The effects of multisystemic therapy on diabetes stress among adolescents with chronically poorly controlled type 1 diabetes: findings from a randomized, controlled trial.

Abstract:

OBJECTIVE:The goal of this study was to determine whether multisystemic therapy (MST), an intensive, home-based psychotherapy, could decrease diabetes-related stress among adolescents with chronically poorly controlled type 1 diabetes. Stress was also evaluated as a mediator of the effect of MST on adherence and metabolic control. METHODS:A randomized, controlled trial was conducted with 127 adolescents with type 1 diabetes mellitus and chronically poor metabolic control (hemoglobin A1c levels of > or =8% at study enrollment and for the past 1 year) who received their diabetes care in a children's hospital located in a major Midwestern city. Participants assigned randomly to MST received treatment for approximately 6 months. Data were collected at baseline and at a 7-month posttest (ie, treatment termination). Changes in diabetes-related stress, as measured with a self-report questionnaire, were assessed. Structural equation models were used to test the degree to which changes in stress levels mediated the ability of the MST intervention to improve adherence and metabolic control. RESULTS:In intent-to-treat analyses, participation in MST was associated with significant reductions in diabetes-related stress. Tests for moderation found no significant effects of age, gender, or ethnicity, which suggests that the intervention was equally effective in reducing diabetes stress for all participants. However, structural equation modeling did not provide support for diabetes stress as the mechanism through which MST improved health outcomes. Rather, the final model suggested that MST improved metabolic control through increased regimen adherence. CONCLUSIONS:Intensive, home-based psychotherapy reduces diabetes-related stress among adolescents with chronically poorly controlled type 1 diabetes. Such stress reductions are important for the psychological wellbeing of a subset of youths with diabetes who are at high risk for future health complications.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Ellis DA,Frey MA,Naar-King S,Templin T,Cunningham PB,Cakan N

doi

10.1542/peds.2005-0638

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

e826-32

issue

6

eissn

0031-4005

issn

1098-4275

pii

116/6/e826

journal_volume

116

pub_type

杂志文章,随机对照试验
  • Prolonged use of large intravenous steroid pulses in the rheumatic diseases of children.

    abstract::Nineteen children with rheumatic diseases refractory to standard treatment were given repeated large "pulses" of corticosteroid therapy. The pulses consisted of four repeated doses of 500 mg of hydrocortisone given intravenously over 20 to 30 minutes at six-hour intervals or of single intravenous injections of 30 mg/k...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Miller JJ 3rd

    更新日期:1980-05-01 00:00:00

  • Attitudes of obstetric and pediatric health care providers toward resuscitation of infants who are born at the margins of viability.

    abstract:OBJECTIVES:The objective of this study was to determine the attitudes of a variety of health care providers toward the recommendations that should be made to parents regarding the resuscitation of infants who are born at the margins of viability. METHODS:A written questionnaire was distributed to the medical and nursi...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2006-0913O

    authors: Lavin JP Jr,Kantak A,Ohlinger J,Kaempf JW,Tomlinson M,Campbell B,Fofah O,Edwards W,Allbright K,Hagen E,Suresh G,Schriefer J

    更新日期:2006-11-01 00:00:00

  • Tolerance to the bronchoprotective effect of salmeterol in adolescents with exercise-induced asthma using concurrent inhaled glucocorticoid treatment.

    abstract:OBJECTIVES:The long-acting beta2-adrenergic agonist salmeterol prevents exercise-induced asthma, but tolerance may develop to its bronchoprotective effect. We wanted to ascertain if the development of tolerance could be prevented by using a low-dose treatment regimen of 50 microg once daily, instead of the usual dose o...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.99.5.655

    authors: Simons FE,Gerstner TV,Cheang MS

    更新日期:1997-05-01 00:00:00

  • Implementation of potentially better practices for the prevention of brain hemorrhage and ischemic brain injury in very low birth weight infants.

    abstract:OBJECTIVE:Using an evidence-based approach, a Vermont Oxford Network focus group whose goal was to reduce brain injury developed and implemented a number of potentially better practices. Each center approached implementation of the practices differently. Reducing the incidence of intraventricular hemorrhage and periven...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: McLendon D,Check J,Carteaux P,Michael L,Moehring J,Secrest JW,Clark SE,Cohen H,Klein SA,Boyle D,George JA,Okuno-Jones S,Buchanan DS,McKinley P,Whitfield JM

    更新日期:2003-04-01 00:00:00

  • First case of human infection caused by Pasteurella gallinarum causing infective endocarditis in an adolescent 10 years after surgical correction for truncus arteriosus.

