Relationship between Quality of Life and Adult Attachment Factors in Mothers of Children with and without Type 1 Diabetes
Abstract
:1. Introduction
2. Materials and Methods
2.1. Type of Study
2.2. Participants and Inclusion and Exclusion Criteria
2.3. Research Instruments
- (a)
- The sociodemographic and clinical questionnaire prepared for this study, in which items such as age, marital status, education level, average family income, among others, such as height and weight were collected, were used. Through these last variables, it was possible to verify the Body Mass Index (BMI), recognized as an international standard to assess the proportion of overweight and obese individuals in populations [23]. It is calculated by dividing weight (kg) by height squared (meters).
- (b)
- The Experience in Close Relationship Scale—Reduced (ECR-R-Brazil) contains 10 items, through which anxious and avoidant attachment factors are measured. Its result is expressed as an arithmetic mean, with the result for the anxiety factor being calculated by the average of even items (2, 4, 6, 8, and 10), and the result for the avoidance factor obtained through inverting the items 1, 3, 5, and 7, and the calculation of the arithmetic mean of the odd items. The higher the anxiety and avoidance scores, the more insecure the respondents will be considered in terms of their attachment style. If the respondent has low anxiety and avoidance factors defined by this scale, she will be considered as having a secure attachment style.
- (c)
- The WHOQOL-abbreviated questionnaire is used to measure the perception of quality of life. The questionnaire consists of 26 questions, with question 1 related to the perception of quality of life and question 2 related to satisfaction with health, and the average of these two questions assumes the self-assessment of quality of life. The remaining 24 facets make up 4 domains which are physical, psychological, social relations, and environment. The answers for each domain and the first two questions follow a Likert scale from 1 to 5, and the higher the score, the better the perception of quality of life. For its measurement, it is necessary to recode the value of the answers to questions 3, 4, and 26, as shown in the parentheses (1 = 5) (2 = 4) (3 = 3) (4 = 2) (5 = 1). All results are expressed as an average both in the domain and in the first two facets, as follows:
- Self-assessment of quality of life (Q1 + Q2)/2
- Domain 1—Physical (Q3 + Q4 + Q10 + Q15 + Q16 + Q17 + Q18)/7
- Domain 2—Psychological (Q5 + Q6 + Q7 + Q11+ Q19 + Q26)/6
- Domain 3—Social relationships (Q20 + Q21 + Q22)/3
- Domain 4—Environment (Q8 + Q9 + Q1 + Q13 + Q14 + Q23 + Q24 + Q25)/8
- *Q = Question.
2.4. Ethical Issues
2.5. Data Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Mothers of Children with DM1 Group A (n = 45) | Mothers of Children without DM1 Group B (n = 55) | p-Value * | ||
---|---|---|---|---|
n (%) | n (%) | |||
Education | Incomplete high school | 0 (0) | 1 (1,8) | 0.023 * |
Complete high school | 5 (11,1) | 6 (10,9) | ||
Technical education | 11 (24,4) (+) | 3 (5,5) (−) | ||
Incomplete higher education | 7 (15,6) | 4 (7,3) | ||
Complete higher education | 22 (48,9) (−) | 41 (74,5) (+) | ||
Region of Brazil | North | 9 (20) | 33 (60) | 0.160 |
Northeast | 9 (20) | 5 (9,09) | ||
Midwest | 11 (24,44) | 3 (5,45) | ||
Southeast | 9 (20) | 7 (12,72) | ||
South | 7 (15,55) | 7 (12,72) | ||
Marital status | Married | 29 (64,4) | 26 (47,3) | 0.158 |
Stable union | 13 (28,9) | 20 (36,4) | ||
Single | 3 (6,7) | 9 (16,4) | ||
Work outside the home | Yes | 32 (71,1) | 46 (83,6) | 0.133 |
No | 13 (28,9) | 9 (16,4) | ||
Average family income | Between 1 and 2 salaries | 19 (42,2) | 21 (38,2) | 0.114 |
