title: Brief report: a cognitive behavioral intervention for distressed adolescents with type I diabetes.
abstract: OBJECTIVE
  To examine the impact of a cognitive behavioral intervention for distressed adolescents with Type I diabetes.
  
  
  METHODS
  Six youths with elevated levels of anxiety, anger, or diabetes stress received training in cognitive restructuring and problem solving in individual sessions. A multiple baseline design across participants was used. Treatment effectiveness was assessed through measures of anxiety, anger expression, and diabetes stress.
  
  
  RESULTS
  Four youths displayed some improvement on one or more variables for which they had elevated levels during baseline, while others showed no impact.
  
  
  CONCLUSIONS
  Cognitive behavioral interventions show some promise for distressed youths with Type I diabetes. Individual youths responded to treatment differently. Further research is needed in developing procedures to better meet the needs of youths, improve youth participation, and enhance treatment effectiveness.
authors.affiliation: Department of Educational Psychology, University of Wisconsin-Milwaukee. WI 53201, USA. aahains@uwm.edu
authors.forename: A A
authors.initials: AA
authors.lastname: Hains
authors.forename: W H
authors.initials: WH
authors.lastname: Davies
authors.forename: E
authors.initials: E
authors.lastname: Parton
authors.forename: A H
authors.initials: AH
authors.lastname: Silverman
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D015928:Cognitive Behavioral Therapy; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D010865:Pilot Projects; D013315:Stress, Psychological / Q000209:etiology / Q000628:therapy*