{"title":"芬兰1型糖尿病儿童和青少年的低父母压力和积极幸福感","authors":"Riina Pironetti, Marja-Terttu Saha, Tiina Luukkaala, Nina Vuorela, Kirsi Kakko, Paivi Keskinen","doi":"10.1136/bmjdrc-2025-005248","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Given the limited knowledge about family dynamics and well-being among pediatric patients with type 1 diabetes (T1D) in Finland, this study aimed to assess parental stress, patient well-being, and their potential associations with glycemic control at a Finnish diabetes clinic.</p><p><strong>Research design and methods: </strong>A cross-sectional survey was conducted with 199 children (aged 1-16 years) using a background information questionnaire, the Parenting Stress Index Short Form (PSI-4-SF), and the WHO-5 Well-Being Index (WHO-5) questionnaire.</p><p><strong>Results: </strong>The mean glycated hemoglobin (HbA1c) level was 7.7% (61 mmol/mol), and the time in range (TIR) was 55.4%. Parents reported low stress levels (PSI total stress: median=31, IQR=12-55, n=133), with no significant correlation between parental stress and children's glycemic control. However, parents of children aged <7 years reported higher stress levels, which correlated with better metabolic control in children (HbA1c: rho=-0.86; TIR: rho=0.78; n=9). The mean WHO-5 score for all children was good (70; IQR=64-80, n=180). Their WHO-5 did not correlate with HbA1c (rho=-0.08, n=180) but correlated positively with TIR (rho=0.17, p=0.038, n=156).</p><p><strong>Conclusions: </strong>Better glycemic stability in children, as measured by TIR, correlated with well-being. Additionally, higher parental stress in young children was linked to better metabolic control in their children. These findings emphasize the importance of integrating psychosocial aspects into the care of pediatric patients with T1D.</p>","PeriodicalId":9151,"journal":{"name":"BMJ Open Diabetes Research & Care","volume":"13 5","pages":""},"PeriodicalIF":4.1000,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Low parental stress and positive well-being in Finnish children and adolescents with type 1 diabetes.\",\"authors\":\"Riina Pironetti, Marja-Terttu Saha, Tiina Luukkaala, Nina Vuorela, Kirsi Kakko, Paivi Keskinen\",\"doi\":\"10.1136/bmjdrc-2025-005248\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Given the limited knowledge about family dynamics and well-being among pediatric patients with type 1 diabetes (T1D) in Finland, this study aimed to assess parental stress, patient well-being, and their potential associations with glycemic control at a Finnish diabetes clinic.</p><p><strong>Research design and methods: </strong>A cross-sectional survey was conducted with 199 children (aged 1-16 years) using a background information questionnaire, the Parenting Stress Index Short Form (PSI-4-SF), and the WHO-5 Well-Being Index (WHO-5) questionnaire.</p><p><strong>Results: </strong>The mean glycated hemoglobin (HbA1c) level was 7.7% (61 mmol/mol), and the time in range (TIR) was 55.4%. Parents reported low stress levels (PSI total stress: median=31, IQR=12-55, n=133), with no significant correlation between parental stress and children's glycemic control. However, parents of children aged <7 years reported higher stress levels, which correlated with better metabolic control in children (HbA1c: rho=-0.86; TIR: rho=0.78; n=9). The mean WHO-5 score for all children was good (70; IQR=64-80, n=180). Their WHO-5 did not correlate with HbA1c (rho=-0.08, n=180) but correlated positively with TIR (rho=0.17, p=0.038, n=156).</p><p><strong>Conclusions: </strong>Better glycemic stability in children, as measured by TIR, correlated with well-being. Additionally, higher parental stress in young children was linked to better metabolic control in their children. These findings emphasize the importance of integrating psychosocial aspects into the care of pediatric patients with T1D.</p>\",\"PeriodicalId\":9151,\"journal\":{\"name\":\"BMJ Open Diabetes Research & Care\",\"volume\":\"13 5\",\"pages\":\"\"},\"PeriodicalIF\":4.1000,\"publicationDate\":\"2025-09-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMJ Open Diabetes Research & Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1136/bmjdrc-2025-005248\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Open Diabetes Research & Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/bmjdrc-2025-005248","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
Low parental stress and positive well-being in Finnish children and adolescents with type 1 diabetes.
Introduction: Given the limited knowledge about family dynamics and well-being among pediatric patients with type 1 diabetes (T1D) in Finland, this study aimed to assess parental stress, patient well-being, and their potential associations with glycemic control at a Finnish diabetes clinic.
Research design and methods: A cross-sectional survey was conducted with 199 children (aged 1-16 years) using a background information questionnaire, the Parenting Stress Index Short Form (PSI-4-SF), and the WHO-5 Well-Being Index (WHO-5) questionnaire.
Results: The mean glycated hemoglobin (HbA1c) level was 7.7% (61 mmol/mol), and the time in range (TIR) was 55.4%. Parents reported low stress levels (PSI total stress: median=31, IQR=12-55, n=133), with no significant correlation between parental stress and children's glycemic control. However, parents of children aged <7 years reported higher stress levels, which correlated with better metabolic control in children (HbA1c: rho=-0.86; TIR: rho=0.78; n=9). The mean WHO-5 score for all children was good (70; IQR=64-80, n=180). Their WHO-5 did not correlate with HbA1c (rho=-0.08, n=180) but correlated positively with TIR (rho=0.17, p=0.038, n=156).
Conclusions: Better glycemic stability in children, as measured by TIR, correlated with well-being. Additionally, higher parental stress in young children was linked to better metabolic control in their children. These findings emphasize the importance of integrating psychosocial aspects into the care of pediatric patients with T1D.
期刊介绍:
BMJ Open Diabetes Research & Care is an open access journal committed to publishing high-quality, basic and clinical research articles regarding type 1 and type 2 diabetes, and associated complications. Only original content will be accepted, and submissions are subject to rigorous peer review to ensure the publication of
high-quality — and evidence-based — original research articles.