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Parental marital relationship satisfaction predicts glycemic outcomes in children with type 1 diabetes

Lindsey A Loomba1, Amy Hughes Lansing2, Justine N Cortez1

  • 1Department of Pediatrics, Section of Endocrinology, University of California Davis Medical Center, Sacramento, CA, USA.

Journal of Pediatric Endocrinology & Metabolism : JPEM
|September 5, 2022
PubMed

Insights

Parental relationship satisfaction impacts glycemic control in children with type 1 diabetes (T1D). Higher satisfaction correlates with better HbA1c levels 18-24 months post-diagnosis, suggesting relationship support is key for managing T1D.

Area of Science:

  • Pediatric Endocrinology
  • Psychosocial Aspects of Chronic Illness
  • Family Systems Theory

Background:

  • Glycemic outcomes in pediatric type 1 diabetes (T1D) exhibit significant variability despite standardized care protocols.
  • The influence of parental psychosocial factors on pediatric T1D management remains an area requiring further investigation.

Purpose of the Study:

  • To investigate the association between parental marital relationship satisfaction and glycemic outcomes in children newly diagnosed with T1D.
  • To determine if parental relationship quality predicts long-term glycemic control (HbA1c) in pediatric T1D.

Main Methods:

  • Prospective evaluation of 51 families with a child newly diagnosed with T1D, focusing on 36 married parent families.
  • Assessment of marital relationship satisfaction indicators at the time of diagnosis.
  • Application of multiple regression models to correlate relationship satisfaction with mean HbA1c levels 18-24 months post-diagnosis.

Main Results:

  • Parental marital relationship satisfaction at T1D diagnosis was significantly associated with child's HbA1c levels 18-24 months later.
  • These associations remained significant after controlling for demographic variables known to influence glycemic control.
  • Marital status itself also showed a predictive relationship with long-term glycemic outcomes.

Conclusions:

  • The quality of the primary caregiver's spousal relationship is a significant predictor of glycemic outcomes in children with T1D.
  • Interventions aimed at enhancing spousal relationships and providing caregiver support may be beneficial for improving glycemic control in pediatric T1D.
  • This highlights the importance of a holistic approach to T1D management, considering family dynamics.
Abstract

Keywords:
childrenfamily dynamicsglycemic controlmarital satisfactiontype 1 diabetes

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