Parental anxiety and depression associated with caring for a child newly diagnosed with type 1 diabetes: opportunities for education and counseling
Abstract
Objective To examine demographic and clinical characteristics, such as pediatric parenting stress and self-efficacy for diabetes care, of parents of children newly diagnosed with type 1 diabetes that are associated with parental anxiety and depression.Methods 102 parents reported on their levels of depression (CESD), state anxiety (STAI), pediatric parenting stress (PIP), and self-efficacy for diabetes care (SED) within 4 weeks of their child's diagnosis with type 1 diabetes. Data were analyzed using hierarchical multiple regression.Results Parents' scores in the clinical range for depression and anxiety were associated with increased frequency and difficulty of pediatric parenting stress, and there was a trend for depression to be related to lower self-efficacy for diabetes care. The association of female gender with anxiety and depression was partially mediated by more frequent pediatric parenting stress.Conclusion Parents of children newly diagnosed with type 1 diabetes are at risk for experiencing anxiety and depression, related, in part, to their experiences of pediatric parenting stress.Practice implications Providers and educators should be aware of the risk for depression and anxiety in parents and should work to decrease pediatric parenting stress, increase self-efficacy, and refer parents who are experiencing significant anxiety or depression following their child's diagnosis to a mental health specialist.
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Mothers and fathers of children with type 1 diabetes often experience high depression rates, particularly near diagnosis.
“Parents of children with type 1 diabetes are prone to high rates of depression, especially around the time of diagnosis (95,45).”
From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [95]
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- Authors
- Streisand, R., Mackey, E. R., Elliot, B. M., Mednick, L., Slaughter, I. M., Turek, J., & Austin, A.
- Affiliations
- Children's National (US)
- Corresponding author
- Streisand, Randi
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2008-11
- Volume
- 73
- Issue
- 2
- Pages
- 333-338
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2088731625
- Cited by
- 179
- References
- 37
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 5 · 2023: 11 · 2022: 6 · 2021: 9 · 2020: 13 · 2019: 13 · 2018: 16 · 2017: 18 · 2016: 13 · 2015: 12 · 2014: 9 · 2013: 8 · 2012: 14
- FWCI
- 4.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K23DK062161, DK062161)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- type 1 diabetes, parental anxiety, parental depression, newly diagnosed children, parent education, parental counseling, gender differences, mental health referral
- MeSH terms
- Adolescent, Adult, Anxiety, Child, Child, Preschool, Depression, Diabetes Mellitus, Type 1, Female, Health Education, Humans, Infant, Male, Mid-Atlantic Region, Parents, Regression Analysis, Risk Factors, Stress, Psychological, Multivariate Analysis, Parenting, Self Efficacy
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