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Stress and Well-Being in Mothers of Children with Diabetes Mellitus : The Mediating or Moderating Effect of Optimism

당뇨아동 어머니의 스트레스와 안녕감의 관계에 미치는 낙관성의 매개 및 조절효과

  • Received : 2017.06.27
  • Accepted : 2017.07.27
  • Published : 2017.08.31

Abstract

Purpose: Optimism is an important psychological variable that functions positively in stress adaptation process. The purpose of this study was to identify either a mediating or moderating effect of optimism in the relationship between stress and well-being among mothers of children with diabetes mellitus. Methods: A sample of 109 mothers of children with diabetes mellitus was recruited in a tertiary hospital in B city and they completed self-reported questionnaires. Multiple regression analysis models were used to test the mediating and moderating effects of optimism in the relationship between stress and well-being. Results: The results of the multiple and hierarchical regression analysis showed that the role of optimism was examined a partial mediator of the relation between stress and well-being, not a moderator. Increased stress was associated with decreasing optimism and well-being, and increased optimism predicted increased well-being among mothers of children with diabetes mellitus. Conclusion: Optimism is more likely to play a role as mediator, rather than as a moderator. This finding suggests the importance of optimism in improving the well-being of mothers of children with diabetes mellitus.

Keywords

References

  1. Abolhassani, S., Babaee, S., & Eghbali, M. (2013). Mothers' experience of having children with diabetes. Iranian Journal of Nursing and Midwifery Research. 18(4), 304-309.
  2. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
  3. Clarke, W. L., Gonder-Frederick, A., Snyder, A. L., & Cox, D. J. (1998). Maternal fear of hypoglycemia in their children with insulin dependent diabetes mellitus. Journal of Pediatric Endocrinology Metabolism, 11(1), 189-194.
  4. Ekas, N. V., Lickenbrock, D. M., & Whitman, T. L. (2010). Optimism, social support, and well-being in mothers of children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 40(10), 1274-1284. https://doi.org/10.1007/s10803-010-0986-y
  5. Fidika, A., Salewski, C., & Goldbeck, L. (2013). Quality of life among parents of children with phenylketonuria(PKU). Health Quality of Life Outcomes, 28, 11-54.
  6. Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., Delongis, A., & Gruen, R. J. (1986). Dynamics of a stressful encounter : cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psycholog, 50(3), 992-1003. https://doi.org/10.1037/0022-3514.50.5.992
  7. Fotiadou, M., Barlow, J. H., Powel, L. A., & Langto, H. (2008). Optimism and psychological well-being among parents of children with cancer: an exploratory study. Psychooncolog, 17(4), 401-409. https://doi.org/10.1002/pon.1257
  8. Greenberg, J. S., Seltzer, M. M., Krauss, M. W., Chou, R. J., & Hong, J. (2004). The effect of quality of the relationship between mothers and adult children with schizophrenia, autism, or Down syndrome on maternal well-being: the mediating role of optimism. American Journal Orthopsychiatry, 74(1), 14-25. https://doi.org/10.1037/0002-9432.74.1.14
  9. Haugstvedt, A., Wentzel-Larsen, T., Graue, M., Sovik, O., & Rokne, B. (2010). Fear of hypoglycaemia in mothers and fathers of children with type 1 diabetes is associated with poor glycaemic control and parental emotional distress: a population-based study. Diabetic Medicine : A Journal of the British Diabetic Association, 27(1), 72-78. https://doi.org/10.1111/j.1464-5491.2009.02867.x
  10. Jaser, S. S., Whittemore, R.. Ambrosino, J. M., Lindemann, E., & Grey, M. (2008). Mediators of depressive symptoms in children with type 1 diabetes and their mothers. Journal of Pediatric Psychology, 33(5), 509-519. https://doi.org/10.1093/jpepsy/jsm104
  11. Kim, M. J., & Lee, H. K. (2009). The effect of optimism on psychological well-being: cognitive emotion regulation strategies and social support as a mediating variable. Journal of Social Science, 25, 49-67.
