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Mentalizing in mothers and children with type 1 diabetes

Published online by Cambridge University Press:  14 January 2020

Stefanella Costa-Cordella Open the ORCID record for Stefanella Costa-Cordella [Opens in a new window] ,
Patrick Luyten ,
Diego Cohen ,
Francisca Mena  and
Peter Fonagy
Stefanella Costa-Cordella*
Affiliation:
Division of Psychology and Language Sciences, University College London, London, United Kingdom
Patrick Luyten
Affiliation:
Division of Psychology and Language Sciences, University College London, London, United Kingdom Faculty of Psychology and Educational Sciences, University of Leuven, Leuven, Belgium
Diego Cohen
Affiliation:
Department of Psychiatry, Universidad de Buenos Aires, Buenos Aires, Argentina
Francisca Mena
Affiliation:
Fundación Diabetes Juvenil de Chile, Santiago, Chile
Peter Fonagy
Affiliation:
Division of Psychology and Language Sciences, University College London, London, United Kingdom
*
Author for Corresponcence: Stefanella Costa-Cordella, Division of Psychology and Language Sciences, Gower St., Bloomsbury, LondonWC1E 6BT, United Kingdom; E-mail: stefanella.cordella.15@ucl.ac.uk
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Abstract

Studies suggest that the relationship between psychosocial well-being and type 1 diabetes (T1D) is bidirectional, with T1D typically having a negative influence on psychological functioning, which in turn negatively affects the course of T1D. Here, we investigate the potential role of the capacity for mentalizing, or reflective functioning, in children and their mothers in diabetes control. We tested differences in mentalizing as assessed by the Reflective Functioning Scale in two groups of mother–son dyads with good (GDC) versus poor (PDC) diabetes control. Fifty-five boys (8–12 years old) and their mothers were recruited from the Juvenile Diabetes Foundation in Santiago, Chile. The mothers were interviewed with the Parental Development Interview and the children with the Child Attachment Interview, and both were scored for reflective functioning by using the Reflective Functioning Scale. Self-report measures of stress and diabetes outcomes were completed by the mothers and children, and levels of glycated hemoglobin (HbA1c) were assessed as an index of diabetes control. The results showed that both maternal and child reflective functioning were higher in the GDC than the PDC group and were negatively correlated with HbA1c in the total sample. Our findings suggest an important role for mentalizing in diabetes outcomes, but further prospective research is needed.

Keywords

child mentalizingparental mentalizingreflective functioningtype 1 diabetes
Type
Regular Articles
Information
Development and Psychopathology , Volume 33 , Issue 1 , February 2021 , pp. 216 - 225
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Copyright © Cambridge University Press 2020

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