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Cited by 33Diabetes Management and EducationChild and Adolescent Psychosocial and Emotional DevelopmentDiabetes Management and Research

Maternal expressed emotion and metabolic control of children and adolescents with diabetes mellitus

Liakopoulou, Magda, Alifieraki, Tina, Katideniou, Antonia, Peppa, Moly, Maniati, Mary, Tzikas, Dimitris, Hibbs, Euthymia D., Dacou-Voutetakis, Catherine·2001·Psychotherapy and Psychosomatics
DOI 10.1159/000056230
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Abstract

Background: The objectives of this study of children and adolescents with diabetes were to: (1) examine whether maternal expressed emotion (EE), in the form of critical comments (CC), hostility and emotional overinvolvement (EOI), is related to metabolic control; (2) determine if CC and EOI are separately related to poor metabolic control, and (3) ascertain whether high EE is related to psychopathology in these children. Methods: The Present Episode version of the Schedule for Affective Disorders and Schizophrenia for School-Age Children (Kiddie-SADS-P/K-SADS-P) interview was administered to 55 children and adolescents with diabetes and the parental EE instrument, the 5-min speech sample, to 55 mothers. The same instruments were utilized with the 54 controls and their mothers. Glycosylated hemoglobin A1 values were used as a measure of metabolic control. Results: More than half of the children with diabetes (58.2%) had mild to moderate symptoms of anxiety or depression as compared to 9.3% of the controls. High EE was exhibited by 70.9% of the index group mothers in contrast to only 29.6% of the control group mothers. High maternal EE was not related to the psychopathology of children with diabetes. High maternal EE and in particular its EOI component and excessive detail (a subcategory of EOI) were related to poor metabolic control of the index children. Conclusions: Maternal EE is related to metabolic control in childhood diabetes; maternal EOI in particular is related to poor metabolic control. Mental health professionals should work with mothers of children with diabetes in an effort to modify such attitudes and emotions.

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Authors
Liakopoulou, M., Alifieraki, T., Katideniou, A., Peppa, M., Maniati, M., Tzikas, D., Hibbs, E. D., & Dacou-Voutetakis, C.
Affiliations
  • National and Kapodistrian University of Athens (GR)
  • National Institute of Mental Health (US)
Venue
Psychotherapy and Psychosomatics
Publisher
S. Karger AG
Published
2001
Volume
70
Issue
2
Pages
78-85
ISSN
  • 0033-3190 (ISSN-L)
  • 1423-0348
DOI
10.1159/000056230
OpenAlex
W1991624082
Cited by
33
References
35
Citations by year
2023: 1 · 2020: 2 · 2017: 4 · 2016: 1 · 2015: 6 · 2014: 1 · 2013: 2
FWCI
0.92
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Psychotherapy and Psychosomatics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords
critical comments, emotional overinvolvement, hostility, HbA1c, metabolic control, pediatric diabetes, adolescent diabetes, anxiety, depression, psychopathology, mother-child relationship
MeSH terms
Adult, Affect, Child, Chromatography, High Pressure Liquid, Diabetes Mellitus, Type 1, Female, Glycated Hemoglobin, Humans, Male, Maternal Behavior, Mother-Child Relations, Mothers, Severity of Illness Index, Mood Disorders

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