Brief report: parent perceptions of hypoglycemic symptoms of youth with diabetes; disease disclosure minimizes risk of negative evaluations

J Pediatr Psychol. 2005 Mar;30(2):207-12. doi: 10.1093/jpepsy/jsi008.

Abstract

Objective: Based on a theoretical model, this study explored the effects that the disclosure of diabetes has on parental perceptions of a hypothetical child experiencing hypoglycemia.

Methods: Parents (N = 610) first read vignettes that varied in a 2 x 2 design (Male vs. Female Character x Preventative Disclosure of Illness vs. Nondisclosure) and then answered several questions regarding the hypothetical child, resulting in four subscales that were validated using confirmatory factor analysis.

Results: Disclosure of diabetes significantly increased perceptions of a medical problem, decreased suspicions of drug use, and presented a lower risk of parental restrictions on future contact with their child.

Conclusions: Individuals who disclose their diabetes may prevent negative social consequences and restrictions on social contact. Those who choose not to disclose may risk having a hypoglycemic event perceived as a drug or alcohol problem, which may ultimately interfere with appropriate medical intervention in a hypoglycemic event.

MeSH terms

  • Adolescent
  • Adult
  • Attitude to Health*
  • Child
  • Diabetes Mellitus, Type 1 / prevention & control*
  • Disclosure*
  • Female
  • Humans
  • Hypoglycemia / physiopathology*
  • Male
  • Parents*
  • Risk Reduction Behavior*
  • Surveys and Questionnaires