"信仰,家庭和朋友":与1型糖尿病青少年的父母在流行病相关的应对
Marissa N Baudino1, Samantha Garcia Perez2, Maeve B O'Donnell2
1Division of Psychology, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine.
Clinical practice in pediatric psychology
|July 29, 2025
概括
患有1型糖尿病 (T1D) 的年轻人的父母在COVID-19大流行期间使用了各种应对策略. 在少数民族的父母中,宗教/精神应对更为普遍,突出了对文化敏感支持的需求.
科学领域:
- 儿科心理学 儿科心理学
- 公共卫生 公共卫生
- 心理健康 心理健康
背景情况:
- 随着COVID-19大流行,长期健康状况,包括1型糖尿病 (T1D) 的儿童的父母面临着独特的压力因素.
- 父母在管理孩子的糖尿病自我管理方面面临挑战,改变了医疗保健互动,并增加了健康风险.
- 在疫情期间,关于家长应对策略的研究有限,特别是对于患有T1D的青少年的父母.
研究的目的:
- 在COVID-19大流行期间,探索青少年T1D父母在COVID-19大流行期间采用的应对策略.
- 确定家长对"什么能帮助你度过这场流行病?"问题的答案中的主题.
- 检查不同应对策略的使用中的人口结构模式.
主要方法:
- 对89名患有T1D青少年的父母的开放式调查答案进行了定性主题分析.
- 数据是在心理社会干预的多站点试验的基线上收集的.
- 分析了与性别,研究地点,种族,种族和社会经济地位相关的模式.
主要成果:
- 六个主要的应对主题出现了:安全实践,社会努力,保持积极的观点,分心,认知回避和宗教/精神应对.
- 黑人/非裔美国人和西班牙裔/拉丁裔父母更频繁地报告宗教/精神应对.
- 在剩余的应对主题中没有观察到其他显著的人口结构模式.
结论:
- 父母应对策略与初级控制,二级控制和脱离模式保持一致.
- 宗教和精神应对成为一个独特的类别,对边缘化的家长群体尤为重要.
- 儿童心理学家应该考虑父母的应对机制和文化因素,以支持父母在压力时期的福祉.
相关概念视频
Coping Strategies: Problem Focused
147
Coping strategies are methods people use to manage, tolerate, or reduce the effects of stressors. These strategies involve both behavioral and psychological actions to handle stressful situations. One common approach is problem-focused coping, which aims to change or eliminate the source of stress rather than merely addressing its consequences. This method involves taking direct action to resolve the issue causing stress.
For example, consider a student who struggles to understand their...
For example, consider a student who struggles to understand their...
147
Diabetes Mellitus: Overview and Type I Subtype
3.3K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
3.3K
Diabetes Mellitus: Type 2 and Gestational
3.0K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
3.0K
Insulin: Dosing Regimen and Adverse Effects
262
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
262
Diabetes: Management and Pharmacotherapy
393
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
393
Coping Strategies: Emotion Focused
149
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
149


