Hains A A, Davies W H, Parton E, Silverman A H
Department of Educational Psychology, University of Wisconsin-Milwaukee. WI 53201, USA.
J Pediatr Psychol. 2001 Jan-Feb;26(1):61-6. doi: 10.1093/jpepsy/26.1.61.
To examine the impact of a cognitive behavioral intervention for distressed adolescents with Type I diabetes.
Six youths with elevated levels of anxiety, anger, or diabetes stress received training in cognitive restructuring and problem solving in individual sessions. A multiple baseline design across participants was used. Treatment effectiveness was assessed through measures of anxiety, anger expression, and diabetes stress.
Four youths displayed some improvement on one or more variables for which they had elevated levels during baseline, while others showed no impact.
Cognitive behavioral interventions show some promise for distressed youths with Type I diabetes. Individual youths responded to treatment differently. Further research is needed in developing procedures to better meet the needs of youths, improve youth participation, and enhance treatment effectiveness.
探讨认知行为干预对患有I型糖尿病的焦虑青少年的影响。
六名焦虑、愤怒或糖尿病压力水平升高的青少年在个别治疗中接受了认知重构和问题解决方面的培训。采用了跨参与者的多基线设计。通过焦虑、愤怒表达和糖尿病压力的测量来评估治疗效果。
四名青少年在基线时水平升高的一个或多个变量上显示出一些改善，而其他青少年则没有受到影响。
认知行为干预对患有I型糖尿病的焦虑青少年显示出一定的前景。个别青少年对治疗的反应不同。需要进一步研究开发程序，以更好地满足青少年的需求，提高青少年的参与度，并增强治疗效果。
