Mindfulness and fear of hypoglycaemia in parents of children with type 1 diabetes

Results from diabetes miles youth the Netherlands

J. Aalders, E.E. Hartman, G.M. Nefs, A.M. Nieuwesteeg, C. Hendrieckx, H.J. Aanstoot, P. Winterdijk, E. van Mil, J. Speight, F. Pouwer

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Abstract

Aims
To identify the sociodemographic and clinical correlates of fear of hypoglycaemia among parents of children (aged 4-18 years) with Type 1 diabetes and to examine the relationships between parental fear of hypoglycaemia, mindfulness and mindful parenting.

Methods
Sociodemographic, self-reported clinical and psychological data were extracted from the cross-sectional Diabetes MILES Youth - The Netherlands dataset. Questionnaires included the Hypoglycaemia Fear Survey - Parent Worry (parental fear of hypoglycaemia), the Freiburg Mindfulness Inventory - Short version (mindfulness) and the Interpersonal Mindfulness in Parenting Scale (mindful parenting).

Results
A total of 421 parents (359 mothers) participated. Hierarchical linear regression analyses showed that greater parental fear of hypoglycaemia was related to younger parental age, low educational level, non-Dutch nationality, more frequent blood glucose monitoring, and less general mindfulness. Adding mindful parenting to the model negated the previous contribution of general mindfulness. In this model, lower mindful parenting was related to greater parental fear of hypoglycaemia. In particular, parents with an increased ability to be less judgemental of themselves as parents and less reactive to emotions within parenting interactions reported less fear of hypoglycaemia. In total, 21% of the variance in parental fear of hypoglycaemia was explained.

Conclusion
Parental fear of hypoglycaemia was associated largely with parental characteristics, including non-modifiable sociodemographics (i.e. age, education, nationality) and modifiable psychological factors (i.e. mindful parenting). These findings suggest that it is important to further explore mindfulness-based interventions for parents to reduce fear of hypoglycaemia next to interventions to reduce hypoglycaemia.
Original languageEnglish
Pages (from-to)650-657
JournalDiabetic Medicine: Journal of the British Diabetic Association
Volume35
Issue number5
DOIs
Publication statusPublished - 2018

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Hypoglycemia
Netherlands
Parents
Parenting
Linear Models
Mothers
Education
Equipment and Supplies

Keywords

  • ADOLESCENTS
  • ADULTS
  • GLYCEMIC CONTROL
  • LIFE
  • MELLITUS
  • NIGHTTIME
  • PREDICTORS
  • STRESS
  • YOUNG-CHILDREN

Cite this

Aalders, J. ; Hartman, E.E. ; Nefs, G.M. ; Nieuwesteeg, A.M. ; Hendrieckx, C. ; Aanstoot, H.J. ; Winterdijk, P. ; van Mil, E. ; Speight, J. ; Pouwer, F. / Mindfulness and fear of hypoglycaemia in parents of children with type 1 diabetes : Results from diabetes miles youth the Netherlands. In: Diabetic Medicine: Journal of the British Diabetic Association. 2018 ; Vol. 35, No. 5. pp. 650-657.
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title = "Mindfulness and fear of hypoglycaemia in parents of children with type 1 diabetes: Results from diabetes miles youth the Netherlands",
abstract = "AimsTo identify the sociodemographic and clinical correlates of fear of hypoglycaemia among parents of children (aged 4-18 years) with Type 1 diabetes and to examine the relationships between parental fear of hypoglycaemia, mindfulness and mindful parenting.MethodsSociodemographic, self-reported clinical and psychological data were extracted from the cross-sectional Diabetes MILES Youth - The Netherlands dataset. Questionnaires included the Hypoglycaemia Fear Survey - Parent Worry (parental fear of hypoglycaemia), the Freiburg Mindfulness Inventory - Short version (mindfulness) and the Interpersonal Mindfulness in Parenting Scale (mindful parenting).ResultsA total of 421 parents (359 mothers) participated. Hierarchical linear regression analyses showed that greater parental fear of hypoglycaemia was related to younger parental age, low educational level, non-Dutch nationality, more frequent blood glucose monitoring, and less general mindfulness. Adding mindful parenting to the model negated the previous contribution of general mindfulness. In this model, lower mindful parenting was related to greater parental fear of hypoglycaemia. In particular, parents with an increased ability to be less judgemental of themselves as parents and less reactive to emotions within parenting interactions reported less fear of hypoglycaemia. In total, 21{\%} of the variance in parental fear of hypoglycaemia was explained.ConclusionParental fear of hypoglycaemia was associated largely with parental characteristics, including non-modifiable sociodemographics (i.e. age, education, nationality) and modifiable psychological factors (i.e. mindful parenting). These findings suggest that it is important to further explore mindfulness-based interventions for parents to reduce fear of hypoglycaemia next to interventions to reduce hypoglycaemia.",
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author = "J. Aalders and E.E. Hartman and G.M. Nefs and A.M. Nieuwesteeg and C. Hendrieckx and H.J. Aanstoot and P. Winterdijk and {van Mil}, E. and J. Speight and F. Pouwer",
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Mindfulness and fear of hypoglycaemia in parents of children with type 1 diabetes : Results from diabetes miles youth the Netherlands. / Aalders, J.; Hartman, E.E.; Nefs, G.M.; Nieuwesteeg, A.M.; Hendrieckx, C.; Aanstoot, H.J.; Winterdijk, P.; van Mil, E.; Speight, J.; Pouwer, F.

