Weekend-Based Parent-Group Intervention to Reduce Stress in Parents of Children and Adolescents with Type 1 Diabetes: A Pilot Study

Diagnosis of type 1 diabetes (T1D) in a child is often associated with anger, denial, fear, and depression from the parents. The aim of the study was to improve parents’ adaptation to the diagnosis of diabetes of their child. Sixty-two parents (29 mothers, 33 fathers) of 36 children with type 1 diab...

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Main Authors: Lucia Ferrito, Barbara Predieri, Dorina Pjetraj, Maria Cristina Alessandrelli, Manuela Pagnini, Antonio Iannilli, Monica Marino, Stefano Tombolini, Basilio Pintaudi, Giuseppe Lucisano, Fabiana Zani, Lorenzo Iughetti, Antonio Nicolucci, Valentino Cherubini
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2019/7935945
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author Lucia Ferrito
Barbara Predieri
Dorina Pjetraj
Maria Cristina Alessandrelli
Manuela Pagnini
Antonio Iannilli
Monica Marino
Stefano Tombolini
Basilio Pintaudi
Giuseppe Lucisano
Fabiana Zani
Lorenzo Iughetti
Antonio Nicolucci
Valentino Cherubini
author_facet Lucia Ferrito
Barbara Predieri
Dorina Pjetraj
Maria Cristina Alessandrelli
Manuela Pagnini
Antonio Iannilli
Monica Marino
Stefano Tombolini
Basilio Pintaudi
Giuseppe Lucisano
Fabiana Zani
Lorenzo Iughetti
Antonio Nicolucci
Valentino Cherubini
author_sort Lucia Ferrito
collection DOAJ
description Diagnosis of type 1 diabetes (T1D) in a child is often associated with anger, denial, fear, and depression from the parents. The aim of the study was to improve parents’ adaptation to the diagnosis of diabetes of their child. Sixty-two parents (29 mothers, 33 fathers) of 36 children with type 1 diabetes (mean age=11.3‐3.3 years; diabetes duration>1 year; HbA1c=57±11 mmol/mol) participated in a three-day educational working group pilot intervention study. Intervention was based on the reexamination of the traumatic event of diagnosis of T1D through spatial and time-line anchorage, retracing of the future, emotional awareness, and interactive discussion. Relaxing technique, diaphragmatic breathing, and guided visualization were used by 2 psychologists and 1 pediatric endocrinologist. The study was approved by EC and participants filled a consent form. At baseline and after intervention, parents filled in a questionnaire including Diabetes-Related Distress (DRD), Parent Health Locus of Control Scale (PHLOC), Parent Stress Index Short Form (PSI-SF), Hypoglycemia Fear Survey-Parents (HFS-P) and Hypoglycemia Fear Survey-Parents of Young Children (HFS-P-YC), and Health Survey Short Form-36 (SF-36). Three months after the intervention, both parents reported a reduction in the “difficult child” subscale of the PSI-SF (p<0.05) and increased scores of social functioning of the SF-36 (p<0.05). DRD score was significantly reduced in mothers (p=0.03), while the “parental distress” subscale of the PSI-SF was significantly improved in fathers (p=0.03). This weekend-based parent group intervention seems to reduce stress and improve social functioning of parents of children and adolescents with type 1 diabetes.
