title: Coping and caregiving experience of parents of children and adolescents with type-1 diabetes: An exploratory study.
abstract: OBJECTIVE
  To assess the coping strategies and the relationship of coping with subjective burden and positive caregiving consequences as perceived by the caregivers of children and adolescents with Type-1 diabetes.
  
  
  METHODS
  Cross-sectional assessment.
  
  
  METHODS
  Outpatient of Endocrinology Department.
  
  
  METHODS
  Forty-one parents of children and adolescents with Type-1 diabetes.
  
  
  METHODS
  Ways of coping checklist (WCC), involvement evaluation questionnaire (IEQ) and scale for assessment of positive aspects of caregiving experience (scale for positive aspects of caregiving experience) to study the coping, burden and positive aspects of caregiving respectively.
  
  
  RESULTS
  On WCC, the highest score was obtained for seeking social support, followed by planful problem-solving. More frequent use of coping strategies of confrontation and escape-avoidance was associated with significantly higher score on the tension domain of IEQ. Those who more frequently used problem-solving and distancing had significantly higher scores on worrying-urging-I domain of IEQ. supervision domain of IEQ was associated with more frequent use of confrontation, self-control, social support, escape-avoidance and positive reappraisal. More frequent use of distancing and problem-solving were associated with lower caregiving personal gains. More frequent use of problem-solving was associated with higher caregiver satisfaction and lower scores in the domain of self-esteem and social aspects of caring.
  
  
  CONCLUSIONS
  Caregivers of patients with Type-1 diabetes predominantly use adaptive coping strategies. Higher use of certain coping strategies is associated with negative and positive caregiving consequences.
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Grover
authors.affiliation: Department of Endocrinology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Bhadada
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Natasha
authors.initials: N
authors.lastname: Kate
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Siddharth
authors.initials: S
authors.lastname: Sarkar
authors.affiliation: Department of Endocrinology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Anil
authors.initials: A
authors.lastname: Bhansali
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Ajit
authors.initials: A
authors.lastname: Avasthi
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Sunil
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Department of Endocrinology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Rashi
authors.initials: R
authors.lastname: Goel
keywords: Burden; Type-1 diabetes; caregiving; coping; positive caregiving experience