Journal of Pediatric Psychology 22(4) pp. 541-561, 1997
© 1997 Society of Pediatric Psychology
research-article |
Problem Solving and Diabetes Regiman Adherence by Children and Adolescents with IDDM in Social Pressure Situations: A Reflection of Normal Development1
Bentley College, University of Missouri-Columbia
2All correspondence should be sent to Ann Muir Thomas, Department of Behavioral Sciences, Bentley College, Waltham, Massachusetts 02154
Investigated problem-solving ability and reported regimen adherence among children, early adolescents, and middle adolescents with IDDM in response to hypothetical social situations where a choice between diabetes regimen adherence and peer desires must be made. Sixty–seven 8–to 17–year-olds with IDDM from two distinct U.S. geographical areas participated. Results indicated that compared to children with IDDM, adolescents with IDDM had better problem-solving abilities in response to social pressure situations, possibly reflecting their greater cognitive maturity. However, adolescents were also more likely to choose behaviors that are regimen adherent. Differences in levels of problem-solving ability and adherence between the two regional subsamples were also found. Similar developmental petterns weer founde in both groups, showing the robust nature of the observed age-related trent of decreasing adherence in the contxt of normal adolescent development. Result are conceptually important for those interested in the transaction between peer and social influences and adherence for children and adolescents with IDDM, as other health behavoirs
Key words: children/adolescent with IDDM; health behavior; social pressure; adherence.
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