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A Qualitative Study Exploring Coping Strategies in Youth With Type 1 Diabetes
- Anna Serlachius, Erica Frydenberg, Elisabeth Northam, Fergus Cameron
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- Journal:
- Children Australia / Volume 36 / Issue 3 / 01 September 2011
- Published online by Cambridge University Press:
- 15 December 2015, pp. 144-152
- Print publication:
- 01 September 2011
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Adolescents diagnosed with a chronic illness such as type 1 diabetes mellitus (T1DM) face the typical physical and psychosocial challenges associated with adolescence, as well as the additional challenges of having to cope with the daily stressors of living with a chronic illness. In order to explore coping strategies in this population of adolescents, and to compare the constructs with those identified by the Adolescent Coping Scale (ACS), four focus groups were conducted with 13 adolescents with T1DM. The qualitative data was analysed using content analysis and grouped according to the ACS. Prevalent nonproductive coping strategies included Tension Reduction (the use of maladaptive techniques to reduce tension/stress), Ignore the Problem and Keep to Self. Prevalent productive coping strategies included Seek Social Support, Physical Recreation and Seek Relaxing Diversions. The qualitative data not only affirmed the conceptual areas of the ACS for use with adolescents with T1DM, but also highlighted the need to teach coping strategies to adolescents with T1DM to give them an additional skill set to help them better manage the challenges of diabetes.
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- By Rose Teteki Abbey, K. C. Abraham, David Tuesday Adamo, LeRoy H. Aden, Efrain Agosto, Victor Aguilan, Gillian T. W. Ahlgren, Charanjit Kaur AjitSingh, Dorothy B E A Akoto, Giuseppe Alberigo, Daniel E. Albrecht, Ruth Albrecht, Daniel O. Aleshire, Urs Altermatt, Anand Amaladass, Michael Amaladoss, James N. Amanze, Lesley G. Anderson, Thomas C. Anderson, Victor Anderson, Hope S. Antone, María Pilar Aquino, Paula Arai, Victorio Araya Guillén, S. Wesley Ariarajah, Ellen T. Armour, Brett Gregory Armstrong, Atsuhiro Asano, Naim Stifan Ateek, Mahmoud Ayoub, John Alembillah Azumah, Mercedes L. García Bachmann, Irena Backus, J. Wayne Baker, Mieke Bal, Lewis V. Baldwin, William Barbieri, António Barbosa da Silva, David Basinger, Bolaji Olukemi Bateye, Oswald Bayer, Daniel H. Bays, Rosalie Beck, Nancy Elizabeth Bedford, Guy-Thomas Bedouelle, Chorbishop Seely Beggiani, Wolfgang Behringer, Christopher M. Bellitto, Byard Bennett, Harold V. Bennett, Teresa Berger, Miguel A. Bernad, Henley Bernard, Alan E. Bernstein, Jon L. Berquist, Johannes Beutler, Ana María Bidegain, Matthew P. Binkewicz, Jennifer Bird, Joseph Blenkinsopp, Dmytro Bondarenko, Paulo Bonfatti, Riet en Pim Bons-Storm, Jessica A. Boon, Marcus J. Borg, Mark Bosco, Peter C. Bouteneff, François Bovon, William D. Bowman, Paul S. Boyer, David Brakke, Richard E. Brantley, Marcus Braybrooke, Ian Breward, Ênio José da Costa Brito, Jewel Spears Brooker, Johannes Brosseder, Nicholas Canfield Read Brown, Robert F. Brown, Pamela K. Brubaker, Walter Brueggemann, Bishop Colin O. Buchanan, Stanley M. Burgess, Amy Nelson Burnett, J. Patout Burns, David B. Burrell, David Buttrick, James P. Byrd, Lavinia Byrne, Gerado Caetano, Marcos Caldas, Alkiviadis Calivas, William J. Callahan, Salvatore Calomino, Euan K. Cameron, William S. Campbell, Marcelo Ayres Camurça, Daniel F. Caner, Paul E. Capetz, Carlos F. Cardoza-Orlandi, Patrick W. Carey, Barbara Carvill, Hal Cauthron, Subhadra Mitra Channa, Mark D. 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- Edited by Daniel Patte, Vanderbilt University, Tennessee
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- The Cambridge Dictionary of Christianity
- Published online:
- 05 August 2012
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- 20 September 2010, pp xi-xliv
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2 - Molecular genetics of gonad development
- from Part I - Normal development
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- By Andrew Sinclair, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia, Fergus Cameron, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia
