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Regulação emocional, medo de hipoglicemia e controlo glicémico
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Resumo(s)
Perante o aumento crescente de diagnósticos de Diabetes Tipo 1 (DT1), a
importância de evitar complicações, a complexidade da gestão da doença e a exigência
emocional, este estudo pretende analisar a relação entre as estratégias parentais de
Regulação Emocional (RE) (i.e., Reavaliação Cognitiva e Supressão Expressiva) e o
Controlo Glicémico (CG) das crianças, através do papel mediador do Medo de
Hipoglicemia (MH). Este estudo contou com a participação de 102 pais com idades
compreendidas entre os 32 e os 61 anos, com filhos diagnosticados com DT1 e idades
compreendidas entre 3 e 17 anos. Estes preencheram um Questionário Sociodemográfico,
Questionário de Regulação Emocional (QRE) e o Hypoglycemia Fear Survey- Parent
Revised Version (HFSP). Foram ainda recolhidas medidas de hemoglobina glicada
(HbA1c) nos Hospitais onde as famílias se encontravam em acompanhamento. Na análise
estatística foram realizados dois modelos de mediação, recorrendo ao IBM SPSS e à
macro PROCESS. O primeiro modelo avaliou o papel mediador do MH na relação entre
a Reavaliação Cognitiva e CG, e o segundo modelo analisou o papel do MH na relação
entre a Supressão Expressiva e o CG. Os resultados dos modelos não revelaram efeitos
de mediação. Contudo há uma associação significativa, no modelo 2, em que a utilização
da estratégia de Supressão Expressiva se associou a níveis mais elevados de MH. Apesar
dos resultados não revelarem efeitos de mediação, destacam a importância de explorar o
impacto do fator emocional na gestão da doença, bem como outras variáveis que
possibilitem reduzir o MH e manter os valores de HbA1c nos intervalos recomendados,
de modo a proporcionar aos pais intervenções ajustadas às suas necessidades.
Given the increasing number of diagnoses of Type 1 Diabetes (T1D), the importance of avoiding complications, the complexity of managing the disease, and the emotional demands, this study aims to analyze the relationship between parental strategies of Emotional Regulation (ER) (i.e., Cognitive Reappraisal and Expressive Suppression) and children's Glycemic Control (GC) through the mediating role of Fear of Hypoglycemia (FH). This study involved 102 parents aged between 32 and 61, with children diagnosed with T1D and aged between 3 and 17. They completed a Sociodemographic Questionnaire, Emotional Regulation Questionnaire (ERQ), and the Hypoglycemia Fear Survey-Parent Revised Version (HFSP). Glycated hemoglobin (HbA1c) measurements were also collected at the hospitals where the families were being monitored. In the statistical analysis, two mediation models were performed using IBM SPSS and the PROCESS macro. The first model evaluated the mediating role of MH in the relationship between Cognitive Reappraisal and CG, and the second model analyzed the role of MH in the relationship between Expressive Suppression and CG. The results of the models did not reveal any mediating effects. However, there is a significant association in model 2, in which the use of the Expressive Suppression strategy was associated with higher levels of MH. Although the results did not reveal mediation effects, they highlight the importance of exploring the impact of the emotional factor on disease management, as well as other variables that make it possible to reduce MH and maintain HbA1c values within the recommended ranges, in order to provide parents with interventions tailored to their needs.
Given the increasing number of diagnoses of Type 1 Diabetes (T1D), the importance of avoiding complications, the complexity of managing the disease, and the emotional demands, this study aims to analyze the relationship between parental strategies of Emotional Regulation (ER) (i.e., Cognitive Reappraisal and Expressive Suppression) and children's Glycemic Control (GC) through the mediating role of Fear of Hypoglycemia (FH). This study involved 102 parents aged between 32 and 61, with children diagnosed with T1D and aged between 3 and 17. They completed a Sociodemographic Questionnaire, Emotional Regulation Questionnaire (ERQ), and the Hypoglycemia Fear Survey-Parent Revised Version (HFSP). Glycated hemoglobin (HbA1c) measurements were also collected at the hospitals where the families were being monitored. In the statistical analysis, two mediation models were performed using IBM SPSS and the PROCESS macro. The first model evaluated the mediating role of MH in the relationship between Cognitive Reappraisal and CG, and the second model analyzed the role of MH in the relationship between Expressive Suppression and CG. The results of the models did not reveal any mediating effects. However, there is a significant association in model 2, in which the use of the Expressive Suppression strategy was associated with higher levels of MH. Although the results did not reveal mediation effects, they highlight the importance of exploring the impact of the emotional factor on disease management, as well as other variables that make it possible to reduce MH and maintain HbA1c values within the recommended ranges, in order to provide parents with interventions tailored to their needs.
Descrição
Dissertação de Mestrado apresentada no ISPA – Instituto Universitário, para obtenção do grau de Mestre na especialidade de Psicologia Clínica.
Palavras-chave
Diabetes Tipo 1 Regulação Emocional Reavaliação Cognitiva Supressão Expressiva Controlo Glicémico Medo de Hipoglicemia Diabetes Type 1 Emotional Regulation Cognitive Reappraisal Expressive Suppression Glycemic Control Fear of Hypoglycemia