  12. Kim, Y. O. (1996). A hypothesized model for self-care behaviors in diabetic patients-based on stress-coping model. Unpublished doctoral dissertation, Yonsei University, Seoul.
  13. Kurtz-Nelson, E., & McIntyre, L. L. (2017). Optimism and positive and negative feelings in parents of young children with developmental delay. Journal of Intellectual Disability Research, 61(7), 719-725. https://doi.org/10.1111/jir.12378
  14. Lee, J. W. (2016). The relationship among daily stress, optimism and psychological well-being of college students, The Korean Journal of East West Science, 19(1), 1-17.
  15. Lee, S. J., & Oh, S. S. (2005). The Relationship between the parenting stress and psychological well-being of the mothers of the child with the developmental disability: testing a mediating model of active coping strategy and social support. Korea Journal of Counseling, 7(1), 27-45.
  16. Matthews, E. E., & Cook, P. (2009). Relationships among optimism, well-being, self-transcendence, coping and social support in women during treatment for breast cancer. Psychooncology, 18(7), 716-726. https://doi.org/10.1002/pon.1461
  17. McCubbin, H. I., & Patterson, J. M. (1982). Family member well-being index (FMWB). In McCubbin, H. I., Thompson, A. I., & McCubbin, M. A. (1996). Family assessment: resiliency, coping and adaptatio-inventories for research and practice. Madison: University of Wisconsin System.
  18. Park, J. Y. (2014). The effect of the parenting stress on subjective well-being of the mother with preschoolers; mediating effects of the active coping and the optimism. Master's thesis. Seoul National University Of Education, Seoul.
  19. Park, Y. S. (2012). The effect of optimism, peer support, stress perception, and coping strategy for stress on pre-service early childhood teacher's subjective well-being. The Korean Society for Child Education, 33(1), 127-145.
  20. Peterson, C. (2000). The future of optimism. American Psychologist, 55(1), 44-55. https://doi.org/10.1037/0003-066X.55.1.44
  21. Scheier, M. F., Carver, C. S., & Bridge, M. W. (1994). Distinguishing, optimism from neuroticism(and trait anxiety, self master, and self-esteem): a reevaluation test. Journal of Personalty & Social Psychology, 67(6), 1063-1078. https://doi.org/10.1037/0022-3514.67.6.1063
  22. Seligman, M. E. P. (2006). Learned optimism. New York: Vintage Books.
  23. Shim, M. K. (2004). Testing of resiliency model of families of children with cancer. Child Health Nursing Research, 10(4), 383-394.
  24. Shin, H. S., Lyu, J. H., & Lee, M. J. (2005). Testing the one-factor and two-factor models of optimism and pessimism in Korean adolescents. The Korean Journal of School Psychology, 2(1), 79-97.
  25. Sohn, S. K., Kim, M. S., Lee, Y. S., Park, H. K., & Roh, M. Y. (2014). The mediating effect of social support and stress on optimism and psychological well-being in clinical nurses. Journal of East-West Nursing Research, 20(1), 63-71. https://doi.org/10.14370/jewnr.2014.20.1.63
  26. Son, J. M. (2007). The influence of the family resilience with the family of children with atopic dermatitis on family adjustment. Master's thesis. Dongguk University, Seoul.
  27. Stallwood, L. (2005). Influence of caregiver stress and coping on glycemic control of young children with diabetes. Journal of Pediatric Health Care, 19(5), 293-300. https://doi.org/10.1016/j.pedhc.2005.04.003
  28. Streisand, R., Mackey, E. R., & Herge, W. (2010). Associations of parent coping, stress, and well-being in mothers of children with diabetes: examination of data from a national sample. Maternal and Child Health Journal, 14(4), 612-617. https://doi.org/10.1007/s10995-009-0497-7
  29. Wiedebusch, S., Pollmann, H., Siegmund, B., & Muthny, F. A. (2008). Quality of life, psychosocial strains and coping in parents of children with haemophilia. Haemophilia, 14(5), 1014-1022. https://doi.org/10.1111/j.1365-2516.2008.01803.x
  30. Wong, W. S., & Fielding, R. (2007). Quality of life and pain in Chinese lung cancer patients: Is optimism a moderator or mediator? Quality of Life Research, 16(1), 53-63. https://doi.org/10.1007/s11136-006-9106-z