Parent-child relationships in families of adolescents with diabetes of the first type, as the factor of formation of attitude to the disease

Abstract


Purpose. Type 1 diabetes mellitus is one of those chronic somatic diseases in which the solution of medical problems is inextricably linked to a whole complex of psychological problems. The main condition for successful treatment and prevention of complications is the constant active involvement of the patient in the treatment process. In this regard, factors such as the immediate social environment, especially the family, are of particular importance. The aim of the study is to identify the features of child-parent relationships in families of adolescents with type 1 diabetes, and their impact on the formation of the adolescent's attitude to the disease.

Methods. The study used tests "Teenagers about parents", "Family sociogram", a questionnaire on the study of parental attitudes, a diagnostic test of the attitude of adult family members to the child's disease, a projective drawing test "My disease".

Results. According to the results of the survey, it can be said that the attitude of adolescents to their disease is generally adequate, except in rare cases of increased anxiety and communication problems. At the same time, teenagers are distinguished by egocentrism, because they are often the center of attention of the whole family and wait for a special attitude. In the case where the mother's excessive control activity of teenagers, they consider their decision-making. High mental tension of the mother in connection with the disease of the child leads to the formation of his emotional-negative attitude to his disease. The mother, unlike the teenagers, the harder it is to adapt to their disease, exhibit excessive emotional concentration and anxiety, and connecting with the child and the fixation on the satisfaction of its needs.

Summary. Adolescents with type 1 diabetes are characterized by egocentrism and expect special care towards themselves, at the same time negatively assessing the strict control of behavior in the case of the disease on the part of the mother. Both positions do not contribute to the formation of such an attitude to the disease, which would be characterized by a high degree of their own activity and responsibility. High neuro-mental tension of the mother in connection with the disease, her experience of stress, anxiety leads to the formation of a teenager emotionally negative attitude to his disease, making it difficult to adapt to the disease. Mothers who demonstrate a pronounced emotional concentration on the child and the satisfaction of his needs, contribute to the formation of fixation of the child on the disease.


About the authors

Tatiana Kireeva

Samara state medical University

Author for correspondence.
Email: kireevatatjana@lenta.ru
SPIN-code: 5474-8372

Russian Federation, 443099, Russia, Samara, ul. Chapaevskaya, 89

candidate of medical Sciences, associate Professor of medical psychology and psychotherapy

Olga Kovshova

Samara state medical University

Email: ol1955ga@yandex.ru
SPIN-code: 2515-0780

Russian Federation, 443099, Russia, Samara, ul. Chapaevskaya, 89

doctor of medical Sciences, Professor, head of the Department of medical psychology and psychotherapy

References

  1. Сунцов Ю.И., Болотская Л.Л., Маслова О.В., Казаков И.В. Эпидемиология сахарного диабета и прогноз его распространенности в Российской Федерации. Сахарный диабет. 2011;1:15−18. [Suntsov YU.I., Bolotskaya L.L., Maslova O.V., Kazakov I.V. Ehpidemiologiya sakharnogo diabeta i prognoz ego rasprostranennosti v Rossiyskoy Federatsii (Epidemiology of diabetes mellitus and its prevalence forecast in the Russian Federation). Sakharnyy diabet. 2011;1:15−18. (In Russ.)].
  2. Palmer D.L., Berg C.A., Wiebe D.J., Beveridge R.M., Korbel C.D., Upchurch R., Swinyard M.T., Lindsay R., Donaldson D.L. The role of autonomy and pubertal status in understanding age differences in maternal involvement in diabetes responsibility across adolescence. J Pediatr Psychol. 2004; 29(1):35-46. DOI:10,1093/jpepsy/jsh005
  3. Holmes C.S., Chen R., Streisand R., Marschall D.E., Souter S., Swift E.E., Peterson C.C. Predictors of youth diabetes care behaviors and metabolic control: a structural equation modeling approach. J Pediatr Psychol. 2006; 31(8):770-84. DOI:10,1093/jpepsy /jsj083
  4. Николаева В.В., Арина Г.А., Ованесбекова М.Л., Суркова Е.Л. Семейный фактор организации самоконтроля у больных сахарным диабетом. «От истоков к современности». 130 лет организации психологического общества при Московском университете: сборник материалов юбилейной конференции. М. 2015:302-304. [Nikolaeva V.V., Arina G.A., Ovanesbekova M.L., Surkova E.L. Semeynyy faktor organizatsii samokontrolya u bolʹnykh sakharnym diabetom (Family factor of self-control organization in patients with diabetes mellitus). «Ot istokov k sovremennosti». 130 let organizatsii psikhologicheskogo obshchestva pri Moskovskom universitete: sbornik materialov yubileynoy konferentsii. М. 2015:302-304. (In Russ.)].
  5. Hannonen R., Aunola K., Eklund K., Ahonen T. Maternal Parenting Styles and Glycemic Control in Children with Type 1 Diabetes. Int. J. Environ. Res. Public Health. 2019; 16(2):214. doi: 10.3390/ijerph16020214.
  6. Мотовилин О.Г., Щербачева Л.Н., Андрианова Е.А., Кураева Т.Л. Детско-родительские отношения в семьях детей, больных сахарным диабетом 1 типа. Сахарный диабет. 2008; 4(41): 50–54. [Motovilin O.G., Shcherbacheva L.N., Andrianova E.A., Kuraeva T.L. Detsko-roditelʹskie otnosheniya v semʹyakh detey, bolʹnykh sakharnym diabetom 1 tipa (Parent-child relationships in families of children with type 1 diabetes). Sakharnyy diabet. 2008; 4(41): 50–54. (In Russ.)].
  7. Бондаренко С.М., Смирнов В.В., Даниленко О.В., Петряйкина Е.Е. Особенности внутренней картины болезни у детей и подростков, больных сахарным диабетом 1 типа. Педиатрия. 2006; 4:22−27. [Bondarenko S.M., Smirnov V.V., Danilenko O.V., Petryaykina E.E. Osobennosti vnutrenney kartiny bolezni u detey i podrostkov, bolʹnykh sakharnym diabetom 1 tipa (Features of the internal picture of the disease in children and adolescents with type 1 diabetes). Pediatriya. 2006; 4:22−27. (In Russ.)].
  8. Никольская И.М., Коломиец И.Л. Уровень невротизации и стили совладающего поведения матерей детей, больных сахарным диабетом. Российский семейный врач. 2011; 15: 40−45. [Nikolʹskaya I.M., Kolomiets I.L. Urovenʹ nevrotizatsii i stili sovladayushchego povedeniya materey detey, bolʹnykh sakharnym diabetom (The level of neurotization and styles of coping behavior of mothers of children with diabetes). Rossiyskiy semeynyy vrach. 2011; 15: 40−45. (In Russ.)].
  9. Коломиец И.Л. Воспитательная практика матерей и ее взаимосвязи с тревожностью детей с сахарным диабетом 1 типа и их реакциями на фрустрацию. Известия Российского государственного педагогического университета им. А. И. Герцена. 2011; 132:348-358. [Kolomiets I.L. Vospitatelʹnaya praktika materey i ee vzaimosvyazi s trevozhnostʹyu detey s sakharnym diabetom 1 tipa i ikh reaktsiyami na frustratsiyu (The educational practice of mothers and its relationship with the anxiety of children with type 1 diabetes and their reactions to frustration). Izvestiya Rossiyskogo gosudarstvennogo pedagogicheskogo universiteta im. A. I. Gertsena. 2011; 132:348-358. (In Russ.)].

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