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Cited by 503

The DOI matches its Crossref record; 23 of the 23 references it cites were found in a registry or an index.

Coping skills training for youth with diabetes mellitus has long-lasting effects on metabolic control and quality of life

Grey, Margaret, Boland, Elizabeth A., Davidson, Maryanne, Li, Ju, Tamborlane, William V.·2000·The Journal of Pediatrics
DOI 10.1067/mpd.2000.106568
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Abstract

OBJECTIVE To determine whether initial effects on metabolic control and quality of life associated with a behavioral intervention combined with intensive diabetes management (IDM) can be sustained over 1 year in youth implementing intensive therapy regimens. STUDY DESIGN Seventy-seven patients (43 females, 95% white) 12 to 20 years (mean = 14.2 +/- 1.9; duration, 8.7 +/- 3.9) electing to initiate IDM were randomly assigned to one of two groups: with or without coping skills training (CST), which consists of 6 small group sessions and monthly follow-up to help youth cope with their lives in the context of diabetes management; skills included social problem solving, cognitive behavior modification, and conflict resolution. Data were collected before the intervention and at 3, 6, and 12 months after the intervention by using the Self-Efficacy for Diabetes Scale, Children's Depression Inventory, Issues in Coping with IDDM, and the Diabetes Quality of Life: Youth scales. Clinical data (glycosylated hemoglobin level, height, weight, adverse effects) were collected monthly. RESULTS The CST and IDM groups were comparable at baseline. CST subjects had lower glycosylated hemoglobin (P =.001) and better diabetes (P =.002) and medical (P =. 04) self-efficacy, and less impact of diabetes on their quality of life (P =.005) than youth receiving IDM alone after 1 year. In males, CST did not affect adverse outcomes of IDM hypoglycemia, diabetic ketoacidosis, and weight gain, but CST decreased the incidence of weight gain (P =.05) and hypoglycemia in females (P =.03). CONCLUSIONS The addition of behavioral intervention to IDM in adolescence results in improved metabolic control and quality of life over 1 year.

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Metadata

Authors
Grey, M., Boland, E. A., Davidson, M., Li, J., & Tamborlane, W. V.
Venue
The Journal of Pediatrics
Publisher
Elsevier BV
Published
2000-07
Volume
137
Issue
1
Pages
107-113
ISSN
0022-3476 (ISSN-L)
DOI
10.1067/mpd.2000.106568
OpenAlex
W2045485213
Cited by
503
References
23
FWCI
8.72
Type
journal article
Language
en
Open access
closed

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