabetes-Parent Revised (PAID-Pr) scores, and HbA1c were analyzed.Results: Low well-being was reported by 32% of parents. No relationship was found between parents' WHO-5 scores and youth's HbA1c (β = -0.052, p = 0.650). WHO-5 related to SDQ (β = -0.219, p < 0.01), DFBC unsupportive scale (β = -0.174, p < 0.01), and PAID-Pr (β = -0.666, p < 0.01). Both DFBC scales (supportive β = -0.259, p = 0.01; unsupportive β = 0.383, p = 0.017), PAID-Pr (β = 0.276, p < 0.01), and SDQ (β = 0.424, p < 0.01) related to HbA1c.Conclusions: Over time, reduced parental well-being relates to increased problem behavior in youth, unsupportive parenting, and parental distress, which negatively associate with HbA1c. More unsupportive diabetes parenting and distress relate to youth's problem behavior.

AB - Objective: To evaluate (1) the longitudinal relationship between parental well-being and glycemic control in youth with type 1 diabetes and (2) if youth's problem behavior, diabetes parenting behavior, and parental diabetes-distress influence this relationship.Research Design and Methods: Parents of youth 8-15 yrs (at baseline) (N = 174) participating in the DINO study completed questionnaires at three time waves (1 yr interval). Using generalized estimating equations, the relationship between parental well-being (WHO-5) and youth's HbA1c was examined. Second, relationships between WHO-5, Strength and Difficulties Questionnaire (SDQ), Diabetes Family Behavior Checklist (DFBC), Problem Areas In Diabetes-Parent Revised (PAID-Pr) scores, and HbA1c were analyzed.Results: Low well-being was reported by 32% of parents. No relationship was found between parents' WHO-5 scores and youth's HbA1c (β = -0.052, p = 0.650). WHO-5 related to SDQ (β = -0.219, p < 0.01), DFBC unsupportive scale (β = -0.174, p < 0.01), and PAID-Pr (β = -0.666, p < 0.01). Both DFBC scales (supportive β = -0.259, p = 0.01; unsupportive β = 0.383, p = 0.017), PAID-Pr (β = 0.276, p < 0.01), and SDQ (β = 0.424, p < 0.01) related to HbA1c.Conclusions: Over time, reduced parental well-being relates to increased problem behavior in youth, unsupportive parenting, and parental distress, which negatively associate with HbA1c. More unsupportive diabetes parenting and distress relate to youth's problem behavior.

KW - Adolescent

KW - Child

KW - Cost of Illness

KW - Diabetes Mellitus, Type 1/blood

KW - Family Health

KW - Female

KW - Glycated Hemoglobin A/analysis

KW - Humans

KW - Hyperglycemia/prevention & control

KW - Hypoglycemia/prevention & control

KW - Longitudinal Studies

KW - Male

KW - Maternal Behavior/psychology

KW - Netherlands

KW - Paternal Behavior/psychology

KW - Patient Compliance/psychology

KW - Problem Behavior/psychology

KW - Psychiatric Status Rating Scales

KW - Psychosocial Support Systems

KW - Stress, Psychological/etiology

UR - http://www.scopus.com/inward/record.url?scp=85042483350&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85042483350&partnerID=8YFLogxK

U2 - 10.1155/2017/1462064

DO - 10.1155/2017/1462064

M3 - Article

C2 - 29376080

SN - 2314-6753

VL - 2017

JO - Journal of diabetes research

JF - Journal of diabetes research

M1 - 1462064

ER -

Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes: Longitudinal Data from the DINO Study

Abstract

Funding

Keywords

UN SDGs

Access to Document

Persistent URL (handle)

Other files and links

Fingerprint

Cite this