title: Medical compliance and coping with cystic fibrosis.
abstract: This investigation evaluated the utility of a new assessment tool based on a competency/coping skills model in predicting medical compliance of adolescents with cystic fibrosis. The Medical Compliance Incomplete Stories Test (M-CIST) and an assessment of several coping behaviors identified as assisting chronically ill children in their adaptation were used with 40 adolescent inpatients aged 13-23. These data were compared to objective measures of the patient's medical compliance. The total M-CIST score was shown to be positively correlated with compliance and to significantly discriminate between compliant and non-compliant groups. Although the assessment of coping behaviors also discriminates significantly between the two groups, it provided no additional power when used in common with the M-CIST. The data identified differences in coping behaviors between compliant and non-compliant patients which may prove useful to clinicians treating adolescents with cystic fibrosis.
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003550:Cystic Fibrosis / Q000523:psychology* / Q000628:therapy; D005191:Family Characteristics; D005260:Female; D006040:Goals; D006801:Humans; D008297:Male; D010349:Patient Compliance; D012737:Sex Factors; D012917:Social Adjustment