Lindsey A Loomba, Amy Hughes Lansing, Justine N Cortez, Kearnan Welch, Joe N Solowiejczyk, Simona Ghetti, Dennis M Styne, Nicole S Glaser
{"title":"父母婚姻关系满意度预测1型糖尿病儿童的血糖结局。","authors":"Lindsey A Loomba, Amy Hughes Lansing, Justine N Cortez, Kearnan Welch, Joe N Solowiejczyk, Simona Ghetti, Dennis M Styne, Nicole S Glaser","doi":"10.1515/jpem-2022-0392","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Glycemic outcomes in children with type 1 diabetes (T1D) vary widely, despite uniform care. We hypothesized that glycemic outcomes in children with T1D are affected by the marital relationship satisfaction of the child's parents.</p><p><strong>Methods: </strong>We evaluated a prospective sample of 51 families with a child with newly diagnosed T1D, including 36 married parent families. We assessed indicators of marital relationship satisfaction and used multiple regression models to determine whether marital relationship satisfaction at diagnosis was associated with mean HbA<sub>1c</sub> 18-24 months after diagnosis.</p><p><strong>Results: </strong>Marital status and parental relationship satisfaction at the time of the child's T1D diagnosis were associated with HbA<sub>1c</sub> 18-24 months later. These differences persisted after adjusting for demographic factors associated with glycemia.</p><p><strong>Conclusions: </strong>The quality of the primary diabetes caregiver's relationship with a spouse predicts glycemic outcomes for children with T1D. Interventions to improve spousal relationships and caregiver support could improve glycemic control in children with T1D.</p>","PeriodicalId":520684,"journal":{"name":"Journal of pediatric endocrinology & metabolism : JPEM","volume":" ","pages":"1293-1297"},"PeriodicalIF":1.0000,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Parental marital relationship satisfaction predicts glycemic outcomes in children with type 1 diabetes.\",\"authors\":\"Lindsey A Loomba, Amy Hughes Lansing, Justine N Cortez, Kearnan Welch, Joe N Solowiejczyk, Simona Ghetti, Dennis M Styne, Nicole S Glaser\",\"doi\":\"10.1515/jpem-2022-0392\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Glycemic outcomes in children with type 1 diabetes (T1D) vary widely, despite uniform care. We hypothesized that glycemic outcomes in children with T1D are affected by the marital relationship satisfaction of the child's parents.</p><p><strong>Methods: </strong>We evaluated a prospective sample of 51 families with a child with newly diagnosed T1D, including 36 married parent families. We assessed indicators of marital relationship satisfaction and used multiple regression models to determine whether marital relationship satisfaction at diagnosis was associated with mean HbA<sub>1c</sub> 18-24 months after diagnosis.</p><p><strong>Results: </strong>Marital status and parental relationship satisfaction at the time of the child's T1D diagnosis were associated with HbA<sub>1c</sub> 18-24 months later. These differences persisted after adjusting for demographic factors associated with glycemia.</p><p><strong>Conclusions: </strong>The quality of the primary diabetes caregiver's relationship with a spouse predicts glycemic outcomes for children with T1D. Interventions to improve spousal relationships and caregiver support could improve glycemic control in children with T1D.</p>\",\"PeriodicalId\":520684,\"journal\":{\"name\":\"Journal of pediatric endocrinology & metabolism : JPEM\",\"volume\":\" \",\"pages\":\"1293-1297\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2022-09-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of pediatric endocrinology & metabolism : JPEM\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1515/jpem-2022-0392\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/10/26 0:00:00\",\"PubModel\":\"Print\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of pediatric endocrinology & metabolism : JPEM","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1515/jpem-2022-0392","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/10/26 0:00:00","PubModel":"Print","JCR":"","JCRName":"","Score":null,"Total":0}
Parental marital relationship satisfaction predicts glycemic outcomes in children with type 1 diabetes.
Objectives: Glycemic outcomes in children with type 1 diabetes (T1D) vary widely, despite uniform care. We hypothesized that glycemic outcomes in children with T1D are affected by the marital relationship satisfaction of the child's parents.
Methods: We evaluated a prospective sample of 51 families with a child with newly diagnosed T1D, including 36 married parent families. We assessed indicators of marital relationship satisfaction and used multiple regression models to determine whether marital relationship satisfaction at diagnosis was associated with mean HbA1c 18-24 months after diagnosis.
Results: Marital status and parental relationship satisfaction at the time of the child's T1D diagnosis were associated with HbA1c 18-24 months later. These differences persisted after adjusting for demographic factors associated with glycemia.
Conclusions: The quality of the primary diabetes caregiver's relationship with a spouse predicts glycemic outcomes for children with T1D. Interventions to improve spousal relationships and caregiver support could improve glycemic control in children with T1D.