    abstract:OBJECTIVE:To report the first case of human infection (infective endocarditis [IE]) caused by Pasteurella gallinarum and to review the literature regarding IE caused by the genus Pasteurella. SETTING:University hospital based. PATIENT:An adolescent boy who underwent successful correction for truncus arteriosus 10 yea...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: al Fadel Saleh M,al-Madan MS,Erwa HH,Defonseka I,Sohel SZ,Sanyal SK

    更新日期:1995-06-01 00:00:00

  • The epidemiology and clinical features of Kawasaki disease in Australia.

    abstract:OBJECTIVES:The current Australian epidemiology of Kawasaki disease (KD) is poorly defined. Previous enhanced surveillance (1993-1995) estimated an incidence of 3.7/100,000 <5 years. METHODS:We identified all patients hospitalized in Western Australia (current population ∼2.4 million) 1979 through 2009 with a discharge...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-2936

    authors: Saundankar J,Yim D,Itotoh B,Payne R,Maslin K,Jape G,Ramsay J,Kothari D,Cheng A,Burgner D

    更新日期:2014-04-01 00:00:00

  • Safety of withdrawing inhaled nitric oxide therapy in persistent pulmonary hypertension of the newborn.

    abstract:OBJECTIVE:Because of case reports describing hypoxemia on withdrawal of inhaled nitric oxide (I-NO), we prospectively examined this safety issue in newborns with persistent pulmonary hypertension who were classified as treatment successes or failures during a course of I-NO therapy. METHODS:Randomized, placebo-control...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.104.2.231

    authors: Davidson D,Barefield ES,Kattwinkel J,Dudell G,Damask M,Straube R,Rhines J,Chang CT

    更新日期:1999-08-01 00:00:00

  • Foreign body granuloma of the external auditory canal.

    abstract::External auditory canal polyps are most commonly inflammatory in nature but may also manifest more severe disease. Prolonged conservative therapy may delay the correct diagnosis and appropriate intervention. A case is presented of a child with chronic otorrhea treated for 4 months with topical drops and antibiotics. O...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.113.4.e371

    authors: Harris KC,Conley SF,Kerschner JE

    更新日期:2004-04-01 00:00:00

  • Adult outcomes of pediatric recurrent abdominal pain: do they just grow out of it?

    abstract:OBJECTIVE:To determine whether medically unexplained recurrent abdominal pain (RAP) in childhood predicts abdominal pain, irritable bowel syndrome (IBS), other somatic complaints, and psychiatric symptoms and disorders in young adulthood. METHODS:A sample of 28 young adults evaluated for RAP between the ages of 6 and ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.108.1.e1

    authors: Campo JV,Di Lorenzo C,Chiappetta L,Bridge J,Colborn DK,Gartner JC Jr,Gaffney P,Kocoshis S,Brent D

    更新日期:2001-07-01 00:00:00

  • Common bile duct obstruction due to an intraluminal mass of candidiasis in a previously healthy child.

    abstract::A 3 6/12-year-old previously healthy girl had intermittent attacks of abdominal pain following a blunt abdominal trauma. At admission to the hospital, she had jaundice and hepatomegaly. Results of laboratory tests indicated an obstructive pattern, and ultrasonography revealed an intraluminal mass in the distal common ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Carstensen H,Nilsson KO,Nettelblad SC,Cederlund CG,Hildell J

    更新日期:1986-06-01 00:00:00

  • Providing care for immigrant, migrant, and border children.

    abstract::This policy statement, which recognizes the large changes in immigrant status since publication of the 2005 statement "Providing Care for Immigrant, Homeless, and Migrant Children," focuses on strategies to support the health of immigrant children, infants, adolescents, and young adults. Homeless children will be addr...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-1099

    authors: Council on Community Pediatrics.

    更新日期:2013-06-01 00:00:00

  • A program to limit donor exposures to neonates undergoing extracorporeal membrane oxygenation.

    abstract:OBJECTIVE:Extracorporeal membrane oxygenation (ECMO) has dramatically improved the survival of neonates with life-threatening respiratory and cardiac failure. However, ECMO requires numerous transfusions with significant risks. This study evaluated the effects of changing transfusion practices and blood component manag...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Rosenberg EM,Chambers LA,Gunter JM,Good JA

    更新日期:1994-09-01 00:00:00

  • Enuresis: a contrast of attitudes of parents and physicians.

    abstract::Questionnaires were used to survey 1,435 parents and 446 physicians in order to determine and compare attitudes and beliefs about enuresis. Although both groups thought that bed-wetting is a maturational problem, the parent group thought emotional causes were important and were less likely to accept small bladder size...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Shelov SP,Gundy J,Weiss JC,McIntire MS,Olness K,Staub HP,Jones DJ,Haque M,Ellerstein NS,Heagarty MC,Starfield B

