title: Parental dyadic coping in families of children and adolescents with type 1 diabetes.
abstract: BACKGROUND
  The strains of type 1 diabetes mellitus in children and adolescents pose a challenge to the minor and his/her parents.
  
  
  OBJECTIVE
  The objective of this study was to identify parental dyadic coping patterns and explore their relation to psychosocial and disease variables.
  
  
  METHODS
  Parents (n=44 dyads) of children/adolescents with type 1 diabetes.
  
  
  METHODS
  Cluster analysis employing Ward's method was conducted as a multivariate classification procedure without predetermined cluster centers.
  
  
  RESULTS
  Three parental coping clusters were identified and labeled: avoiders, negotiators, and doers. Although not reaching statistical significance, the HbA1c levels of children/adolescents with parental dyads exhibiting the negotiator coping pattern were consistently lower than the levels of children with parents classified as avoiders or doers.
  
  
  CONCLUSIONS
  Parental dyads were distinguishable based on their dyadic coping patterns with a substantial proportion employing avoidant coping and suboptimal communication strategies. These parental dyads may benefit from minimal psychosocial intervention.
authors.forename: Annett
authors.initials: A
authors.lastname: Körner
authors.forename: Julia
authors.initials: J
authors.lastname: Würz
authors.forename: Danielle C
authors.initials: DC
authors.lastname: Brosseau
authors.forename: Elmar
authors.initials: E
authors.lastname: Brähler
authors.forename: Thomas
authors.initials: T
authors.lastname: Kapellen
authors.forename: Wieland
authors.initials: W
authors.lastname: Kiess
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D003717:Denial, Psychological; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D005858:Germany; D006442:Glycated Hemoglobin / Q000032:analysis; D015438:Health Behavior; D006801:Humans; D006943:Hyperglycemia / Q000517:prevention & control*; D007003:Hypoglycemia / Q000517:prevention & control*; D007398:Interpersonal Relations; D008297:Male; D008425:Maternal Behavior; D017008:Negotiating; D016487:Parenting; D010332:Paternal Behavior; D012944:Social Support
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human