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      Familienzeit als Schutzfaktor für emotionale Probleme und Verhaltensprobleme von Kindern und Jugendlichen mit Diabetes mellitus Typ 1 Translated title: Family time as a protective factor for emotional and behavioral problems of children and adolescents with diabetes mellitus type I

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          Abstract

          Zusammenfassung. Diabetes mellitus Typ 1 ist eine chronische Erkrankung, die oftmals im Kindesalter diagnostiziert wird und bei betroffenen Kindern mit einem erhöhten Risiko für diabetesbedingte emotionale Belastung und Verhaltensauffälligkeiten einhergeht. Familiäre Beziehungen spielen im Alltag diabeteskranker Kinder eine zentrale Rolle. Ziel dieser querschnittlichen Studie war es, zu untersuchen, inwieweit die Quantität gemeinsamer Eltern-Kind-Zeit als Schutzfaktor angesehen werden kann und mit weniger emotionalen Problemen und Verhaltensauffälligkeiten des Kindes assoziiert ist. Wir gingen davon aus, dass die Eltern-Kind-Zeit vor allem dann als Schutzfaktor wirkt, wenn die gemeinsame Zeit als zufriedenstellend erlebt wird und keine diabetesbezogenen Eltern-Kind-Konflikte die gemeinsame Zeit beeinträchtigen. Es nahmen 83 Familien an der Studie teil. Die Eltern und das an Diabetes erkrankte Kind beantworteten unabhängig voneinander Fragen über kindliche emotionale Probleme bzw. Verhaltensprobleme, Fragen zur Eltern-Kind-Zeit und zu diabetesbezogenen Konflikten. Mehr Eltern-Kind-Zeit war mit weniger kindlichen Verhaltensproblemen aus Elternsicht korreliert. In Strukturgleichungsmodellen zeigte sich, dass diabetesbezogene Konflikte aus Kindersicht sowohl den Zusammenhang zwischen gemeinsamer Eltern-Kind-Zeit und emotionalen Problemen aus Kindersicht als auch zwischen gemeinsamer Eltern-Kind-Zeit und Verhaltensproblemen aus Elternsicht moderierten. Zudem fand sich ein Moderationseffekt für die elterliche Zufriedenheit auf den Zusammenhang zwischen Eltern-Kind-Zeit und Verhaltensproblemen aus Sicht der Eltern. Die Ergebnisse legen nahe, dass Kinder vor allem in den Familien von Eltern-Kind-Zeit profitieren, in denen weniger diabetesbezogene Konflikte auftreten. Praktische Implikationen für die Elternberatung und systemische Familientherapie werden diskutiert.

          Family time as a protective factor for emotional and behavioral problems of children and adolescents with diabetes mellitus type I

          Abstract. Diabetes mellitus type I is a chronic disease, often diagnosed in childhood and associated with an increased risk of diabetes-related emotional and behavioral problems. This cross-sectional study investigated whether the quantity of parent-child time spent together is associated with fewer emotional and behavioral problems of the child. We hypothesized that parent-child time is a protective factor if the time spent together is experienced as satisfactory and without diabetes-related conflicts. A group of 83 families participated in the study. Parents and children independently completed questionnaires about child emotional and behavioral problems, parent-child time, and diabetes-related conflicts. More parent-child time was correlated with fewer child behavioral problems from the parents' perspective. Structural equation models showed that child-reported diabetes-related conflicts moderated the link between parent-child time and child-reported emotional problems as well as between parent-child time and parent-reported child behavioral problems. In addition, we found a moderation effect for parental satisfaction for the link between parent-child time and behavioral problems from the parents' perspective. The results suggest that children benefit most from parent-child time in families where fewer diabetes-related conflicts occur. Practical implications for parent counselling and systemic family therapy are discussed.

