Journal of Pediatric Psychology 18(1) pp. 29-45, 1993
© 1993 Society of Pediatric Psychology
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Stress Management Training for Adolescents with Diabetes1
Wayne State University, University of Miami School of Medicine, Wayne State University, Wayne State University School of Medicine
2All correspondence should be sent to Alan M. Delamater, Mailman Center for Child Development (D-820), P.O. Box 016820, University of Miami School of Medicine, Miami, Florida 33101
Evaluated the effects of stress management training (SMT) for adolescents with diabetes in a 9-month controlled treatment-outcome study. Nine patients were randomly assigned to a stress management group while another 10 patients served as controls and received standard outpatient treatment. The treatment program consisted of 10 sessions over 3 months, 3 additional sessions over 3 months, and a 3-month follow-up without treatment. Diabetes-specific stress decreased significantly for patients in the SMT group over the course of the intervention and follow-up. However, metabolic control, regimen adherence, coping styles, and self-efficacy about diabetes were unchanged. These findings suggest a SMT program for adolescents with diabetes may be helpful in reducing diabetes-specific stress, but additional procedures are necessary to improve adherence, coping styles, and metabolic control.
Key words: diabetes; adolescents; stress management.
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