Stress management training for adolescents with diabetes.
Evaluated the effects of stress management training (SMT) for adolescents with diabetes in a 9-month controlled treatment-outcome study. Nine patients were randomly assigned to a stress management group while another 10 patients served as controls and received standard outpatient treatment. The treatment program consisted of 10 sessions over 3 months, 3 additional sessions over 3 months, and a 3-month follow-up without treatment. Diabetes-specific stress decreased significantly for patients in the SMT group over the course of the intervention and follow-up. However, metabolic control, regimen adherence, coping styles, and self-efficacy about diabetes were unchanged. These findings suggest a SMT program for adolescents with diabetes may be helpful in reducing diabetes-specific stress, but additional procedures are necessary to improve adherence, coping styles, and metabolic control.
Boardway
R H
RH
Wayne State University.
Delamater
A M
AM
Tomakowsky
J
J
Gutai
J P
JP
D000223:Adaptation, Psychological; D000293:Adolescent; D001242:Assertiveness; D001521:Behavior Therapy; D001786:Blood Glucose / Q000378:metabolism; D015928:Cognitive Behavioral Therapy; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D010349:Patient Compliance / Q000523:psychology; D012803:Sick Role; D013315:Stress, Psychological / Q000150:complications*
D001786:Blood Glucose