Neki prediktori kvalitete života djece i adolescenata s dijabetesom tip 1

professional thesis

• Author: Ivana Granić Galić
• Mentor: Gordana Keresteš (mentor)
• Committee member: Anita Lauri Korajlija (član povjerenstva)
• Committee member: Gordana Keresteš (član povjerenstva)
• Committee member: Anita Vulić-Prtorić (član povjerenstva)
• Granter: University of Zagreb; Faculty of Humanities and Social Sciences; (Department of Psychology); Zagreb
• Defense date and country: 2021-06-16, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Psychology; Clinical and Health Psychology

Abstract

Dijabetes u djetinjstvu i adolescenciji narušava kvalitetu života i zahtijeva prilagodbu djeteta i cijele obitelji. Ovo istraživanje imalo je dva cilja. Prvo, željeli smo ispitati razlike u djetetovoj depresivnosti i kvaliteti života te socioekonomskom statusu obitelji i razinama roditeljskog stresa između dobro i loše reguliranih pedijatrijskih pacijenta s dijabetesom tipa 1. Drugo, htjeli smo provjeriti doprinose određenih karakteristika djeteta (dobi i razine depresivnosti), bolesti (trajanja dijabetesa, vrijednosti HbA1c i broja dnevnih mjerenja šećera) i obitelji (socioekonomskog statusa i razine roditeljskog stresa) kvaliteti života pacijenata. U istraživanju je sudjelovalo 40 djece s dijabetesom (24 dječaka i 16 djevojčica, prosječne dobi 13 godina) i 77 roditelja (38 očeva i 39 majki) koji dolaze na liječničke kontrole u SKB Mostar. Podaci su prikupljeni Skalom depresivnosti za djecu i adolescente (Vulić-Prtorić, 2003), Upitnikom za procjenu kvalitete života pedijatrijskih bolesnika (Varni i sur., 1999) te Upitnikom izvora i intenziteta roditeljskog stresa (Profaca i Arambašić, 2002). Statističke analize su pokazale da dobro regulirani pacijenti, u odnosu na loše regulirane, imaju manje razine depresivnosti (ukupno i na kognitivnoj komponenti) i da žive u obiteljima s višim socioekonomskim statusom i nižim intenzitetom majčinog stresa. U mjeri kvalitete života nisu utvrđene statistički značajne razlike između dobro i loše reguliranih pacijenata. Razina depresivnosti (emocionalne i kognitivne komponente) je bila negativan prediktor kvalitete života djece s dijabetesom, a razina majčina stresa bila je supresor varijabla. Dobiveni rezultati pokazuju da je, osim zdravstvene skrbi, za dobru metaboličku kontrolu potrebno i psihosocijalno zbrinjavanje djece s dijabetesom i njihovih obitelji.

Abstract (english)

Diabetes in childhood influences quality of life and requires a child and family adjustment. This study had two goals. We wanted to test the differences in the child's depression and quality of life, as well as the family socioeconomic status and the levels of parenting stress between well and poorly regulated pediatric patients with type 1 diabetes, and examine the contribution of characteristics of the child (age and depression level), disease (duration, HbA1c and daily measurements number), and family (socioeconomic status and parenting stress) to child's quality of life. The study involved 40 children (24 boys and 16 girls, mean age 13 years) and 77 parents (38 fathers and 39 mothers) from SKB Mostar. The data was collected by applying the Depression Scale for Children and Adolescents (VulićPrtorić, 2003), Questionnaire for Assessing the Quality of Life of Pediatric Patients (Varni et al., 1998), and Questionnaire on the Source and Intensity of Parenting Stress (Profaca and Arambašić, 2002). Statistical analyses showed that well-regulated patients, compared to poorly regulated ones, had lower levels of depression (overall and on the cognitive component) and live in families with higher socioeconomic status and lower maternal stress. No statistically significant differences were found between well and poorly regulated patients in life quality. The level of depression was a negative predictor of the children's quality of life, and maternal stress was identified as a suppressor variable. Overall, the results suggest that good metabolic control, in addition to health care, requires psychosocial care for children and families.

• Keywords: djeca; dijabetes tip 1; depresivnost; roditeljski stres; kvaliteta života
• Keywords (english): children; type 1 diabetes; depression; parenting stress; quality of life
• Language: croatian
• URN:NBN: urn:nbn:hr:131:054774
• Study programme: Title: Professional Postgraduate Program in Clinical Psychology; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/sveučilišna specijalist/specijalistica kliničke psihologije (sveučilišni/sveučilišna specijalist/specijalistica kliničke psihologije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-07-15 08:09:46