{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T21:47:47Z","timestamp":1782164867607,"version":"3.54.5"},"reference-count":28,"publisher":"Walter de Gruyter GmbH","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpem-2026-0061_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Type 1 diabetes mellitus (T1D) is a chronic condition that requires continuous management and places a substantial psychosocial burden on families, particularly on parents responsible for daily\u00a0care. This study aimed to evaluate the psychosocial adaptation of parents of children with T1D and to investigate the relationship between parental psychosocial outcomes and sociodemographic as well as clinical factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpem-2026-0061_abs_003\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This analytical cross-sectional study was conducted between April and June 2025 at the Pediatric Endocrinology Outpatient Clinic of Ankara Bilkent City Hospital, T\u00fcrkiye. A total of 328 parents of children aged 0\u201318\u00a0years with T1D were included. Data were collected using a sociodemographic questionnaire, the Parent Diabetes Distress Scale (PDDS), and the Diabetes Family Impact Scale (DFIS). Children\u2019s most recent HbA\n                      <jats:sub>1c<\/jats:sub>\n                      levels were obtained from medical records. Statistical analyses were performed using IBM SPSS Statistics version\u00a026.0.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpem-2026-0061_abs_004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Higher diabetes-related distress and greater family impact were observed among female parents, single parents, and those with lower education and income levels (p&lt;0.05). A weak positive correlation was found between the duration of the child\u2019s T1D and perceived financial burden (r=0.21, p&lt;0.05). No significant association was detected between HbA\n                      <jats:sub>1c<\/jats:sub>\n                      levels and parental psychosocial adaptation. PDDS and DFIS total scores showed a moderate positive correlation (r=0.43, p&lt;0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpem-2026-0061_abs_005\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Parents of children with T1D experience significant psychosocial challenges influenced mainly by sociodemographic factors rather than glycemic control. Integrating psychosocial screening and family-centered support into pediatric diabetes care and primary health services may improve family well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpem-2026-0061","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:27:36Z","timestamp":1777501656000},"page":"449-456","source":"Crossref","is-referenced-by-count":1,"title":["Psychosocial adaptation of parents of children with type 1 diabetes: a cross-sectional study"],"prefix":"10.1515","volume":"39","author":[{"given":"\u0130layda \u015eenol","family":"\u00d6zt\u00fcrk","sequence":"first","affiliation":[{"name":"\u0130stanbul Gaziosmanpa\u015fa Family Health Center No. 124 , \u0130stanbul , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatih","family":"G\u00fcrb\u00fcz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology, Faculty of Medicine , Ankara Y\u0131ld\u0131r\u0131m Beyaz\u0131t University , Ankara , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebru","family":"U\u011fra\u015f","sequence":"additional","affiliation":[{"name":"Department of Family Medicine , Ankara Y\u0131ld\u0131r\u0131m Beyaz\u0131t University Faculty of Medicine , Ankara , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"2026060500564542585_j_jpem-2026-0061_ref_001","unstructured":"International Diabetes Federation. 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