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意大利1型糖尿病患儿母亲对低血糖的恐惧:复原力的中介作用。

Fear of hypoglycemia in Italian mothers of children with type 1 diabetes: the mediating role of resilience.

作者信息

Cardinali Paola, Rapetti Elisa, Migliorini Laura

机构信息

University of Genoa.

出版信息

Health Psychol Res. 2021 Aug 14;9(1):27439. doi: 10.52965/001c.27439. eCollection 2021.

Abstract

OBJECTIVE

Fear of hypoglycemia for children with diabetes influences parental life and could increase parental stress. The present study aimed to explore the association between resilience, the self-perception of the parental role, and fear of hypoglycemia in mothers of children with type I diabetes (T1DM).

METHODS

Ninety mothers (mean age: 44.20 years) of children with a T1DM diagnosis (mean age: 11.48 years) were recruited from an association for parents and completed an online self-report questionnaire packet that includes: Fear of Hypoglycemia Survey, Self-Perception of the Parental Role and Resilience Scale for Adults. Participants were recruited in 2017. Data collection lasted 10 months. Data analysis was performed using the SPSS statistical package, version 22, and the PROCESS macro program by Hayes.

RESULTS

The analysis of the mediation model shows that resilience assumes a mediational role in the relationships between the parental role and preoccupation with hypoglycemia. In particular, the mother's perceived competence and role balance can influence the development and increase of the mother's resilience, which in turn can allow a decrease in the mother's worry about the possible hypoglycemic episode of her child.

CONCLUSION

The findings suggest that resilience is a significant topic to focus on in interventions designed to increase the self-perception of the parental role and reduce fear of hypoglycemia in mothers.

摘要

目的

糖尿病患儿的低血糖恐惧会影响家长的生活,并可能增加家长的压力。本研究旨在探讨I型糖尿病(T1DM)患儿母亲的心理韧性、对父母角色的自我认知与低血糖恐惧之间的关联。

方法

从一个家长协会招募了90名T1DM患儿的母亲(平均年龄:44.20岁),其子女平均年龄为11.48岁。这些母亲完成了一份在线自我报告问卷包,其中包括:低血糖恐惧调查、父母角色自我认知和成人心理韧性量表。参与者于2017年招募。数据收集持续了10个月。使用SPSS统计软件包22版和Hayes的PROCESS宏程序进行数据分析。

结果

中介模型分析表明,心理韧性在父母角色与低血糖担忧之间的关系中起中介作用。具体而言,母亲感知到的能力和角色平衡会影响母亲心理韧性的发展和增强,这反过来又可以减少母亲对孩子可能发生低血糖事件的担忧。

结论

研究结果表明,心理韧性是旨在增强父母角色自我认知和减少母亲低血糖恐惧的干预措施中需要重点关注的重要课题。

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