(1) Background: In the context of a child with Type 1 Diabetes Mellitus (T1DM), the rearrangement of the family’s lifestyle can account for an increased risk of experiencing psychosocial problems for both child and parents. Those few studies on pediatric diabetes, which focused on parents’ perception of children’s psychological strengths and weaknesses, reported significantly higher rates of children’s emotional and conduct problems associated with an imbalance in the Hemoglobin A1c (HbA1c). The main aim of this paper was to assess the role of parental perception of children’s psychosocial symptoms as a mediator of the perceived parenting stress, considering mother and father separately. (2) Methods: The study involved 12 parent couples (Mothers M_age = 40.25, SD = 6.58; Fathers M_age = 42.5, SD = 6.38) of children with T1DM aged between 7 and 11 years (M_age = 8.8, SD = 0.996). Parents completed questionnaires such as the Strengths and Difficulties Questionnaire for parents and their perspective of their child, and the Parenting Stress Index–Short Form. (3) Results: Mothers and fathers had significant differences in the perception of their child’s internalizing symptoms. Specifically, mothers present a greater perception of the mentioned symptoms compared to fathers. Mediation models showed that only for fathers’ perception of the child conduct problems has a significant role between the fathers’ perception of dysfunctional interaction with the child and the HbA1c. (4) Conclusions: The current study provides useful evidence also for clinical settings, suggesting that an interesting interplay between parenting stress, perception of children’s symptoms and glucometabolic control should be taken into consideration.

中文翻译：

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父母对父母的压力及其对儿童糖尿病儿童心理社会功能的感知：一项初步研究。

（1）背景：在患有1型糖尿病（T1DM）的儿童的背景下，家庭生活方式的重新安排可能会增加儿童和父母双方遭受社会心理问题的风险。那些针对儿科糖尿病的研究很少侧重于父母对孩子的心理优势和劣势的感知，发现与血红蛋白A1c（HbA1c）失衡有关的孩子情绪和行为问题的发生率明显更高。本文的主要目的是评估父母对孩子的心理社会症状的感知作为感知的父母压力的中介者的作用，并分别考虑父母。（2）方法：研究涉及12对父母夫妇（母亲_年龄）= 40.25，SD = 6.58；T1DM患儿7至11岁之间的父亲M_年龄= 42.5，SD = 6.38（M_年龄= 8.8，SD = 0.996）。父母填写了调查表，例如针对父母的强项和困难调查表以及他们对孩子的看法，以及父母压力指数-简短表格。（3）结果：父亲和母亲对孩子的内在症状的理解存在显着差异。具体而言，与父亲相比，母亲对上述症状的感知能力更高。调解模型表明，仅对于父亲对儿童行为问题的理解，父亲对与儿童的功能障碍相互作用的感知与HbA1c之间起着重要作用。（4）结论：本研究也为临床设置提供了有用的证据，表明应考虑到父母压力，儿童症状的感知和糖代谢控制之间的有趣相互作用。