Abstract and Keywords
This chapter reviews the extensive empirical literature on diabetes self-management behavior among children, adolescents, and their families, including an overview of assessment methods, the epidemiology of suboptimal diabetes management, variables influencing the effectiveness of diabetes management and trials of appropriate behavioral and psychological interventions. Substantial research shows that suboptimal family management of diabetes, particularly during adolescence, is so common as to be virtually normative. Additional research shows that management of diabetes among children and adolescents is essentially a family enterprise and outcomes are optimized when families are able to recruit and utilize a variety of effective coping resources such as affiliative, organizational, communicative, problem-solving, and conflict-resolution skills. Trials of behavioral and psychological interventions targeting individual children or adolescents and targeting families have shown some promise, but there remain many important barriers to the efficient integration of the body of psychological knowledge and research into routine clinical care for pediatric diabetes.
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