    更新日期:1981-05-01 00:00:00

  • Lavage treatment of distal intestinal obstruction syndrome in children with cystic fibrosis.

    abstract::The efficacy, adverse reactions, and long-term effects of intestinal lavage treatment with a balanced electrolyte solution (Golytely) was evaluated in patients with cystic fibrosis and distal intestinal obstruction syndrome. Twenty-two patients with cystic fibrosis (mean age 21.8 years, range 14 to 34 years, 15 boys o...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Koletzko S,Stringer DA,Cleghorn GJ,Durie PR

    更新日期:1989-05-01 00:00:00

  • Randomized trial of a cellular phone-enhanced home visitation parenting intervention.

    abstract:BACKGROUND AND OBJECTIVES:Although home visiting programs have been documented to improve parenting in high-risk families, their effectiveness is diminished when parents disengage from programs. Cellular phones offer an approach to promoting parent engagement and enhancing parenting outcomes. Our objective was to exami...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2013-1021Q

    authors: Carta JJ,Lefever JB,Bigelow K,Borkowski J,Warren SF

    更新日期:2013-11-01 00:00:00

  • Cardiovascular support for low birth weight infants and cerebral hemodynamics: a randomized, blinded, clinical trial.

    abstract:BACKGROUND:Maintaining adequate organ blood flow is the target of vasopressor treatment, but the impact of these measures on cerebral perfusion has not yet been evaluated systematically in a randomized, blinded, clinical trial. OBJECTIVES:To explore the effects on brain hemodynamics of 2 different inotropic agents use...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.2004-1396

    authors: Pellicer A,Valverde E,Elorza MD,Madero R,Gayá F,Quero J,Cabañas F

    更新日期:2005-06-01 00:00:00

  • Haemophilus influenzae type b conjugate vaccine (meningococcal protein conjugate): immunogenicity and safety at various doses.

    abstract::The Haemophilus influenzae vaccine consisting of purified type b capsular polysaccharide (polyribosylribitol-phosphate [PRP]) was shown in Finland to be protective, with 90% efficacy in children older than 18 to 23 months of age. However, a wide range of estimates of vaccine efficacy has been reported in the United St...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Yogev R,Arditi M,Chadwick EG,Amer MD,Sroka PA

    更新日期:1990-04-01 00:00:00

  • Families of Children With Medical Complexity: A View From the Front Lines.

    abstract::This article, written by a group of experienced parents of children with medical complexity (CMC), provides an overview of the demands of managing care from their unique perspective. The article articulates why attention to understanding the challenges that families of CMC face with a fragmented health care system, in...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2017-1284D

    authors: Allshouse C,Comeau M,Rodgers R,Wells N

    更新日期:2018-03-01 00:00:00

  • Laparoscopic diagnosis and cure of hyperinsulinism in two cases of focal adenomatous hyperplasia in infancy.

    abstract::Persistent hyperinsulinemic hypoglycemia of infancy or congenital hyperinsulinism of the neonate is a rare condition that may cause severe neurologic damage if the disease is unrecognized or inadequately treated. Current treatment aims to restore normal blood glucose levels by providing a carbohydrate-enriched diet an...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2003-1180-L

    authors: De Vroede M,Bax NM,Brusgaard K,Dunne MJ,Groenendaal F

    更新日期:2004-10-01 00:00:00

  • Impact of the thimerosal controversy on hepatitis B vaccine coverage of infants born to women of unknown hepatitis B surface antigen status in Michigan.

    abstract:OBJECTIVE:Hepatitis B vaccine is recommended for all infants, and the series may be started during the delivery admission. For infants who are born either to women who are positive for hepatitis B surface antigen (HBsAg) or to women whose HBsAg status is unknown, vaccination should be started within 12 hours of birth t...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.111.6.e645

    authors: Biroscak BJ,Fiore AE,Fasano N,Fineis P,Collins MP,Stoltman G

    更新日期:2003-06-01 00:00:00

  • Do questions about lead exposure predict elevated lead levels?

    abstract:OBJECTIVE:To assess the usefulness of the lead poisoning questionnaire developed by the Centers for Disease Control and Prevention as a screening tool for elevated lead levels. METHODS:This descriptive study used a five-question questionnaire at our hospital-based general pediatric clinic and in two local private prac...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Tejeda DM,Wyatt DD,Rostek BR,Solomon WB

    更新日期:1994-02-01 00:00:00

  • Evaluating Serial Strategies for Preventing Wrong-Patient Orders in the NICU.

