Journal of Pediatric Psychology, Vol. 25, No. 1, 2000, pp. 23-33
© 2000 Society of Pediatric Psychology
Randomized, Controlled Trial of Behavior Therapy for Families of Adolescents With Insulin-Dependent Diabetes Mellitus
1 Nemours Children's Clinic, 2 University of Florida, 3 Washington University School of Medicine, 4 St. Louis Children's Hospital
All correspondence should be sent to Tim Wysocki, Nemours Children's Clinic, 807 Nira Street, Jacksonville, Florida 32207. E-mail: twysocki{at}nemours.org .
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.
Key words: behavior therapy; family therapy; adolescents; diabetes.
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