title: A stress management intervention for adolescents with type 1 diabetes.
abstract: The purpose of this project was to examine the effectiveness of a stress management training program in helping adolescents with diabetes cope with stress.
  
  
  
  Youths who displayed evidence of metabolic control problems received training in the use of both cognitive-restructuring and problem-solving strategies. Treatment impact was assessed on measures of coping, anxiety level, diabetes-specific stress, and metabolic control.
  
  
  
  Analyses of covariance showed no differences between the training group and a control group at posttest and follow-up. However, the small sample size and within-group variability may have precluded finding significant results. Therefore, within-group comparisons were conducted, and improvements were found in the training group on pretest to posttest and pretest to follow-up comparisons for anxiety, stress, and coping measures. No differences were found in the control group.
  
  
  
  Results suggest that the intervention had some positive impact, although this interpretation must be considered preliminary. Future research should replicate this study and explore the applicability and effectiveness of this intervention in specific populations.
authors.affiliation: The Department of Educational Psy­chology, University of Wisconsin-Milwaukee (Dr Hains)
authors.forename: A A
authors.initials: AA
authors.lastname: Hains
authors.affiliation: The Department of Psychology, University of Wisconsin-Milwaukee (Dr Davies)
authors.forename: W H
authors.initials: WH
authors.lastname: Davies
authors.affiliation: The Department of Pediatrics, Medical College of Wisconsin, Milwaukee (Ms Parton)
authors.forename: E
authors.initials: E
authors.lastname: Parton
authors.affiliation: The Children's Hospital of Wisconsin, Mil­waukee (Mss Totka and Amoroso­ Camarata)
authors.forename: J
authors.initials: J
authors.lastname: Totka
authors.affiliation: The Children's Hospital of Wisconsin, Mil­waukee (Mss Totka and Amoroso­ Camarata)
authors.forename: J
authors.initials: J
authors.lastname: Amoroso-Camarata
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000704:Analysis of Variance; D015928:Cognitive Behavioral Therapy / Q000193:education / Q000379:methods*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000378:metabolism / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010353:Patient Education as Topic / Q000379:methods*; D011340:Problem Solving; D015397:Program Evaluation; D000297:Psychology, Adolescent; D013315:Stress, Psychological / Q000517:prevention & control* / Q000523:psychology