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• W2165162783 abstract "Several studies indicate that family functioning and parental expressiveness can influence children's glycaemic control. However, previous studies have had contradictory findings. Furthermore, no previous work has simultaneously explored the mother's and father's perception of family cohesiveness together with maternal and paternal alexithymia in relation to a child's diabetic control. In this study, we examined whether the parental perception of family cohesion and the parents’ degree of alexithymia could predict their child's or adolescent's glycaemic control (severe hypoglycaemia, hospitalizations for hyperglycaemia and HbA1c) after adjusting for demographic variables. The study included 45 Belgian families with at least one type 1 diabetic child aged six to 18 years (25 girls and 20 boys). Parents completed demographic questionnaires about themselves and their children. Information on type 1 diabetes in their child and the family-medical history were also collected. The number of severe-hypoglycaemic events and hospitalizations for hyperglycaemia were documented for the last 12 months, as were HbA1c levels over the last 16 months. Finally, family cohesiveness (FACES-III) and parental alexithymia (TAS-20) were assessed. Hierarchical regression analyses showed that the perception of family cohesion by mothers (P < 0.05) was a predictor of the number of severe hypoglycaemic events in the last 12 months. Parents’ demographic variables (marital and professional status, P < 0.001) and maternal alexithymia (P < 0.05) were found to be predictors of the number of hospitalizations for hyperglycaemia in the last 12 months. As for HbA1c, only two parental demographic variables were significant predictors (marital and professional status, P < 0.01 and P < 0.05, respectively). The maternal perception of family cohesiveness and maternal alexithymia predict on glycaemic control in children and adolescents with diabetes. Aucune étude n’a exploré la perception de la mère et du père par rapport à la cohésion familiale ni l’alexithymie maternelle et paternelle en relation avec l’équilibre glycémique de l’enfant. Dans cette étude, nous examinons la cohésion familiale et le niveau d’alexithymie des parents en lien avec le contrôle glycémique de leur enfant. Nous émettons l’hypothèse que la perception parentale de la cohésion familiale et l’alexithymie des parents pourraient prédire le contrôle glycémique de l’enfant diabétique (hypoglycémies sévères, hospitalisations pour hyperglycémie et HbA1c), et ce, après avoir contrôlé l’effet des variables démographiques. L’échantillon inclut 45 familles belges avec un enfant âgé de six à 18 ans (25 filles et 20 garçons) souffrant de diabète de type 1. Les parents ont complété un questionnaire démographique pour eux-mêmes et pour leur enfant. Un questionnaire d’informations à propos du diabète de type 1 et de l’histoire médicale familiale a également été complété. Le nombre d’hypoglycémies sévères et d’hospitalisations pour hyperglycémie ont été collectés sur les 12 derniers mois et les taux d’HbA1c sur les 16 derniers mois. La cohésion familiale (FACES-III) et l’alexithymie parentale (TAS-20) ont été évaluées. Des analyses de régressions hiérarchiques montrent que la perception de la cohésion familiale par les mères (P < 0,05) prédit le nombre d’hypoglycémies sévères sur les 12 derniers mois. Les variables démographiques parentales (statut marital et professionnel P < 0,001) et l’alexithymie maternelle (P < 0,05) prédisent le nombre d’hospitalisations pour hyperglycémie au cours des 12 derniers mois. En ce qui concerne l’HbA1c, seules les variables démographiques des parents (statut marital et professionnel) étaient significatives (respectivement, P < 0,01 et P < 0,05). La perception maternelle de la cohésion familiale et l’alexithymie maternelle prédisent le contrôle glycémique des enfants et adolescents diabétiques." @default.
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• W2165162783 date "2008-11-01" @default.
• W2165162783 modified "2023-10-16" @default.
• W2165162783 title "Does family cohesiveness and parental alexithymia predict glycaemic control in children and adolescents with diabetes?" @default.
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• W2165162783 doi "https://doi.org/10.1016/j.diabet.2008.03.005" @default.
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