Browsing by Subject "family functioning"
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Item The relation between family functioning and psychological adjustment in children with asthma and children with diabetes(Texas A&M University, 2007-04-25) Fontaine, Eve NicoleThe goals of this study were to evaluate the relationships among family functioning, psychological adjustment, and health-related quality of life in children with asthma and children with diabetes. A secondary goal of this study was to examine the relations between illness severity, psychological adjustment, and health-related quality of life in the children with asthma. Participants included 41 children with asthma and 109 children with diabetes, and one primary caregiver of each child. Questionnaires were given to children to assess their levels of anxiety, depression, and health-related quality of life. Questionnaires pertaining to parenting stress, family functioning, and psychological adjustment also were completed by the participating primary caregiver. Results suggested these two groups of children do not differ in their psychological adjustment, family functioning, or health-related quality of life. Normal levels of anxiety and depression were reported, which both supports and contradicts current research in this area. Additionally, parenting stress mediated the relationship between family cohesion and parent-reported depression in children with diabetes; however, this result was not obtained in the children with asthma. In children with diabetes, significant relationships were found between self-reported anxiety and parenting stress and between parent-reported anxiety and health-related quality of life. Additionally, parent-reported depression was significantly related to parenting stress, health-related quality of life, and family cohesion. Self-reported depression was significantly predicted by health-related quality of life. In children with asthma, health-related quality of life significantly predicted self-reported anxiety and parenting stress was significantly related to parentreported depression. Illness severity did not predict psychological adjustment or healthrelated quality of life in children with asthma.Item The Relation Between Family Functioning, Health-related Quality of Life, and Metabolic Control in Children and Adolescents with Type 1 Diabetes(2011-10-21) Lawrence, Kelly AnnThe purpose of this study was to examine the relationship between family functioning, health-related quality of life, and metabolic control in order to identify areas for intervention that can improve medical and psychosocial outcomes for children and adolescents with type 1 diabetes. Children (N = 45) ages 8-17, both male and female, with type 1 diabetes, along with one caregiver (parent or legal guardian) (N = 45) were asked to complete the Pediatric Quality of Life Inventory (PedsQL) generic and diabetes-specific form to assess health-related quality of life along with the Diabetes Family Behavior Checklist and the Family Relationship Index of the Family Environment Scale to assess family functioning. Recent Hemoglobin A1c (A1c) was obtained from the physician at their visit or by parent report to assess metabolic control. Results indicated a significant relationship with poorer metabolic control relating to poorer physical health-related quality of life, as reported by children. All reports indicated a significant correlation between metabolic control and both general and diabetes specific health-related quality of life. There was a significant relationship with mother?s educational level on the outcome variables; educational level was therefore used as a control variable in all regression analyses. Child-reported general family functioning accounted for a significant amount of variance in child reported general health-related quality of life. Parent score on the non-supportive scale for diabetes specific family functioning accounted for a significant amount of variance in parent reported general health-related quality of life and diabetes specific health-related quality of life for their child. Results demonstrated the importance of obtaining both child and parent perspectives on issues regarding general family functioning and health-related quality of life and diabetes specific family functioning and health-related quality of life. In addition, they illustrated the importance of assessing health-related quality of life for children with diabetes as opposed to merely looking at the physical effects.