Randomized, controlled trial of behavior therapy for families of adolescents with insulin-dependent diabetes mellitus

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

Research output: Contribution to journalArticle

197 Scopus citations

Abstract

Objective: To describe the short-term results of a controlled trial of Behavioral Family Systems Therapy (BFST) for families of adolescents with diabetes. Methods: We randomized 119 families of adolescents with diabetes to 3 months' treatment with either BFST, an education and support Group (ES), or current therapy (CT). Family relationships, psychological adjustment to diabetes, treatment adherence and diabetic control were assessed at baseline, after 3 months of treatment (reported here), and 6 and 12 months later. Results: Compared with CT and ES, BFST yielded more improvement in parent-adolescent relations and reduced diabetes-specific conflict. Effects on psychological adjustment to diabetes and diabetic control were less robust and depended on the adolescent's age and gender. There were no effects on treatment adherence. Conclusions: BFST yielded some improvement in parent-adolescent relationships; its effects on diabetes outcomes depended on the adolescent's age and gender. Factors mediating the effectiveness of BFST must be clarified.

Original languageEnglish (US)
Pages (from-to)23-33
Number of pages11
JournalJournal of pediatric psychology
Volume25
Issue number1
DOIs
StatePublished - 2000

Keywords

  • Adolescents
  • Behavior therapy
  • Diabetes
  • Family therapy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

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