Psychologic predictors of compliance in children with recent onset of diabetes mellitus.

Psychologic predictors of compliance in children with recent onset of diabetes mellitus.
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最近患糖尿病的儿童依从性的心理预测因素。

DOI:
10.1016/s0022-3476(87)80030-6
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发表时间:
1987
期刊:
The Journal of pediatrics
影响因子:
--
通讯作者:
Watt,E
Watt,E
中科院分区:
--
文献类型:
--
作者:
Jacobson,AM;Hauser,ST;Wolfsdorf,JI;Houlihan,J;Milley,JE;Herskowitz,RD;Wertlieb,D;Watt,E

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对 57 名近期患有胰岛素依赖型糖尿病的儿童进行了为期 18 个月的研究。在此期间,对糖尿病处方治疗的依从性恶化。青少年(13 至 15 岁)的依从性低于青春期前的青少年(9 至 12 岁)。患者最初的自尊、感知能力、社会功能、行为症状以及他们对糖尿病的适应报告预测了随后的依从行为。研究结果强调了儿童性格和适应与糖尿病自我护理之间的联系,并表明糖尿病诊断后不久进行心理社会评估可能有助于识别有后续依从性问题风险的患者。
A group of 57 children with recent onset of insulin-dependent diabetes mellitus was studied over 18 months. Compliance with the prescribed diabetic treatment deteriorated over this period. Adolescents (aged 13 to 15 years) were less compliant than preadolescents (aged 9 to 12 years). Initial patient reports of self-esteem, perceived competence, social functioning, behavioral symptoms, and their adjustment to diabetes predicted subsequent compliance behaviors. The findings highlight the linkage of child personality and adjustment with self-care of diabetes, and suggest that psychosocial assessment soon after diabetes is diagnosed may help identify patients at risk for later compliance problems.
DOI: 10.2337/diacare.9.5.546
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影响因子: 16.2
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