- Edited by Adam H. Balen, Sarah M. Creighton, Melanie C. Davies, University College London, Jane MacDougall, Richard Stanhope
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- Book:
- Paediatric and Adolescent Gynaecology
- Published online:
- 04 May 2010
- Print publication:
- 01 April 2004, pp 9-21
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Summary
Introduction
Sex determination involves the commitment of the embryo to follow either a male or female developmental pathway. The key step in this process is the development of the undifferentiated embryonic gonads into either testes or ovaries. In humans, sex is determined at the moment of fertilization by the constitution of the sex chromosomes. Two X chromosomes result in ovaries and a female phenotype while an X and Y constitution produces testes and male development.
It has been known for some time that the Y chromosome carries a dominant testis-determining gene, which causes the undifferentiated embryonic gonad to develop as a testis. The masculinizing effect of the testis results from the secretion of the hormones testosterone and anti-Müllerian hormone (AMH; also known as Müllerian inhibitory substance, MIS). AMH causes regression of the embryonic female Müllerian ducts. In the absence of the Y chromosome (and absence of the testis-determining gene), ovaries will develop. Interestingly, female development will still occur in the absence of ovaries or their hormonal products. Consequently, the decisive event in sex determination is whether or not a testis develops. In humans and other mammals, sex determination can be equated with testis determination.
This chapter describes what we know of the genes that control human gonad development and how alterations in these genes can cause sex-reversed phenotypes. The Y-linked testis-determining gene SRY and others in this complex developmental network, such as SOX9, WT1, SF1, DAX1 and DMRT1, are discussed.
1 - Embryology of the female genital tract
- from Part I - Normal development
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- By Fergus Cameron, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia, Craig Smith, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia
- Edited by Adam H. Balen, Sarah M. Creighton, Melanie C. Davies, University College London, Jane MacDougall, Richard Stanhope
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- Paediatric and Adolescent Gynaecology
- Published online:
- 04 May 2010
- Print publication:
- 01 April 2004, pp 3-8
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Summary
Introduction
Regardless of their sex, all human embryos initially develop a common set of genital structures. A pair of primordial gonads, the genital ridges, appear in both males and females during the sixth week of embryonic life. Two associated ducts develop, the Müllerian and Wollfian ducts, while presumptive external genitalia appear as folds of cloacal tissue. The fate of these undifferentiated internal and external structures depends upon the genetic sex of the embryo. In individuals with an XY sex chromosome constitution, the genital ridges become testes. Hormones released from the developing testes masculinize the internal ducts and external genitalia. Sertoli cells of the fetal testes synthesize anti-Müllerian Hormone (AMH; also known as Müllerian inhibitory substance), which induces Müllerian duct regression. Meanwhile, testosterone secretion from Leydig cells induces Wolffian duct differentiation into vas deferens, and virilization of the external genitalia into penis and scrotum. Testis differentiation is initiated by the SRY gene (sex-determining region of the Y chromosome). In individuals with an XX sex chromosome constitution, SRY is absent and the genital ridges differentiate as ovaries rather than testes. Furthermore, in the absence of AMH and testosterone, the ducts follow alternative developmental paths. In the absence of AMH, the Müllerian ducts are free to differentiate into the Fallopian tubes, uterus and upper portion of the vagina. In the absence of testosterone, the Wolffian ducts regress. The external genitalia of female embryos differentiate into clitoris and labia.