TY - JOUR
T1 - From caregiver psychological distress to adolescent glycemic control
T2 - The mediating role of perceived burden around diabetes management
AU - Cunningham, Natoshia Raishevich
AU - Vesco, Anthony T.
AU - Dolan, Lawrence M.
AU - Hood, Korey K.
PY - 2011/3
Y1 - 2011/3
N2 - 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, R2 = 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, R2 = 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.
AB - 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, R2 = 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, R2 = 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.
KW - adolescents
KW - diabetes
KW - health care services
KW - parents
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U2 - 10.1093/jpepsy/jsq071
DO - 10.1093/jpepsy/jsq071
M3 - Article
C2 - 20736389
AN - SCOPUS:79952288248
SN - 0146-8693
VL - 36
SP - 196
EP - 205
JO - Journal of pediatric psychology
JF - Journal of pediatric psychology
IS - 2
ER -