Experiences of emotional support among parents of children and adolescents with type 1 diabetes: a qualitative study.

IF 2.1 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL
Sahar S Eshtehardi, Marissa N Baudino, Barbara J Anderson, Deborah I Thompson, David G Marrero, Marisa E Hilliard
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Abstract

Objective: Parents of youth with type 1 diabetes (T1D) experience substantial disease-specific demands and distress, yet their perceptions about the emotional support they receive related to the challenges of caring for a child with diabetes have not been well described. This research aimed to characterize the types of emotional support parents of youth with T1D receive and how they experience emotional support.

Methods: As part of a larger qualitative study on diabetes health-related quality of life, 23 parents (96% mothers) of youth with T1D (M age = 10.9 ± 3.8 years; 35% female) completed semi-structured interviews about various aspects of parenting a child with T1D, including emotional support they received. Interviews were transcribed verbatim, coded, analyzed using thematic analysis, and interpreted according to the social-ecological model to generate major and minor themes.

Results: Three themes were constructed. The "Individual" theme included parent-specific factors, including their openness to and satisfaction with diabetes-specific emotional support they receive. Reflecting sources of emotional support, the "Interpersonal" theme included parents' central supportive networks (e.g., family, professionals), and the "Community" theme included parents' extended supportive networks (e.g., community members, T1D organizations, other families). Parents valued emotional support that was nonjudgmental and demonstrated knowledge of T1D.

Conclusions: Both individual and environmental factors relate to how parents seek and receive emotional support from various sources. Clinicians should normalize the experience of needing emotional support to make parents feel comfortable sharing their experiences openly and, when appropriate, help link families to resources to meet their emotional support needs.

1型糖尿病儿童和青少年父母的情感支持体验:一项定性研究。
目的:青少年1型糖尿病(T1D)的父母经历了大量的疾病特异性需求和痛苦,但他们对照顾糖尿病儿童的挑战所获得的情感支持的看法尚未得到很好的描述。本研究旨在描述青少年T1D患者父母获得的情感支持类型以及他们如何体验情感支持。方法:作为一项关于糖尿病健康相关生活质量的大型定性研究的一部分,23名青少年T1D患者的父母(96%为母亲)(M年龄= 10.9±3.8岁;(35%女性)完成了半结构化的访谈,内容涉及养育患有T1D的孩子的各个方面,包括他们获得的情感支持。访谈逐字记录,编码,使用主题分析进行分析,并根据社会生态模型进行解释,以产生主要和次要主题。结果:构建了三个主题。“个人”主题包括父母特有的因素,包括他们对糖尿病特有的情感支持的开放程度和满意度。“人际关系”主题包括父母的核心支持网络(如家庭、专业人士),“社区”主题包括父母的扩展支持网络(如社区成员、T1D组织、其他家庭),反映了情感支持的来源。父母重视非评判性的情感支持,并表现出对T1D的了解。结论:个体因素和环境因素都与父母如何从各种渠道寻求和获得情感支持有关。临床医生应该使需要情感支持的经历正常化,使父母能够坦然地公开分享他们的经历,并在适当的时候帮助家庭与满足他们情感支持需求的资源联系起来。
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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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