Affiliation:
1. Division of Psychology and Psychiatry, Nemours Children’s Clinic
2. Washington University School of Medicine
3. St. Louis Children’s Hospital, St. Louis, Missouri
Abstract
OBJECTIVE—This study reports 6- and 12-month follow-up for the families of adolescents with diabetes who participated in a trial of Behavioral–Family Systems Therapy (BFST).
RESEARCH DESIGN AND METHODS—A total of 119 families of adolescents with type 1 diabetes were randomized to 3 months of treatment with either BFST, an education and support (ES) group, or current therapy (CT). Family relationships, adjustment to diabetes, treatment adherence, and diabetic control were assessed at baseline, after 3 months of treatment, and 6 and 12 months later. This report focuses on the latter two evaluations.
RESULTS—Compared with CT and ES, BFST yielded lasting improvements in parent-adolescent relationships and diabetes-specific conflict. Delayed effects on treatment adherence emerged at 6- and 12-month follow-ups. There were no immediate or delayed effects on adolescents’ adjustment to diabetes or diabetic control.
CONCLUSIONS—BFST yielded lasting improvement in parent-adolescent relationships and delayed improvement in treatment adherence, but it had no effect on adjustment to diabetes or diabetic control. A variety of adaptations to BFST could enhance its impact on diabetes outcomes.
Publisher
American Diabetes Association
Subject
Advanced and Specialized Nursing,Endocrinology, Diabetes and Metabolism,Internal Medicine
Reference29 articles.
1. Diabetes Control and Complications Trial Research Group: Effect of intensive treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus. J Pediatr 125:177–188, 1994
2. Lorenz RA, Wysocki T: From research to practice: the family and childhood diabetes. Diabetes Spectrum 4:261–292, 1991
3. Gustafsson P, Cederblad M, Ludvigsson J, Lundin B: Family interaction and metabolic balance in juvenile diabetes mellitus: a prospective study. Diabetes Res Clin Pract 4:7–14, 1987
4. Hauser ST, Jacobson AM, Lavori P, Wolfsdorf JI, Herskowitz RD, Milley JE, Wertlieb D: Adherence among children and adolescents with insulin-dependent diabetes mellitus over a 4-year follow-up. II: Immediate and long term linkages with the family milieu. J Pediatr Psychol 15:527–542, 1990
5. Koski M, Ahlas A, Kumento A: A psychosomatic follow-up study of juvenile diabetics. Acta Paedopsych 42:12–25, 1976
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