    abstract:BACKGROUND:NICU patients have characteristics believed to increase their risk for wrong-patient errors; however, little is known about the frequency of wrong-patient errors in the NICU or about effective interventions for preventing these errors. We conducted a quality improvement study to evaluate the frequency of wro...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2016-2863

    authors: Adelman JS,Aschner JL,Schechter CB,Angert RM,Weiss JM,Rai A,Berger MA,Reissman SH,Yongue C,Chacko B,Dadlez NM,Applebaum JR,Racine AD,Southern WN

    更新日期:2017-05-01 00:00:00

  • Administration of epinephrine for life-threatening allergic reactions in school settings.

    abstract:OBJECTIVE:Although the potential for life-threatening allergic reactions in children is a significant health concern for schools, there is little information about the circumstances surrounding anaphylactic events that occur in schools. The objectives of this study were to determine the incidence of anaphylaxis in scho...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-1475

    authors: McIntyre CL,Sheetz AH,Carroll CR,Young MC

    更新日期:2005-11-01 00:00:00

  • Developmental care does not alter sleep and development of premature infants.

    abstract:OBJECTIVE:The Neonatal Individualized Developmental Care Program (NIDCAP) for very low birth weight (VLBW) preterm infants has been suggested by Als et al to improve several medical outcome variables such as time on ventilator, time to nipple feed, the duration of hospital stay, better behavioral performance on Assessm...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.100.6.e9

    authors: Ariagno RL,Thoman EB,Boeddiker MA,Kugener B,Constantinou JC,Mirmiran M,Baldwin RB

    更新日期:1997-12-01 00:00:00

  • Electronic prescribing in pediatrics: toward safer and more effective medication management.

    abstract::This policy statement identifies the potential value of electronic prescribing (e-prescribing) systems in improving quality and reducing harm in pediatric health care. On the basis of limited but positive pediatric data and on the basis of federal statutes that provide incentives for the use of e-prescribing systems, ...

    journal_title:Pediatrics

    pub_type: 杂志文章,实务指引

    doi:10.1542/peds.2013-0192

    authors: American Academy of Pediatrics Council on Clinical Information Technology Executive Committee, 2011–2012.

    更新日期:2013-04-01 00:00:00

  • Relationship between bed sharing and breastfeeding: longitudinal, population-based analysis.

    abstract:OBJECTIVES:This is an investigation into the longitudinal patterns of bed sharing, the characteristics associated with those patterns, and the relationship with breastfeeding. METHODS:The study used prospective, population-based data from the United Kingdom to investigate nocturnal bed sharing at 5 time points from bi...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-1277

    authors: Blair PS,Heron J,Fleming PJ

    更新日期:2010-11-01 00:00:00

  • Risk Factors for Bicycling Injuries in Children and Adolescents: A Systematic Review.

    abstract:CONTEXT:Child and adolescent bicycling is beneficial, but injuries occur and can be severe and costly. OBJECTIVE:To systematically review the individual and environmental factors associated with bicycling injury risk in children and adolescents. DATA SOURCES:Fourteen electronic databases were searched. STUDY SELECTI...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2016-0282

    authors: Embree TE,Romanow NT,Djerboua MS,Morgunov NJ,Bourdeaux JJ,Hagel BE

    更新日期:2016-11-01 00:00:00

  • Serious air rifle injuries in children.

    abstract::Seven potentially lethal air gun injuries in children are reported. Multiple-pump action air rifles have penetration velocities far in excess of the classic Daisy "BB" guns. However, these lethal weapons are sold to be used by children. Lack of effective regulatory legislation coupled with parental ignorance will cont...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Blocker S,Coln D,Chang JH

    更新日期:1982-06-01 00:00:00

  • Congenital myotonic dystrophy requiring prolonged endotracheal and noninvasive assisted ventilation: not a uniformly fatal condition.

    abstract::In this report we present two infants with congenital myotonic dystrophy (CMD) who were successfully weaned from prolonged ventilatory support using nasal continuous positive airway pressure (N-CPAP). The first infant received 127 days of endotracheal mechanical ventilation as part of 141 days of total ventilatory sup...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.101.4.704

    authors: Keller C,Reynolds A,Lee B,Garcia-Prats J

    更新日期:1998-04-01 00:00:00

  • Intravenous ceftriaxone and calcium in the neonate: assessing the risk for cardiopulmonary adverse events.

    abstract:OBJECTIVES:Unsolicited reports regarding potentially serious adverse drug reactions in neonates and young infants were reported to the Food and Drug Administration, leading to changes in the package label for ceftriaxone. This report describes and summarizes the reported cases that led to safety concerns regarding the ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-3080

    authors: Bradley JS,Wassel RT,Lee L,Nambiar S

    更新日期:2009-04-01 00:00:00