Short-term Effects of Coping Skills Training as Adjunct to Intensive Therapy in Adolescents

Grey, Margaret; Boland, Elizabeth A.; Davidson, Maryanne; Yu, Chang; Sullivan-Bolyai, Susan; Tamborlane, William V.

doi:10.2337/diacare.21.6.902

Cited by 195 publications

(159 citation statements)

References 29 publications

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“…The quality of life and self-efficacy scales were disease specific so comparisons with the non-diabetic population are not appropriate, however mean scores for both were above the midpoint for the scale indicating relatively high quality of life and self-efficacy. These scores were similar to recent studies on young people with Type 1 diabetes (Grey et al, 2000;Grey et al, 1998;Howells et al, 2002). There were though large standard deviations around the mean scores, suggesting that some individuals within the sample were having psychological difficulties.…”

Section: Discussionsupporting

confidence: 74%

“…There is no precedent for their use with physical activity, however, they are sensitive enough to show significant associations with other variables such as depression (Grey et al, 1998) and HbA 1c (Grossman et al,., 1987;Howells et al, 2002). The PSPP-C has been shown to be sensitive enough detect associations with physical activity in the non-diabetic population (Crocker et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

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Physical activity and psychological well-being in children with Type 1 diabetes

Edmunds

Roche

Stratton

et al. 2007

Psychology, Health & Medicine

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Physical activity and psychological well being contribute to positive lifestyle and well being in youngsters who have Type 1 diabetes. The aims of this study were to objectively assess the physical activity levels of children with Type 1 diabetes, and investigate associations between physical activity levels, psychological well-being and HbA 1c . Thirty-six children, mean age 12.8 years, participated in the investigation. Physical activity was assessed using heart rate monitoring over four days. Children further completed the Diabetes Quality of Life for Youths Questionnaire, the Physical Self-Perception Profile for Children, and the Self-Efficacy for Diabetes Scale. Routine outpatient HbA 1c measurements were recorded. There were no significant associations between psychological well-being and physical activity, or HbA 1c and physical activity, thus suggesting physical activity does not directly relate to psychological wellbeing in children with Type 1 diabetes. It may be that the effect of physical activity differs from that in children without Type 1 diabetes because of the place of physical activity within diabetes management and the need to balance this with insulin dosage and dietary intake to maintain blood glucose levels.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Physical activity and psychological well-being in children with Type 1 diabetes

Edmunds

Roche

Stratton

et al. 2007

Psychology, Health & Medicine

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“…In adolescents, coping-skills training and stress management programs can decrease diabetesrelated stress, enhance social interactions and QOL, and improve metabolic control (Boardway, Delamater, Tomakowsky, & Gutai, 1993;Grey, Boland, Davidson, et al, 1998;Mendez & Belendez, 1997). Similarly, coping-skills training in adults decreases diabetes-related anxiety and avoidance behaviors, enhances coping ability and emotional well-being, and improves self-care and glycemic control (Rubin, Peyrot, & Saudek, 1989;Zettler, Duran, Waadt, Herschbach, & Strian, 1995).…”

Section: Individual Characteristicsmentioning

confidence: 99%

Diabetes and behavioral medicine: The second decade.

Gönder-Frederick¹,

Cox²,

Ritterband³

2002

Journal of Consulting and Clinical Psychology

166

144

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Diabetes management depends almost entirely on behavioral self-regulation. Behavioral scientists have continued a collaboration with other health systems researchers to develop a holistic approach to this disease. The authors summarized the literature in 4 major areas: self-management of diabetes, psychosocial adjustment and quality of life, neuropsychological impact, and psychobehavioral intervention development. Progress made in each of these areas over the past decade is highlighted, as are important issues that have not yet received sufficient scientific attention. Emerging areas likely to become central in behavioral research, such as diabetes prevention, are introduced. The future of behavioral medicine in diabetes is also discussed, including topics such as the changing role of psychologists in diabetes care, the urgent need for more and better intervention research, the growing importance of incorporating a health system-public health perspective, and obstacles to the integration of psychobehavioral approaches into routine health care delivery.A profound event in diabetes management during the past decade was the release of the 1993 report of the National Institutes of Health (NIH) funded Diabetes Control and Complications Trial (DCCT; DCCT Research Group, 1993), which radically altered both the goals and the philosophy of treatment of this disease. The DCCT was a controlled, prospective trial following more than 1,400 adults and adolescents with Type 1 diabetes (T1DM) over an average of 6.5 years. The results provided strong evidence that the use of intensive treatment regimens to maintain tighter glucose control can delay or prevent the development of at least some of the devastating long-term complications of diabetes, including retinopathy and nephropathy. Subsequent studies replicated these findings and demonstrated the benefits of maintaining tighter metabolic control for patients with Type 2 diabetes (T2DM; Ohkubo et al., 1995;Reichard, Nilsson, & Rosenqvist, 1993;Turner, Cull, & Holman, 1996).It is almost impossible to overestimate the impact of the DCCT on diabetes treatment and research. Seemingly overnight, large numbers of patients were expected to follow a demanding, intensive treatment regimen that previously had been recommended only for those who were most highly motivated and diligent in their diabetes self-management. Health care practitioners were also expected to know how to help patients achieve these lofty treatment goals. In addition to problems in implementing intensive treatment, questions arose concerning the effects of these regimens on quality of life (QOL) for patients. Intensive regimens also posed new dilemmas for health care practitioners and patients, not the least of which was the dramatic increase in risk for episodes of severe hypoglycemia when patients attempted to lower blood glucose (BG) levels. It quickly became clear that the greatest challenge to contemporary diabetes treatment was overcoming the many psychobehavioral and social-environmental barriers to optimal ...

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“…Grey et al 40 reported the results of a prospective randomized clinical trial conducted to determine whether coping skills training would improve glycemic and psychosocial outcomes in adolescents with type 1 diabetes implementing intensive diabetes management. In these studies, subjects were randomly assigned to receive coping skills training or enhanced education in addition to intensive management of diabetes.…”

Section: Evidence For Coping Skills Training With Children and Adolesmentioning

confidence: 99%

Coping Skills Training for Youths With Diabetes

Grey¹

2011

Diabetes Spectrum

Self Cite

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The ability to self-manage diabetes is crucial for youths with type 1 diabetes and for the prevention of type 2 diabetes. However, such abilities are based not only in education but also in the acquisition of behavioral skills that assist with the application of such knowledge. This review describes a series of studies on a cognitive behavioral intervention called coping skills training, which is designed to enhance youths' ability to manage diabetes. Margaret Grey, DrPH, RN, FAAN Coping Skills Training for Youths With DiabetesDuring the past 20 years, results of several major trials have demonstrated that intensive management of type 1 and type 2 diabetes can delay or prevent the onset and progression of many complications of the disease.

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Short-term Effects of Coping Skills Training as Adjunct to Intensive Therapy in Adolescents

Abstract: CST is useful in improving not only an adolescent's metabolic control, but also their quality of life. As more pediatric providers aim for improved control, in adolescents with diabetes, the addition of this behavioral intervention may be helpful in achieving metabolic and life goals.

Cited by 195 publications

References 29 publications

Physical activity and psychological well-being in children with Type 1 diabetes

Physical activity and psychological well-being in children with Type 1 diabetes

Diabetes and behavioral medicine: The second decade.

Coping Skills Training for Youths With Diabetes

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