Behavior therapy for families of adolescents with diabetes: Effects on directly observed family interactions

Tim Wysocki, Kathryn M. Miller, Peggy Greco, Michael A. Harris, Linda M. Harvey, Alexandra Taylor, Caroline Elder Danda, Kelly McDonell, Neil H. White

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Abstract

This paper reports the effects of Behavioral Family Systems Therapy (BFST) on directly observed interactions between parents and 119 adolescents with diabetes. Families received 3 months' treatment with BFST, an Education and Support Group (ES) or Current Therapy (CT). Multimodal assessments at baseline, posttreatment, and 6- and 12-month follow-ups included tape- recorded family problem-solving discussions scored with the Interaction Behavior Code. Compared with CT and ES, BFST yielded more improvement in family communication and problem-solving skills. Improvements in individual family members' communication were correlated with other improvements in family relationships and adaptation to diabetes, but not with changes in diabetic control. Increased positive and decreased negative reciprocity in family communication and improved family problem solving were associated with improved treatment adherence and adolescent adjustment to IDDM, but not with improved diabetic control.

Original languageEnglish (US)
Pages (from-to)507-525
Number of pages19
JournalBehavior Therapy
Volume30
Issue number3
DOIs
StatePublished - Jan 1 1999

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ASJC Scopus subject areas

  • Clinical Psychology

Cite this

Wysocki, T., Miller, K. M., Greco, P., Harris, M. A., Harvey, L. M., Taylor, A., Danda, C. E., McDonell, K., & White, N. H. (1999). Behavior therapy for families of adolescents with diabetes: Effects on directly observed family interactions. Behavior Therapy, 30(3), 507-525. https://doi.org/10.1016/S0005-7894(99)80022-7