Journal ArticleDOI
Crisis intervention program in newly diagnosed diabetic children.
TLDR
It is suggested that the initial period after diagnosis of diabetes in a child should be considered a period of crisis, requiring special muitidisciplinary services to reduce future psychosocial maladjustments and improve compliance.Abstract:
A group of 223 insulin-dependent diabetic patients, aged 7–24 yr, who had been under the regular care of our clinic up to 15 yr, were rated by two independent judges on a two-level scale of adjustment and maladjustment. The patients were divided into two groups. Group A (N = 107) comprised those who had been under care from diagnosis of the disease and had been subjected to the special crisis intervention program offered to every family upon referral of a newly diagnosed patient. Group B (N = 116) comprised patients who were diagnosed and treated initially in a clinic that had no crisis intervention program. Significant differences between the two groups were found in respect to three of the four aspects studied, i.e., compliance, familial relationships, and sociability, with group A showing a better adjustment than group B. There was no significant difference in the fourth aspect studied, i.e., school achievement and work performance. It was found that it took three times the effort, i.e., the time invested in counseling and psychotherapeutic measures, to bring group B to a good level of adjustment than it did to achieve similar results with group A. It is suggested that the initial period after diagnosis of diabetes in a child should be considered a period of crisis, requiring special muitidisciplinary services to reduce future psychosocial maladjustments and improve compliance.read more
Citations
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Journal ArticleDOI
Effectiveness of Interventions to Improve Patient Compliance a Meta-Analysis
Debra L. Roter,Judith A. Hall,Rolande Merisca,Beth L. Nordstrom,Deborah Cretin,Bonnie L. Svarstad +5 more
TL;DR: Comprehensive interventions combining cognitive, behavioral, and affective components were more effective than single-focus interventions and improved health outcomes and utilization.
Journal ArticleDOI
Meta-analysis of the effects of educational and psychosocial interventions on management of diabetes mellitus.
TL;DR: A meta-analysis of the literature of controlled studies of educational and psychosocial interventions in the treatment of diabetes mellitus yielded 93 studies of 7451 patients testing the effects of eight intervention types, finding diet instruction and social learning interventions showed the strongest and weakest effects.
Journal ArticleDOI
Effects of educational and psychosocial interventions for adolescents with diabetes mellitus: a systematic review.
Sarah E. Hampson,Timothy Skinner,Jo Hart,L Storey,Heather Gage,David R. Foxcroft,Alan Kimber,Karen L. Shaw,J Walker +8 more
TL;DR: This paper examined the effectiveness of educational and psychosocial interventions for adolescents with type 1 diabetes designed to improve their diabetes management, concluding that these interventions have small to medium beneficial effects on diabetes management outcomes.
Journal ArticleDOI
Meta-Analysis of Psychological Interventions to Promote Adherence to Treatment in Pediatric Chronic Health Conditions
TL;DR: Behavioral and multi-component interventions appear to be relatively potent in promoting adherence among chronically ill youth.
Journal ArticleDOI
Review of Adherence-Related Issues in Adolescents and Young Adults With Cancer
TL;DR: Overall, the evidence base for adherence and strategies to promote it in AYAs with cancer is woefully lacking and there is a need for high-quality studies that target clinically important questions, randomized controlled trials of theoretically based interventions, and development and evaluation of training programs for oncology staff in the special issues faced by AY as with cancer.
References
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Journal ArticleDOI
Psychiatric Status of Diabetic Youth Matched with a Control Group
TL;DR: The study seemed to indicate that there was no need to worry about the negative emotional effects of a structured medical regimen for diabetes, as the good-control diabetic group seemed to be in the best mental health, and their families were less prone to divorce.
Journal ArticleDOI
Psychological aspects of diabetes mellitus: a critical review.
Stuart T. Hauser,Daniel Pollets +1 more
TL;DR: In this review, there have been an increasing number of studies concerning psychological aspects of diabetes mellitus, and specific issues that concern research designs and conflicting findings are focused on.
Journal ArticleDOI
Adjustment problems of juvenile diabetes
Charles R. Swift,Frances Seidman +1 more
TL;DR: In this paper, a comparative and correlational study was made of 50 juvenile diabetics and 50 individually matched controls, where they were evaluated with psychiatric interview, psychological testing, interviews in home with parents, and medical rating of diabetic control.
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A Multidisciplinary, Comprehensive, Ambulatory Treatment Scheme for Diabetes Mellitus in Children
TL;DR: It is concluded that psychological stability is a basic factor in the control of diabetes, and the value of the multidisciplinary approach in the treatment of this chronic disease is indicated.
Journal ArticleDOI
Juvenile Diabetes and Its Management: Family, Social, and Academic Implications
TL;DR: Many of the children and their parents lacked knowledge of the fundamental principles of the disease, suggesting that the physician should take a more aggressive role in the supervision and teaching of the young diabetic and his family.