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Journal of Pediatric Psychology Advance Access originally published online on June 14, 2007
Journal of Pediatric Psychology 2007 32(8):995-1005; doi:10.1093/jpepsy/jsm043
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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

Mother–Child Appraised Involvement in Coping with Diabetes Stressors and Emotional Adjustment

Cynthia A. Berg, PhD1, Deborah J. Wiebe, PhD, MPH1,*, Ryan M. Beveridge, MS1, Debra L. Palmer, PhD1,*, Carolyn D. Korbel, MS1, Renn Upchurch, MS1, Michael T Swinyard, MD2,*, Rob Lindsay, MD2 and David L Donaldson, MD2

1Department Psychology, University of Utah and 2Primary Children's Medical Center and University of Utah School of Medicine

All correspondence concerning this article should be addressed to Cynthia A. Berg, Department of Psychology, University of Utah, 380 South 1530 East, Room #502, Salt Lake City, Utah, 84112. E-mail: cynthia.berg{at}psych.utah.edu.


  Abstract

Objective To examine how children's and mother's appraisals of each other's involvement in coping with diabetes events are associated with emotional adjustment. Methods One hundred and twenty-seven children (ages 10–15 years) with type 1 diabetes and their mothers reported on their own emotional adjustment and how each other was involved in coping strategies surrounding diabetes stressful events. Results Appraisals that mothers and children were uninvolved with each other's stressors were associated with greater depressive symptoms and less positive mood; children's appraisals of mother's supportive involvement with children's less depressive symptoms, and appraisals of collaborative involvement with less depressive symptoms and more positive mood for both mothers and children. Appraised control was most detrimental for children for older females and for mothers of younger children. Conclusions Collaborative involvement in coping efforts may be an important resource for addressing negative emotions that both children and mothers experience surrounding type 1 diabetes, especially across adolescence.

Key words: childhood illness; coping; emotional adjustment; parental involvement; stress; type 1 diabetes.

* Deborah Wiebe is now at the Department of Psychiatry, University of Texas Southwestern Medical Center. Debra L. Palmer is now at the Department of Psychology, University of Wisconsin, Stevens Point, Wisconsin. Michael T. Swinyard is now at Mike P. Swinyard, M.D., PC.

Received August 31, 2006; revision received January 17, 2007; accepted May 1, 2007


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