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Titolo:
Maternal expressed emotion and metabolic control of children and adolescents with diabetes mellitus
Autore:
Liakopoulou, M; Alifieraki, T; Katideniou, A; Peppa, M; Maniati, M; Tzikas, D; Hibbs, ED; Dacou-Voutetakis, C;
Indirizzi:
Univ Athens, Sch Med, Aghia Sophia Childrens Hosp, Dept Child Psychiat, GR-11527 Athens, Greece Univ Athens Athens Greece GR-11527 ild Psychiat, GR-11527 Athens, Greece Univ Athens, Sch Med, Aghia Sophia Childrens Hosp, Child Endocrinol Dept, GR-11527 Athens, Greece Univ Athens Athens Greece GR-11527 ocrinol Dept, GR-11527 Athens, Greece NIMH, Child & Adolescent Treatment & Prevent Intervent, Bethesda, MD 20892USA NIMH Bethesda MD USA 20892 ent & Prevent Intervent, Bethesda, MD 20892USA
Titolo Testata:
PSYCHOTHERAPY AND PSYCHOSOMATICS
fascicolo: 2, volume: 70, anno: 2001,
pagine: 78 - 85
SICI:
0033-3190(200103/04)70:2<78:MEEAMC>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
GLUCOSE CONTROL; PSYCHIATRIC-ILLNESS; FAMILY ENVIRONMENT; GLYCEMIC CONTROL; DISORDERS; BEHAVIOR; NONCOMPLIANCE; RELIABILITY; SYMPTOMS; AGE;
Keywords:
adolescents; children; critical comments; diabetic control; emotional overinvolvement; maternal expressed emotion;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Liakopoulou, M Univ Athens, Sch Med, Aghia Sophia Childrens Hosp, Dept Child Psychiat, GR-11527 Athens, Greece Univ Athens Athens Greece GR-11527 R-11527 Athens, Greece
Citazione:
M. Liakopoulou et al., "Maternal expressed emotion and metabolic control of children and adolescents with diabetes mellitus", PSYCHOTH PS, 70(2), 2001, pp. 78-85

Abstract

Background: The objectives of this study of children and adolescents with diabetes were to: (1) examine whether maternal expressed emotion (EE), in the form of critical comments (CC), hostility and emotional over-involvement(EOI), is related to metabolic control; (2) determine if CC and EOI are separately related to poor metabolic control, and (3) ascertain whether high EE is related to psychopathology in these children. Methods: The Present Episode version of the Schedule for Affective Disorders and Schizophrenia forSchool-Age Children (Kiddie-SADS-P/K-SADS-P) interview was administered to55 children and adolescents with diabetes and the parental EE instrument, the 5-min speech sample, to 55 mothers. The same instruments were utilized with the 54 controls and their mothers. Glycosylated hemoglobin A1 values were used as a measure of metabolic control. Results: More than half of the children with diabetes (58.2%) had mild to moderate symptoms of anxiety depression as compared to 9.3% of the controls. High EE was exhibited by 70.9%of the index group mothers in contrast to only 29.6% of the control group mothers. High maternal EE was not related to the psychopathology of children with diabetes. High maternal EE and in particular its EOI component and excessive detail (a subcategory of EOI) were related to poor metabolic control of the index children. Conclusions: Maternal EE is related to metabolic control in childhood diabetes; maternal EOI in particular is related to poor metabolic control. Mental health professionals should work with mothers of children with diabetes in an effort to modify such attitudes and emotions. Copyright (C) 2001 S. Karger AG, Basel.

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Documento generato il 24/01/20 alle ore 13:22:21