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Journal of Pediatric Psychology Advance Access originally published online on November 8, 2007
Journal of Pediatric Psychology 2008 33(5):509-519; doi:10.1093/jpepsy/jsm104
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Mediators of Depressive Symptoms in Children with Type 1 Diabetes and their Mothers

Sarah S. Jaser, PhD, Robin Whittemore, PhD, APRN, Jodie M. Ambrosino, PhD, Evie Lindemann, MA, MAAT and Margaret Grey, DrPH, RN, FAAN

Yale University School of Nursing

All correspondence concerning this article should be addressed to Sarah S. Jaser, PHD, Yale University School of Nursing, 100 Church St. South, PO Box 9740, New Haven, CT 06536. E-mail: sarah.jaser{at}yale.edu.


  Abstract

Objective To examine the relationships among maternal and child depressive symptoms and child and family psychosocial factors. Method Secondary analysis of baseline data for a coping skills intervention for school-age children (ages 8–12) with type 1 diabetes (T1D) and their mothers. Children and mothers completed measures of depressive symptoms, coping, quality of life, and family functioning. Results There was a strong relationship between maternal and child depressive symptoms (r = .44, p < .001). Maternal depressive symptoms were negatively related to child quality of life, perceptions of coping, and family functioning. Impact of diabetes on quality of life, finding coping with diabetes upsetting, and family warmth mediated the relationship between maternal and child depressive symptoms. Conclusions Maternal depression may negatively affect child adjustment through its influence on quality of life, coping, and family functioning. Implications for interventions to improve psychosocial adjustment in children with T1D are discussed.

Key words: diabetes; depression; coping; maternal depression..

Received June 19, 2007; revision received October 3, 2007; accepted October 4, 2007


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