Wysocki T, Greco P, Harris M A, Bubb J, White N H
Division of Psychology and Psychiatry, Nemours Children's Clinic, Jacksonville, FL 32207, USA.
Diabetes Care. 2001 Mar;24(3):441-6. doi: 10.2337/diacare.24.3.441.
This study reports 6- and 12-month follow-up for the families of adolescents with diabetes who participated in a trial of Behavioral-Family Systems Therapy (BFST).
A total of 119 families of adolescents with type 1 diabetes were randomized to 3 months of treatment with either BFST, an education and support (ES) group, or current therapy (CT). Family relationships, adjustment to diabetes, treatment adherence, and diabetic control were assessed at baseline, after 3 months of treatment, and 6 and 12 months later. This report focuses on the latter two evaluations.
Compared with CT and ES, BFST yielded lasting improvements in parent-adolescent relationships and diabetes-specific conflict. Delayed effects on treatment adherence emerged at 6- and 12-month follow-ups. There were no immediate or delayed effects on adolescents' adjustment to diabetes or diabetic control.
BFST yielded lasting improvement in parent-adolescent relationships and delayed improvement in treatment adherence, but it had no effect on adjustment to diabetes or diabetic control. A variety of adaptations to BFST could enhance its impact on diabetes outcomes.
本研究报告了参与行为家庭系统疗法（BFST）试验的青少年糖尿病患者家庭的6个月和12个月随访情况。
总共119个1型糖尿病青少年家庭被随机分为三组，分别接受为期3个月的BFST治疗、教育与支持（ES）组治疗或现行疗法（CT）。在基线、治疗3个月后、6个月和12个月后评估家庭关系、对糖尿病的适应情况、治疗依从性和糖尿病控制情况。本报告重点关注后两项评估。
与CT和ES相比，BFST在亲子关系和糖尿病特异性冲突方面产生了持久改善。在6个月和12个月随访时出现了对治疗依从性的延迟影响。对青少年对糖尿病的适应情况或糖尿病控制没有即时或延迟影响。
BFST在亲子关系方面产生了持久改善，在治疗依从性方面产生了延迟改善，但对糖尿病适应情况或糖尿病控制没有影响。对BFST进行各种调整可以增强其对糖尿病治疗效果的影响。
