Family and Child Characteristics Associated with Coping, Psychological Adjustment and Metabolic Control in Children and Adolescents with Type 1 Diabetes

Content Provider	Semantic Scholar
Author	Wesley, Michelle
Copyright Year	2012
Abstract	FAMILY AND CHILD CHARACTERISTICS ASSOCIATED WITH COPING, PSYCHOLOGICAL ADJUSTMENT AND METABOLIC CONTROL IN CHILDREN AND ADOLESCENTS WITH TYPE 1 DIABETES Michelle C. Wesley Advisors: University of Guelph, 2012 Dr. Michèle Preyde Dr. Michael P. Grand This thesis is an investigation of the factors that impact psy chological adjustment and metabolic control in children and adolescents with type 1 diabetes. Studies suggest that aspects of the family environment (stressful life events, fam ily functioning and parent mental health) and child characteristics such as age, sex, ex cutive functioning and hopeful thinking impact psychological adjustment and metabolic control. The re is also evidence that coping processes mediate these associations. The purpo se of this study was to 1) explore and identify developmental differences in coping pro cesses in a sample of children with T1D, 2) identify the family system characteristics that are associated with child coping processes and psychological adjustment, and 3) identif y the amily and child characteristics that impact metabolic control. Survey data wer e collected through convenience sampling from an outpatient hospital clinic. Children ag d 8 to 17 completed self-reports of hopeful thinking and illness-related coping sty le. Caregivers provided demographic information and completed questionnaires on their c ild's physical health, iii stressful life events, mental health, family functioning, as w ell as the child's initiative, emotional control, and psychological adjustment. Ratings of ch ild metabolic control (HbA1C) were also retrieved from hospital patient records. A predic tive model examining direct and indirect contributions of the family environment and c oping variables toward child adjustment and metabolic control was tested. Age and s ex ifferences in children's coping style were identified. Family functioning and parent menta l he lth were found to predict child psychological adjustment. Coping processes, inclu di g avoidant coping, coping efficacy and executive functioning mediated relations be tween family functioning and child adjustment. Results provided partial support for a m ediational model of family system characteristics that influence psychological adjustment in the sample. Family functioning and parent mental health had a direct impact on ch ildren's psychological adjustment, as well as indirect effects on adjustment throug coping processes (i.e., coping style, coping efficacy, initiative and emotional control). Child age was found to moderate some paths in the proposed model. Clinical and research implic ations are discussed.
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Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Thesis