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Journal of Pediatric Psychology, Vol. 26, No. 1, 2001, pp. 61-66
© 2001 Society of Pediatric Psychology

Brief Report: A Cognitive Behavioral Intervention for Distressed Adolescents With Type I Diabetes

Anthony A. Hains, PhD1, W. Hobart Davies, PhD1,2, Elaine Parton, RN, MA, CPNP3 and Alan H. Silverman, MA1

1 University of Wisconsin-Milwaukee, 2 Children's Hospital of Wisconsin, 3 Medical College of Wisconsin

All correspondence should be sent to Anthony Hains, Department of Educational Psychology, P.O. Box 413, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin 53201. E-mail: aahains{at}uwm.edu .

Objective: To examine the impact of a cognitive behavioral intervention for distressed adolescents with Type I diabetes.

Methods: Six youths with elevated levels of anxiety, anger, or diabetes stress received training in cognitive restructuring and problem solving in individual sessions. A multiple baseline design across participants was used. Treatment effectiveness was assessed through measures of anxiety, anger expression, and diabetes stress.

Results: Four youths displayed some improvement on one or more variables for which they had elevated levels during baseline, while others showed no impact.

Conclusions: Cognitive behavioral interventions show some promise for distressed youths with Type I diabetes. Individual youths responded to treatment differently. Further research is needed in developing procedures to better meet the needs of youths, improve youth participation, and enhance treatment effectiveness.

Key words: cognitive behavioral interventions; Type I diabetes.


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