title: Group psychotherapy in the treatment of adolescent and preadolescent military dependents with recurrent diabetic ketoacidosis.
abstract: The adolescent military dependent with recurrent diabetic ketoacidosis (DKA) is a difficult management problem. Career relocations and an absentee sponsor frequently preclude family-oriented interventions. We recently treated four patients with recurrent DKA who had failed to improve following intensive medical and educational programs. They were enrolled into weekly outpatient group psychotherapy in addition to routine medical management. Three out of the four patients improved in compliance and had a decrease in the frequency or severity of DKA. This approach may be effective when individual psychotherapy or lengthy hospitalization are either too far removed or too costly.
authors.affiliation: Department of Pediatrics, Eisenhower Army Medical Center, Ft. Gordon, Georgia.
authors.forename: G L
authors.initials: GL
authors.lastname: Francis
authors.forename: D
authors.initials: D
authors.lastname: Grogan
authors.forename: L
authors.initials: L
authors.lastname: Hardy
authors.forename: P S
authors.initials: PS
authors.lastname: Jensen
authors.forename: S N
authors.initials: SN
authors.lastname: Xenakis
authors.forename: H
authors.initials: H
authors.lastname: Kearney
mesh_terms: D000293:Adolescent; D002648:Child; D016883:Diabetic Ketoacidosis / Q000517:prevention & control / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008887:Military Medicine; D010349:Patient Compliance; D011615:Psychotherapy, Group; D012008:Recurrence