Between 3 and 4 salaries | 22 (48,9) | 19 (34,5) | ||
Between 5 and 6 salaries | 2 (4,4) | 10 (18,2) | ||
Between 7 and 8 salaries | 2 (4,4) | 5 (9,1) | ||
Health Service | Public Health System (Sus) | 10 (22,2) | 12 (21,8) | 0.598 |
Private | 3 (6,7) | 7 (12,7) | ||
Public Health System (Sus) + Private | 32 (71,1) | 36 (65,5) | ||
BMI 1 classification | Malnutrition | 1 (2,2) | 0 (0) | 0.485 |
Eutrophy | 24 (53,3) | 29 (52,7) | ||
Overweight | 15 (33,33) | 17 (30,9) | ||
Obesity | 5 (11,11) | 9 (16,36) |
Nutritional Status | Mother with Children DM1 (n = 45) Group A | Mother without Children DM1 (n = 55) Group B | p-Value * | ||
---|---|---|---|---|---|
Average (±DP) | Median (P5–P95) | Average (±DP) | Median (P5–P95) | ||
Body Mass Index | 25.28 (±3.69) | 24.91 (20.70–31.77) | 25.82 (±4.11) | 24.91 (20.37–34.54) | 0.675 |
Quality of Life | Average (±DP) | Median (P5–P95) | Average (±DP) | Median (P5–P95) | p-value * |
Physical domain | 3.15 (±0.53) | 3.14 (2.18–4.14) | 3.58 (±0.55) | 3.71 (2.42–4.34) | <0.0001 |
Psychological domain | 3.14 (±0.54) | 3.16 (2.10–4.00) | 3.44 (±0.64) | 3.33 (2.00–4.53) | 0.008 |
Social relationships | 3.05 (±0.52) | 3.00 (2.00–4.23) | 3.36 (±0.68) | 3.33 (2.00–4.06) | 0.004 |
Environment | 3.06 (±0.43) | 3.00 (2.50–4.08) | 3.30 (±0.52) | 3.25 (2.47–4.27) | 0.012 |
Self-evaluation | 3.16 (±0.77) | 0.60 (1.6–4.85) | 3.38 (±0.75) | 3.50 (2.00–4.50) | 0.116 |
Attachment style | Average (±DP) | Median (P5–P95) | Average (±DP) | Median (P5–P95) | p-value * |
Anxiety | 3.78 (±1.39) | 4.2 (1.12–5.68) | 3.66 (±1.25) | 3.80 (1.72–5.80) | 0.534 |
Avoidance | 2.71 (±1.00) | 2.60 (1.00–0.03) | 2.37 (±0.78) | 2.20 (1.16–4.00) | 0.077 |
Mothers of Children with DM1 Group A (n = 45) | Mothers of Children without DM1 Group B (n = 55) | p-Value * | ||||
---|---|---|---|---|---|---|
n | % | n | % | |||
Physical domain | Very good | 0 | 0 | 0 | 0 | 0.003 |
Good | 3 | 6,7 (−) | 19 | 34,5 (+) | ||
Regular | 31 | 68,9 | 29 | 52,7 | ||
Need to improve | 11 | 24,24 | 7 | 12,7 | ||
Psychological domain | Very good | 0 | 0 | 0 | 0 | 0.043 |
Good | 5 | 11,1 (−) | 16 | 29,1 (+) | ||
Regular | 27 | 60 | 31 | 56,4 | ||
Need to improve | 13 | 28,9 | 8 | 14,5 | ||
Domain of social relationships | Very good | 0 | 0 | 1 | 1,8 | 0.041 |
Good | 3 | 6,7 (−) | 15 | 27,3 (+) | ||
Regular | 31 | 68,9 | 28 | 50,9 | ||
Need to improve | 11 | 24,4 | 11 | 20 | ||
Domain of the environment | Very good | 0 | 0 | 0 | 0 | 0.471 |
Good | 3 | 6,7 | 7 | 12,7 | ||
Regular | 25 | 55,6 | 32 | 58,2 | ||
Need to improve | 17 | 37,8 | 16 | 29,1 | ||
Self-assessment of quality of life | Very good | 2 | 4,4 | 1 | 1,8 | 0.020 |
Good | 6 | 13,3 (−) | 21 | 38,2 (+) | ||
Regular | 29 | 64,4 (+) | 21 | 3,8 (−) | ||
Need to improve | 8 | 17,8 | 12 | 21,8 |
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Carneiro, M.d.N.d.L.; Gomes, D.L.; da Fonseca, A.A.; Ripardo, R.C. Relationship between Quality of Life and Adult Attachment Factors in Mothers of Children with and without Type 1 Diabetes. Int. J. Environ. Res. Public Health 2023, 20, 7109. https://doi.org/10.3390/ijerph20237109
Carneiro MdNdL, Gomes DL, da Fonseca AA, Ripardo RC. Relationship between Quality of Life and Adult Attachment Factors in Mothers of Children with and without Type 1 Diabetes. International Journal of Environmental Research and Public Health. 2023; 20(23):7109. https://doi.org/10.3390/ijerph20237109
Chicago/Turabian StyleCarneiro, Maria de Nazareth de Lima, Daniela Lopes Gomes, Arthur Andrade da Fonseca, and Rachel Coelho Ripardo. 2023. "Relationship between Quality of Life and Adult Attachment Factors in Mothers of Children with and without Type 1 Diabetes" International Journal of Environmental Research and Public Health 20, no. 23: 7109. https://doi.org/10.3390/ijerph20237109