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Roth, Christian

Journal of Pediatric Endocrinology and Metabolism

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

Annett Körner
  • Corresponding author
  • Department of Educational and Counselling Psychology, McGill University, 3700 rue McTavish, Montréal, Québec, H3A 1Y2 Canada
  • Email:
/ Julia Würz
  • Independent Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany
/ Danielle C. Brosseau
  • Department of Educational and Counselling Psychology, McGill University, 3700 rue McTavish, Montréal, Québec, H3A 1Y2 Canada
/ Elmar Brähler
  • Independent Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany
/ Thomas Kapellen
  • Department of Pediatrics, Medical Center of the University of Leipzig, Leipzig, Germany
/ Wieland Kiess
  • Department of Pediatrics, Medical Center of the University of Leipzig, Leipzig, Germany
Published Online: 2013-05-17 | DOI: https://doi.org/10.1515/jpem-2012-0410


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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About the article

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

Received: 2012-12-18

Accepted: 2013-04-18

Published Online: 2013-05-17

Published in Print: 2013-10-01

Citation Information: Journal of Pediatric Endocrinology and Metabolism, ISSN (Online) 2191-0251, ISSN (Print) 0334-018X, DOI: https://doi.org/10.1515/jpem-2012-0410. Export Citation

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