In: Diabetic Medicine: Journal of the British Diabetic Association, Vol. 35, No. 5, 2018, p. 650-657.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Mindfulness and fear of hypoglycaemia in parents of children with type 1 diabetes

T2 - Results from diabetes miles youth the Netherlands

AU - Aalders, J.

AU - Hartman, E.E.

AU - Nefs, G.M.

AU - Nieuwesteeg, A.M.

AU - Hendrieckx, C.

AU - Aanstoot, H.J.

AU - Winterdijk, P.

AU - van Mil, E.

AU - Speight, J.

AU - Pouwer, F.

PY - 2018

Y1 - 2018

N2 - AimsTo identify the sociodemographic and clinical correlates of fear of hypoglycaemia among parents of children (aged 4-18 years) with Type 1 diabetes and to examine the relationships between parental fear of hypoglycaemia, mindfulness and mindful parenting.MethodsSociodemographic, self-reported clinical and psychological data were extracted from the cross-sectional Diabetes MILES Youth - The Netherlands dataset. Questionnaires included the Hypoglycaemia Fear Survey - Parent Worry (parental fear of hypoglycaemia), the Freiburg Mindfulness Inventory - Short version (mindfulness) and the Interpersonal Mindfulness in Parenting Scale (mindful parenting).ResultsA total of 421 parents (359 mothers) participated. Hierarchical linear regression analyses showed that greater parental fear of hypoglycaemia was related to younger parental age, low educational level, non-Dutch nationality, more frequent blood glucose monitoring, and less general mindfulness. Adding mindful parenting to the model negated the previous contribution of general mindfulness. In this model, lower mindful parenting was related to greater parental fear of hypoglycaemia. In particular, parents with an increased ability to be less judgemental of themselves as parents and less reactive to emotions within parenting interactions reported less fear of hypoglycaemia. In total, 21% of the variance in parental fear of hypoglycaemia was explained.ConclusionParental fear of hypoglycaemia was associated largely with parental characteristics, including non-modifiable sociodemographics (i.e. age, education, nationality) and modifiable psychological factors (i.e. mindful parenting). These findings suggest that it is important to further explore mindfulness-based interventions for parents to reduce fear of hypoglycaemia next to interventions to reduce hypoglycaemia.

AB - AimsTo identify the sociodemographic and clinical correlates of fear of hypoglycaemia among parents of children (aged 4-18 years) with Type 1 diabetes and to examine the relationships between parental fear of hypoglycaemia, mindfulness and mindful parenting.MethodsSociodemographic, self-reported clinical and psychological data were extracted from the cross-sectional Diabetes MILES Youth - The Netherlands dataset. Questionnaires included the Hypoglycaemia Fear Survey - Parent Worry (parental fear of hypoglycaemia), the Freiburg Mindfulness Inventory - Short version (mindfulness) and the Interpersonal Mindfulness in Parenting Scale (mindful parenting).ResultsA total of 421 parents (359 mothers) participated. Hierarchical linear regression analyses showed that greater parental fear of hypoglycaemia was related to younger parental age, low educational level, non-Dutch nationality, more frequent blood glucose monitoring, and less general mindfulness. Adding mindful parenting to the model negated the previous contribution of general mindfulness. In this model, lower mindful parenting was related to greater parental fear of hypoglycaemia. In particular, parents with an increased ability to be less judgemental of themselves as parents and less reactive to emotions within parenting interactions reported less fear of hypoglycaemia. In total, 21% of the variance in parental fear of hypoglycaemia was explained.ConclusionParental fear of hypoglycaemia was associated largely with parental characteristics, including non-modifiable sociodemographics (i.e. age, education, nationality) and modifiable psychological factors (i.e. mindful parenting). These findings suggest that it is important to further explore mindfulness-based interventions for parents to reduce fear of hypoglycaemia next to interventions to reduce hypoglycaemia.

KW - ADOLESCENTS

KW - ADULTS

KW - GLYCEMIC CONTROL

KW - LIFE

KW - MELLITUS

KW - NIGHTTIME

KW - PREDICTORS

KW - STRESS

KW - YOUNG-CHILDREN

U2 - 10.1111/dme.13594

DO - 10.1111/dme.13594

M3 - Article

VL - 35

SP - 650

EP - 657

JO - Diabetic Medicine: Journal of the British Diabetic Association

JF - Diabetic Medicine: Journal of the British Diabetic Association

SN - 0742-3071

IS - 5

ER -