Anxiety and Risk Perception in Parents of Children Identified by Population Screening as High Risk for Type 1 Diabetes
Author:
O’Donnell Holly K.1ORCID, Rasmussen Cristy Geno1ORCID, Dong Fran1, Simmons Kimber M.1ORCID, Steck Andrea K.1ORCID, Frohnert Brigitte I.1ORCID, Bautista Kimberly1, Rewers Marian J.1, Baxter Judith1, Rewers Marian J., Bautista Kimberly, Baxter Judith, Felipe-Morales Daniel, Dong Fran, Driscoll Kimberly, Frohnert Brigitte I., Rasmussen Cristy Geno, Gesualdo Patricia, Hoffman Michelle, Karban Rachel, O’Donnell Holly K., Pauley Meghan, Sepulveda Flor, Silva Crystal, Simmons Kimber M., Steck Andrea K., Taki Iman, Waugh Kathleen, Jia Xiaofan, Yu Liping, Liu Edwin, Stahl Marisa, McQueen R. Brett, Norris Jill M., Frost Holly, O’Leary Sonja, Middlemist Martha,
Affiliation:
1. Department of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO
Abstract
OBJECTIVE
To assess anxiety and risk perception among parents whose children screened positive for islet autoantibodies, indicating elevated risk for type 1 diabetes (T1D).
RESEARCH DESIGN AND METHODS
The Autoimmunity Screening for Kids (ASK) study identified 319 children age 1 to 17 years at risk for T1D via screening for islet autoantibodies; 280 children with confirmed islet autoantibodies and their caregivers enrolled in a follow-up education and monitoring program to prevent diabetic ketoacidosis at diagnosis. Parents completed questionnaires at each monitoring visit, including a 6-item version of the State Anxiety Inventory (SAI), to assess anxiety about their child developing T1D, and a single question to assess risk perception.
RESULTS
At the first ASK follow-up monitoring visit, mean parental anxiety was elevated above the clinical cutoff of 40 (SAI 46.1 ± 11.2). At the second follow-up monitoring visit (i.e., visit 2), mean anxiety remained elevated but started to trend down. Approximately half (48.9%) of parents reported their child was at increased risk for T1D at the initial follow-up monitoring visit (visit 1). Parents of children with more than one islet autoantibody and a first-degree relative with T1D were more likely to report their child was at increased risk.
CONCLUSIONS
Most parents of autoantibody-positive children have high anxiety about their child developing T1D. Information about the risk of developing T1D is difficult to convey, as evidenced by the wide range of risk perception reported in this sample.
Funder
Juvenile Diabetes Research Foundation United States of America Leona M. and Harry B. Helmsley Charitable Trust Janssen Research and Development, LLC
Publisher
American Diabetes Association
Subject
Advanced and Specialized Nursing,Endocrinology, Diabetes and Metabolism,Internal Medicine
Cited by
4 articles.
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