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spelling doaj-art-a5727db2ffd84856a3fe04928ef3b3442025-02-03T06:00:16ZengWileyJournal of Diabetes Research2314-67452314-67532019-01-01201910.1155/2019/79359457935945Weekend-Based Parent-Group Intervention to Reduce Stress in Parents of Children and Adolescents with Type 1 Diabetes: A Pilot StudyLucia Ferrito0Barbara Predieri1Dorina Pjetraj2Maria Cristina Alessandrelli3Manuela Pagnini4Antonio Iannilli5Monica Marino6Stefano Tombolini7Basilio Pintaudi8Giuseppe Lucisano9Fabiana Zani10Lorenzo Iughetti11Antonio Nicolucci12Valentino Cherubini13SOD Pediatric Diabetology, Department of Women’s and Children’s, “G. Salesi” Children’s Hospital, AOU Ospedali Riuniti Ancona, ItalyDepartment of Medical and Surgical Sciences of the Mother, Children, and Adults, University of Modena and Reggio Emilia, Modena, ItalySOD Pediatric Diabetology, Department of Women’s and Children’s, “G. Salesi” Children’s Hospital, AOU Ospedali Riuniti Ancona, ItalyPediatric Psychology, “G. Salesi” Children’s Hospital, AOU Ospedali Riuniti Ancona, ItalySOD Pediatric Diabetology, Department of Women’s and Children’s, “G. Salesi” Children’s Hospital, AOU Ospedali Riuniti Ancona, ItalySOD Pediatric Diabetology, Department of Women’s and Children’s, “G. Salesi” Children’s Hospital, AOU Ospedali Riuniti Ancona, ItalySOD Pediatric Diabetology, Department of Women’s and Children’s, “G. Salesi” Children’s Hospital, AOU Ospedali Riuniti Ancona, ItalySOD Pediatric Diabetology, Department of Women’s and Children’s, “G. Salesi” Children’s Hospital, AOU Ospedali Riuniti Ancona, ItalySSD Diabetes Unit, Niguarda Ca’ Granda Hospital, Milan, ItalyCORESEARCH SRL-Center for Outcomes Research and Clinical Epidemiology, Pescara, ItalyDepartment of Medical and Surgical Sciences of the Mother, Children, and Adults, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Medical and Surgical Sciences of the Mother, Children, and Adults, University of Modena and Reggio Emilia, Modena, ItalyCORESEARCH SRL-Center for Outcomes Research and Clinical Epidemiology, Pescara, ItalySOD Pediatric Diabetology, Department of Women’s and Children’s, “G. Salesi” Children’s Hospital, AOU Ospedali Riuniti Ancona, ItalyDiagnosis of type 1 diabetes (T1D) in a child is often associated with anger, denial, fear, and depression from the parents. The aim of the study was to improve parents’ adaptation to the diagnosis of diabetes of their child. Sixty-two parents (29 mothers, 33 fathers) of 36 children with type 1 diabetes (mean age=11.3‐3.3 years; diabetes duration>1 year; HbA1c=57±11 mmol/mol) participated in a three-day educational working group pilot intervention study. Intervention was based on the reexamination of the traumatic event of diagnosis of T1D through spatial and time-line anchorage, retracing of the future, emotional awareness, and interactive discussion. Relaxing technique, diaphragmatic breathing, and guided visualization were used by 2 psychologists and 1 pediatric endocrinologist. The study was approved by EC and participants filled a consent form. At baseline and after intervention, parents filled in a questionnaire including Diabetes-Related Distress (DRD), Parent Health Locus of Control Scale (PHLOC), Parent Stress Index Short Form (PSI-SF), Hypoglycemia Fear Survey-Parents (HFS-P) and Hypoglycemia Fear Survey-Parents of Young Children (HFS-P-YC), and Health Survey Short Form-36 (SF-36). Three months after the intervention, both parents reported a reduction in the “difficult child” subscale of the PSI-SF (p<0.05) and increased scores of social functioning of the SF-36 (p<0.05). DRD score was significantly reduced in mothers (p=0.03), while the “parental distress” subscale of the PSI-SF was significantly improved in fathers (p=0.03). This weekend-based parent group intervention seems to reduce stress and improve social functioning of parents of children and adolescents with type 1 diabetes.http://dx.doi.org/10.1155/2019/7935945
spellingShingle Lucia Ferrito
Barbara Predieri
Dorina Pjetraj
Maria Cristina Alessandrelli
Manuela Pagnini
Antonio Iannilli
Monica Marino
Stefano Tombolini
Basilio Pintaudi
Giuseppe Lucisano
Fabiana Zani
Lorenzo Iughetti
Antonio Nicolucci
Valentino Cherubini
Weekend-Based Parent-Group Intervention to Reduce Stress in Parents of Children and Adolescents with Type 1 Diabetes: A Pilot Study
Journal of Diabetes Research
title Weekend-Based Parent-Group Intervention to Reduce Stress in Parents of Children and Adolescents with Type 1 Diabetes: A Pilot Study
title_full Weekend-Based Parent-Group Intervention to Reduce Stress in Parents of Children and Adolescents with Type 1 Diabetes: A Pilot Study
title_fullStr Weekend-Based Parent-Group Intervention to Reduce Stress in Parents of Children and Adolescents with Type 1 Diabetes: A Pilot Study
title_full_unstemmed Weekend-Based Parent-Group Intervention to Reduce Stress in Parents of Children and Adolescents with Type 1 Diabetes: A Pilot Study
title_short Weekend-Based Parent-Group Intervention to Reduce Stress in Parents of Children and Adolescents with Type 1 Diabetes: A Pilot Study
title_sort weekend based parent group intervention to reduce stress in parents of children and adolescents with type 1 diabetes a pilot study
url http://dx.doi.org/10.1155/2019/7935945
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