Adherence among children and adolescents with insulin-dependent diabetes mellitus over a four-year longitudinal follow-up: II. Immediate and long-term linkages with the family milieu.

  title={Adherence among children and adolescents with insulin-dependent diabetes mellitus over a four-year longitudinal follow-up: II. Immediate and long-term linkages with the family milieu.},
  author={Stuart T. Hauser and Alan M. Jacobson and Philip W. Lavori and Joseph I. Wolfsdorf and Raymonde D Herskowitz and J E Milley and Robin L. Bliss and Donald Wertlieb and Jennifer Stein},
  journal={Journal of pediatric psychology},
  volume={15 4},
Cross-sectional and longitudinal findings drawn from a 4-year longitudinal study of an onset cohort of preadolescents and early adolescents with insulin-dependent diabetes and their families are presented. Patient and parent perceptions of the family environment near the time of diagnosis are used to examine patterns of adherence in the first year of illness as well as over the four follow-up years. We found that family conflict, cohesion, and organization were strongly associated with… 

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Empirical Validation for a Family-Centered Model of Care

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Close parental monitoring of care completion can contribute to better adherence in adolescents with diabetes, and general warmth and support in the absence of careful parental supervision may be insufficient to help youth achieve adequate levels of adherence.

Behavior therapy for families of adolescents with diabetes: maintenance of treatment effects.

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Dyadic measures of the parent-child relationship during the transition to adolescence and glycemic control in children with type 1 diabetes.

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Understanding the mechanisms by which family organization is associated with metabolic control provides insight into possible avenues of prevention/intervention for better diabetes management.