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Journal of Pediatric Psychology Advance Access originally published online on March 1, 2006
Journal of Pediatric Psychology 2006 31(9):939-944; doi:10.1093/jpepsy/jsj105
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Commentary: Revising Behavioral Family Systems Therapy to Enhance Treatment Adherence and Metabolic Control in Adolescents with Type 1 Diabetes

Dennis Drotar, PhD

Rainbow Babies and Children’s Hospital, Case Western Reserve University School of Medicine

All correspondence concerning this article should be addressed to Dennis Drotar, 11100 Euclid Avenue, Mather 230, Cleveland, Ohio 44106-6038. Email: dxd3@case.edu.

Received January 23, 2006; revision received January 28, 2006; accepted February 6, 2006

The first 150 words of the full text of this article appear below.


   Rationale for Intervention Approach
 
The quality of family relationships, which can influence critical outcomes such as adherence to medical treatment and medical management for pediatric chronic illness, is an important target of psychological interventions (Drotar, 2005Go; Fiese, 2005Go). In a series of studies, Wysocki and colleagues found that Behavioral Family Systems Therapy (BFST; Robin & Foster, 1989Go) can enhance family communication for adolescents with type 1 diabetes (Wysocki et al., 1997Go, 1999Go, 2000Go; Wysocki, Greco, Harris, Bubb, & White, 2001Go). On the other hand, BFST did not enhance treatment adherence or glycemic control, which is a critical health outcome that affects the rate of onset of diabetes-related complications (DCCT Research Group, 1994Go). The previous failure of BFST to demonstrate a significant impact on diabetes-related treatment adherence in the context of a randomized controlled trial (RCT) stimulated Wysocki and colleagues’ most recent intervention research that is reported . . . [Full Text of this Article]


   Contribution of the Study
 

   Strengths of the Study
 

   Challenges and Unanswered Questions
 

   Implications and Future Directions
 

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