title: Effects of coping skills training in school-age children with type 1 diabetes.
abstract: Children with type 1 diabetes are at risk for negative psychosocial and physiological outcomes, particularly as they enter adolescence. The purpose of this randomized trial (n = 82) was to determine the effects, mediators, and moderators of a coping skills training intervention (n = 53) for school-aged children compared to general diabetes education (n = 29). Both groups improved over time, reporting lower impact of diabetes, better coping with diabetes, better diabetes self-efficacy, fewer depressive symptoms, and less parental control. Treatment modality (pump vs. injections) moderated intervention efficacy on select outcomes. Findings suggest that group-based interventions may be beneficial for this age group.
authors.affiliation: Yale School of Nursing, 100 Church Street South, New Haven, CT 06536-0740, USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: Grey
authors.forename: Robin
authors.initials: R
authors.lastname: Whittemore
authors.forename: Sarah
authors.initials: S
authors.lastname: Jaser
authors.forename: Jodie
authors.initials: J
authors.lastname: Ambrosino
authors.forename: Evie
authors.initials: E
authors.lastname: Lindemann
authors.forename: Lauren
authors.initials: L
authors.lastname: Liberti
authors.forename: Veronika
authors.initials: V
authors.lastname: Northrup
authors.forename: James
authors.initials: J
authors.lastname: Dziura
mesh_terms: D000223:Adaptation, Psychological; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D005195:Family Relations; D005196:Family Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010353:Patient Education as Topic / Q000379:methods*; D011788:Quality of Life; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D016037:Single-Blind Method