Journal of Pediatric Psychology 15(4) pp. 511-526, 1990
© 1990 Society of Pediatric Psychology
other |
Adherence Among Children and Adolescents With Insulin-Dependent Diabetes Mellitus Over a Four-Year Longitudinal Foliow-Up: I. The Influence of Patient Coping and Adjustment1
Harvard Medical School, Tufts University, Private Practice
2All correspondence should be sent to Alan M. Jacobson at the Joslin Diabetes Center, One Joslin Place, Boston, Massachusetts 02215
An onset cohort of adolescents and children with insulin-dependent diabetes mellitus was studied over a 4-year period. Individual patient psychosocial and demographic factors were assessed at study inception and used to examine aspects of adherence over the follow-up. We found that initial assessment of patient coping (defense level, adaptive strength, and locus of control) and adjustment at study inception were predictive of the level of patient adherence to diabetic regimen over the 4 years of study. Psychosocial variables predicted adherence outcomes independent of patient age. This was found for three domains of adherence, i.e., diet, insulin adjustment, and metabolic monitoring, and for the composite index derived from the separate adherence scales. Preadolescents (ages 9–12) at study entry were more adherent than patients who were already adolescent (ages 13–16) when diagnosed. Using multiple regression, three factors (age, adjustment, ego defense level) accounted for 47% of the variance in adherence. No factors were predictive of change in adherence during the follow-up. Thus, psychosocial characteristics of diabetic children assessed shortly after diagnosis predicted typical or average adherence over a 4-year period. Identification of such characteristics may be useful in developing strategies for intervention early in the course of illness.
Key words: diabetes, coping; adjustment; adherence.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  V. S. Helgeson, L. Siminerio, O. Escobar, and D. Becker Predictors of Metabolic Control among Adolescents with Diabetes: A 4-Year Longitudinal Study J. Pediatr. Psychol., July 30, 2008; (2008) jsn079v1. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. S. Aylward, M. C. Roberts, J. Colombo, and R. G. Steele Identifying the Classics: An Examination of Articles Published in the Journal of Pediatric Psychology from 1976-2006 J. Pediatr. Psychol., July 1, 2008; 33(6): 576 - 589. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. de Beaufort and P. Swift Support for young people with diabetes BMJ, July 8, 2006; 333(7558): 55 - 56. [Full Text] [PDF]
|
|
|
|
 |
|
 E. L. O'hea, K. B. Grothe, J. S. Bodenlos, E. D. Boudreaux, M. A. White, and P. J. Brantley Predicting Medical Regimen Adherence: The Interactions of Health Locus of Control Beliefs J Health Psychol, September 1, 2005; 10(5): 705 - 717. [Abstract] [PDF]
|
|
|
|
 |
|
 M. Bishop Quality of Life and Psychosocial Adaptation to Chronic Illness and Disability: Preliminary Analysis of a Conceptual and Theoretical Synthesis Rehabil Couns Bull, July 1, 2005; 48(4): 219 - 231. [Abstract] [PDF]
|
|
|
|
|
|
D. J. Wiebe, C. A. Berg, C. Korbel, D. L. Palmer, R. M. Beveridge, R. Upchurch, R. Lindsay, M. T. Swinyard, and D. L. Donaldson Children's Appraisals of Maternal Involvement in Coping With Diabetes: Enhancing Our Understanding of Adherence, Metabolic Control, and Quality of Life Across Adolescence J. Pediatr. Psychol., March 1, 2005; 30(2): 167 - 178. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. K. Hood, D. A. Butler, L. K. Volkening, B. J. Anderson, and L. M.B. Laffel The Blood Glucose Monitoring Communication Questionnaire: An instrument to measure affect specific to blood glucose monitoring Diabetes Care, November 1, 2004; 27(11): 2610 - 2615. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Graue, T. Wentzel-Larsen, E. Bru, B. R. Hanestad, and O. Sovik The Coping Styles of Adolescents With Type 1 Diabetes Are Associated With Degree of Metabolic Control Diabetes Care, June 1, 2004; 27(6): 1313 - 1317. