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Journal of Pediatric Endocrinology and Metabolism

Editor-in-Chief: Kiess, Wieland

Editorial Board Member: Darendeliler, Feyza / Gustafsson, Jan / Luo, Feihong / Mericq, Veronica / Lanes M. D., Roberto / Battelino, Tadej / Buyukgebiz, Atilla / Cassorla, Fernando / Chrousos, George P. / Cutfield, Wayne / Fideleff, Hugo L. / Hershkovitz, Eli / LaFranchi, Stephen H. / Mohn, Angelika / Root, Allen W. / Rosenfeld, Ron G. / Wabitsch, Martin / Werther, George / Zadik, Zvi

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Parental dyadic coping in families of children and adolescents with type 1 diabetes

1 / Julia Würz2 / Danielle C. Brosseau1 / Elmar Brähler2 / Thomas Kapellen3 / Wieland Kiess3

1Department of Educational and Counselling Psychology, McGill University, 3700 rue McTavish, Montréal, Québec, H3A 1Y2 Canada

2Independent Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany

3Department of Pediatrics, Medical Center of the University of Leipzig, Leipzig, Germany

Corresponding author: Annett Körner, Department of Educational and Counselling Psychology, McGill University, 3700 rue McTavish, Montréal, Québec, H3A 1Y2 Canada, E-mail:

Citation Information: Journal of Pediatric Endocrinology and Metabolism. Volume 26, Issue 9-10, Pages 867–875, ISSN (Online) 2191-0251, ISSN (Print) 0334-018X, DOI: 10.1515/jpem-2012-0410, May 2013

Publication History

Published Online:


Background: The strains of type 1 diabetes mellitus in children and adolescents pose a challenge to the minor and his/her parents.

Objective: The objective of this study was to identify parental dyadic coping patterns and explore their relation to psychosocial and disease variables.

Subjects: Parents (n=44 dyads) of children/adolescents with type 1 diabetes.

Methods: Cluster analysis employing Ward’s method was conducted as a multivariate classification procedure without predetermined cluster centers.

Results: Three parental coping clusters were identified and labeled: avoiders, negotiators, and doers. Although not reaching statistical significance, the HbA1c levels of children/adolescents with parental dyads exhibiting the negotiator coping pattern were consistently lower than the levels of children with parents classified as avoiders or doers.

Conclusions: Parental dyads were distinguishable based on their dyadic coping patterns with a substantial proportion employing avoidant coping and suboptimal communication strategies. These parental dyads may benefit from minimal psychosocial intervention.

Keywords: adolescents; children; metabolic control; parental coping; type 1 diabetes mellitus

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