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          Structural Equation Modeling with AMOS : Basic Concepts, Applications, and Programming

          <p>This bestselling text provides a practical guide to the basic concepts of structural equation modeling (SEM) and the AMOS program (Versions 17 & 18). The author reviews SEM applications based on actual data taken from her research. Noted for its non-mathematical language, this book is written for the novice SEM user. With each chapter, the author "walks" the reader through all steps involved in testing the SEM model including: </p><ul><p><li>an explanation of the issues addressed </li><p></p><p><li>an illustration of the hypothesized and posthoc models tested </li><p></p><p><li>AMOS input and output with accompanying interpretation and explanation</li><p></p><p><li>The function of the AMOS toolbar icons and their related pull-down menus</li><p></p><p><li>The data and published reference upon which the model was based.</li><p></p></ul><p></p><p>With over 50% new material, highlights of the new edition include:</p><ul><p><li>All new screen shots featuring Version 17 of the AMOS program </li><p></p><p><li>All data files now available at www.psypress.com/sem-with-amos </li><p></p><p><li>Application of a multitrait-mulitimethod model, latent growth curve model, and second-order model based on categorical data</li><p></p><p><li>All applications based on the most commonly used graphical interface</li><p></p><p><li>The automated multi-group approach to testing for equivalence</li><p></p></ul><p></p><p>The book opens with an introduction to the fundamental concepts of SEM and the basics of the AMOS program. The next 3 sections present applications that focus on single-group, multiple-group, and multitrait-mutimethod and latent growth curve models. The book concludes with a discussion about non-normal and missing (incomplete) data and two applications capable of addressing these issues. </p><p></p><p>Intended for researchers, practitioners, and students who use SEM and AMOS in their work, this book is an ideal resource for graduate level courses on SEM taught in departments of psychology, education, business, and other social and health sciences and/or as a supplement in courses on applied statistics, multivariate statistics, statistics II, intermediate or advanced statistics, and/or research design. Appropriate for those with limited or no previous exposure to SEM, a prerequisite of basic statistics through regression analysis is recommended. </p>
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            Understanding discrepancies in parent-child reporting of emotional and behavioural problems: Effects of relational and socio-demographic factors

            Background Discrepancies between parents and children in their assessment of children's mental health affect the evaluation of need for services and must be taken seriously. This article presents the differences between parents' and children's reports of the children's symptoms and social impairment, based on the results of the Strengths and Difficulties Questionnaire (SDQ). The interrelationship between relational aspects and socio-demographic factors with patterns of disagreement are explored. Methods Differences in the prevalence and means of SDQ symptom and impact scores were obtained from 8,154 primary school children, aged between 10 and 13 years, and their parents. Agreement between matched pairs was measured using Pearson's and Spearman's rho correlations. Socio-demographic variables, communication patterns and parental engagement were analysed as possible correlates of informant discrepancies using bivariate and multivariate logistic regression models. Results In general, although children reported more symptoms, they reported less impact of perceived difficulties than parents. The parents were more consistent in their evaluation of symptoms and impact than were the children. Exploration of highly discrepant subgroups showed that, when children reported the most symptoms and impact, qualitative aspects of the parent-child relationship and family structure seemed to be more powerful predictors of disagreement than were gender of the child and socio-demographic variables. When parents reported the most symptoms and impact, low parental educational level, low income and male gender of the child played an additional role. Conclusions Our findings underline the importance of paying attention to child reports of emotional-behavioural difficulties, particularly when parents do not identify these problems. Considerations on what meaning parent-child discrepancy might have in the context of the parent-child relationship or the family's psychosocial status should be integrated in the overall understanding of the child's situation and subsequent recommendations.
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              Adolescents’ health: A development perspective

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                Author and article information

                Contributors
                Journal
                ppp
                Zeitschrift für Psychiatrie, Psychologie und Psychotherapie
                Hogrefe AG, Bern
                1661-4747
                1664-2929
                September 2020
                : 68
                : 4 , Themenheft: Familie als Ressource, Fokus und Kontext therapeutischer Interventionen
                : 252-262
                Affiliations
                [ 1 ]Westfälische Wilhelms-Universität (WWU) Münster, Münster
                [ 2 ]Schweizer Institut für Sucht- und Gesundheitsforschung (ISGF), Zürich
                [ 3 ]Universität Wien, Wien
                Author notes
                Prof. Dr. Anne Milek, Westfälische Wilhelms-Universität (WWU) Münster, Institut für Psychologie, Fliednerstr. 21, 48149 Münster, Deutschland, anne.milek@ 123456uni-muenster.de
                Article
                ppp_68_4_252
                10.1024/1661-4747/a000423
                4f129eb0-9e90-4807-94ae-6c3cd04cc076
                Copyright @ 2020
                History
                Categories
                Themenschwerpunkt

                Psychology,Clinical Psychology & Psychiatry
                parenting,Chronische Erkrankung,Eltern-Kind-Zeit,Diabetes mellitus Typ 1,Erziehung,Bindung,chronic disease,family time,diabetes type I,attachment

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