Psychological Predictors of Resilience in Parents of Insulin-Dependent Children and Adolescents.
Mitra Edraki, Masoume Rambod
PMID 30035140WHAT IT FOUND
Parents of children with type 1 diabetes reported high levels of psychological distress.
Depression was the strongest predictor of lower resilience, followed by low life satisfaction. Nurses should screen caregivers for depression, as higher distress correlates with reduced ability to cope.
Key findings
0158.4% of parents reported mild to extremely severe depression, 71.7% reported anxiety, and 45.1% reported stress.
02Depression and life satisfaction were significant predictors of resilience, explaining 49% of the variance, while anxiety and stress were not independent predictors in the final model.
03Parents with normal depression levels had a mean resilience score of 80.79, compared to 37.57 for those with extremely severe depression.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used convenience sampling at a single center in Iran, limiting generalizability. The cross-sectional design cannot establish causality; it is unclear whether low resilience leads to depression or vice versa. Data relied entirely on self-report questionnaires without clinical interview confirmation of diagnoses. The study excluded parents with psychiatric disorders or recent major life crises, which may skew the sample toward those with higher baseline stability.
The easy way to misread this
Do not assume that treating anxiety or stress will directly improve resilience. The regression analysis showed that once depression and life satisfaction were accounted for, anxiety and stress were no longer significant predictors of resilience.