title: [Poor adherence in chronic conditions during adolescence: understand in order to act].
abstract: Poor adherence is a concern for every health professionals taking care of chronic conditions patients. That kind of trouble appears especially during adolescence for various reasons we need to understand: rebellion, consciousness of disease, depression... Parents must be included in this analysis, because they are very concerned by the illness experience of their children, from the announcement until the autonomy. The medical staff also deals with this process. There are many solutions, often complex (medical, educative, psychosocial) to improve adherence, but their effectiveness is hard to show on a long-term basis. We describe in this article the holding of young patients during adolescence and the adjustements in order to help them accomplishing their usual adolescent development and the needs of life with chronic disease.
authors.affiliation: Equipe de médecine pour adolescents, hôpital Robert-Debré, 48, boulevard Sérrurier, 75019 Paris, France. jacquin.paul@wanadoo.fr
authors.forename: P
authors.initials: P
authors.lastname: Jacquin
authors.forename: M
authors.initials: M
authors.lastname: Levine
mesh_terms: D000293:Adolescent; D002908:Chronic Disease; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D010290:Parents; D000297:Psychology, Adolescent; D012959:Socioeconomic Factors
vernacular_title: Difficultés d'observance dans les maladies chroniques à l'adolescence: comprendre pour agir.