{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T03:49:29Z","timestamp":1782272969137,"version":"3.54.5"},"reference-count":30,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T00:00:00Z","timestamp":1700697600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003359","name":"Conselleria D\u2019Educaci\u00f3, Universitats i Ocupaci\u00f3 de la Generalitat Valenciana in the aid for Emerging Groups","doi-asserted-by":"publisher","award":["CIGE21-119"],"award-info":[{"award-number":["CIGE21-119"]}],"id":[{"id":"10.13039\/501100003359","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Chronic pediatric disease has a major impact on the life of a child and his or her family. In this sense, the figure of the main caregiver is relevant, who may present adjustment difficulties before the disease, accompanied by high levels of stress and emotional discomfort, which interfere with the adolescent\u2019s adjustment before the new situation. The aim of this research was to carry out a comparative study among caregivers of adolescents with various diseases, analyzing the risk and protective factors for the stress presented by this population. For this purpose, a sample of 406 main caregivers of adolescents with an endocrinological or pneumological disease from different hospitals in Valencia was used, where characteristics related to the disease, attachment, type of family, and emotional distress of these caregivers were considered. In general, the results show higher levels of stress in caregivers of adolescents with an endocrinological disease, specifically DM1, and found significant predictors of anxiety-depressive symptomatology, the need for approval, and several variables related to the disease. These data reveal the importance of providing comprehensive care to the family system, offering health skills to overcome diseases, and reinforcing the protective factors offered by the family system.<\/jats:p>","DOI":"10.3390\/children10121840","type":"journal-article","created":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T11:31:25Z","timestamp":1700739085000},"page":"1840","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Overburden in Caregivers of Chronically Ill Adolescents: A Comparative Study between Pulmonological and Endocrinological Diseases"],"prefix":"10.3390","volume":"10","author":[{"given":"Elvira","family":"Garc\u00eda-Mar\u00edn","sequence":"first","affiliation":[{"name":"Personality, Assessment and Psychological Treatment Department, Faculty of Psychology and Speech Therapy, University of Valencia, Avenida Blasco Ib\u00e1\u00f1ez, 21, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5228-2738","authenticated-orcid":false,"given":"Selene","family":"Valero-Moreno","sequence":"additional","affiliation":[{"name":"Personality, Assessment and Psychological Treatment Department, Faculty of Psychology and Speech Therapy, University of Valencia, Avenida Blasco Ib\u00e1\u00f1ez, 21, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6312-7055","authenticated-orcid":false,"given":"Konstanze","family":"Schoeps","sequence":"additional","affiliation":[{"name":"Personality, Assessment and Psychological Treatment Department, Faculty of Psychology and Speech Therapy, University of Valencia, Avenida Blasco Ib\u00e1\u00f1ez, 21, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4595-8063","authenticated-orcid":false,"given":"Silvia","family":"Postigo-Zegarra","sequence":"additional","affiliation":[{"name":"Personality, Assessment and Psychological Treatment Department, Faculty of Psychology and Speech Therapy, University of Valencia, Avenida Blasco Ib\u00e1\u00f1ez, 21, 46010 Valencia, Spain"},{"name":"Faculty of Health Sciences, Department of Psychology, European University of Valencia, Passeig. de l\u2019Albereda, 7, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3532-8818","authenticated-orcid":false,"given":"Mari\u00e1n","family":"P\u00e9rez-Mar\u00edn","sequence":"additional","affiliation":[{"name":"Personality, Assessment and Psychological Treatment Department, Faculty of Psychology and Speech Therapy, University of Valencia, Avenida Blasco Ib\u00e1\u00f1ez, 21, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,11,23]]},"reference":[{"key":"ref_1","first-page":"e1276","article-title":"O manejo familiar da crianza como condi\u00e7oes cronicas sob a \u00f3tica da teor\u00eda da complexidade de Edgar Morin","volume":"8","author":"Santos","year":"2020","journal-title":"Rev. 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