Exploring the Mediating Role of Parental Anxiety in the Link between Children’s Mental Health and Glycemic Control in Type 1 Diabetes

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dc.contributor.authorSiliņa, Evija
dc.contributor.authorTaube, Māris
dc.contributor.authorZolovs, Maksims
dc.contributor.institutionDepartment of Psychiatry and Narcology
dc.contributor.institutionStatistics Unit
dc.date.accessioned2023-09-29T15:25:01Z
dc.date.available2023-09-29T15:25:01Z
dc.date.issued2023-10
dc.descriptionFunding Information: This research was funded by a Doctoral Study Grant of Riga Stradins University (Protocol No. 2-S-1/7/2022). Publisher Copyright: © 2023 by the authors.
dc.description.abstractPediatric diabetes type 1 diabetes mellitus (T1D), as a chronic, incurable disease, is associated with psychoemotional and socioeconomic burden for the whole family. Disease outcomes are determined by the metabolic compensation of diabetes, characterized by the level of glycated hemoglobin (HbA1c). The caregivers play a critical role in the metabolic control of children with T1D. The aim of this study was to investigate which environmental factors may explain the relationship between diabetes compensation and anxiety and depression of a child. The cross-sectional interdisciplinary study recruited dyads from adolescents and their parents (N = 251). Adolescent and parent groups were screened for anxiety and depression. General linear model (GLM) mediation analysis was performed to determine the potential mediating effect of surrounding factors on the relationship between dependent variables (glycated hemoglobin) and independent variables (the child’s anxiety and depression symptoms). The study revealed that the relationship between HbA1c and the child’s anxiety and depression is fully mediated (B = 0.366, z = 4.31, p < 0.001) by parental anxiety. Diabetes metabolic control in adolescents with T1D is related to adolescents’ mental health via parents’ anxiety. This means that parents’ anxiety plays a more significant role in the level of HbA1c than the anxiety and depression of the adolescent.en
dc.description.statusPeer reviewed
dc.format.extent2485056
dc.identifier.citationSiliņa, E, Taube, M & Zolovs, M 2023, 'Exploring the Mediating Role of Parental Anxiety in the Link between Children’s Mental Health and Glycemic Control in Type 1 Diabetes', International Journal of Environmental Research and Public Health, vol. 20, no. 19, 6849. https://doi.org/10.3390/ijerph20196849
dc.identifier.doi10.3390/ijerph20196849
dc.identifier.issn1661-7827
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/14904
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85173821797&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofInternational Journal of Environmental Research and Public Health
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectadolescent
dc.subjecttype 1 diabetes
dc.subjectdepression; anxiety
dc.subjectglycated hemoglobin
dc.subjectparental anxiety
dc.subject3.3 Health sciences
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectSDG 3 - Good Health and Well-being
dc.titleExploring the Mediating Role of Parental Anxiety in the Link between Children’s Mental Health and Glycemic Control in Type 1 Diabetesen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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