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. De Civita and P. L. Dobkin Pediatric Adherence as a Multidimensional and Dynamic Construct, Involving a Triadic Partnership J. Pediatr. Psychol., April 1, 2004; 29(3): 157 - 169. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. E. Mellin, D. Neumark-Sztainer, and J. M. Patterson Parenting Adolescent Girls with Type 1 Diabetes: Parents' Perspectives J. Pediatr. Psychol., April 1, 2004; 29(3): 221 - 230. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. J. Anderson Family Conflict and Diabetes Management in Youth: Clinical Lessons From Child Development and Diabetes Research Diabetes Spectr, January 1, 2004; 17(1): 22 - 26. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. M.B. Laffel, A. Connell, L. Vangsness, A. Goebel-Fabbri, A. Mansfield, and B. J. Anderson General Quality of Life in Youth With Type 1 Diabetes: Relationship to patient management and diabetes-specific family conflict Diabetes Care, November 1, 2003; 26(11): 3067 - 3073. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. M. Stewart, P. W. H. Lee, D. Waller, C. W. Hughes, L. C. K. Low, B. D. Kennard, A. Cheng, and K.-F. Huen A Follow-Up Study of Adherence and Glycemic Control Among Hong Kong Youths With Diabetes J. Pediatr. Psychol., January 1, 2003; 28(1): 67 - 79. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. B. Johnson and L. J. Meltzer Disentangling the Effects of Current Age, Onset Age, and Disease Duration: Parent and Child Attitudes Toward Diabetes as an Exemplar J. Pediatr. Psychol., January 1, 2002; 27(1): 77 - 86. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. S. Stewart Review : Adherence to health advice amongst young people with chronic illness J Child Health Care, December 1, 2001; 5(4): 155 - 162. [Abstract] [PDF]
|
|
|
|
|
|
H. Livneh Psychosocial Adaptation to Chronic Illness and Disability: A Conceptual Framework Rehabil Couns Bull, April 1, 2001; 44(3): 151 - 160. [Abstract] [PDF]
|
|
|
|
 |
|
 K. M. Hanna and D. W. Guthrle Health-Compromising Behavior and Diabetes Mismanagement Among Adolescents and Young Adults With Diabetes The Diabetes Educator, March 1, 2001; 27(2): 223 - 230. [Abstract] [PDF]
|
|
|
|
 |
|
 R. J. Shaw Treatment Adherence in Adolescents: Development and Psychopathology Clinical Child Psychology and Psychiatry, January 1, 2001; 6(1): 137 - 150. [Abstract] [PDF]
|
|
|
|
|
|
A. A. Hains, W. H. Davies, E. Parton, and A. H. Silverman Brief Report: A Cognitive Behavioral Intervention for Distressed Adolescents With Type I Diabetes J. Pediatr. Psychol., January 1, 2001; 26(1): 61 - 66. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Anderson and J. A. Collier Managing Very Poor Adherence to Medication in Children and Adolescents: An Inpatient Intervention Clinical Child Psychology and Psychiatry, July 1, 1999; 4(3): 393 - 402. [Abstract] [PDF]
|
|
|
|
|
|
K. M. Hanna and D. W. Outhrle Involvement in Health Behaviors Among Youth With Diabetes The Diabetes Educator, March 1, 1999; 25(2): 211 - 219. [Abstract] [PDF]
|
|
|
|
|
|
D. A. Standiford, A. M. Turner, S. R. Allen, D. J. Drozda, and G. C. McCain Personal Illness Models of Diabetes: Preadolescents and Adolescents The Diabetes Educator, January 1, 1997; 23(2): 147 - 151. [PDF]
|
|
|
|
|
|
D. J. Drozda, S. R. Allen, D. A. Standiford, A. M. Turner, and G. C. McCain Personal Illness Models of Diabetes: Parents of Preadolescents and Adolescents The Diabetes Educator, January 1, 1997; 23(5): 550 - 557. [PDF]
|
|
|
|
|
|
E. A. Boland and M. Grey Coping Strategies of School-Age Children With Diabetes Mellitus The Diabetes Educator, January 1, 1996; 22(6): 592 - 597. [PDF]
|
|
|
|
|
|
J. McKelvey, D. A. Waller, A. J. North, J. F. Marks, B. Schreiner, L. B. Travis, and Jayn. Murphy Reliability and Validity of the Diabetes Family Behavior Scale (DFBS) The Diabetes Educator, January 1, 1993; 19(2): 125 - 132. [PDF]
|
|
|
|
|
|
K. E. Smith, B. Schreiner, C. Jackson, and L. B. Travis Teaching Assertive Communication Skills to Adolescents with Diabetes: Evaluation of a Camp Curriculuxn The Diabetes Educator, January 1, 1993; 19(2): 136 - 141. [PDF]
|
|