@article{816404e3a83a4e059a9fd6d83ace5581,
title = "Behavior therapy for families of adolescents with diabetes: Effects on directly observed family interactions",
abstract = "This paper reports the effects of Behavioral Family Systems Therapy (BFST) on directly observed interactions between parents and 119 adolescents with diabetes. Families received 3 months' treatment with BFST, an Education and Support Group (ES) or Current Therapy (CT). Multimodal assessments at baseline, posttreatment, and 6- and 12-month follow-ups included tape- recorded family problem-solving discussions scored with the Interaction Behavior Code. Compared with CT and ES, BFST yielded more improvement in family communication and problem-solving skills. Improvements in individual family members' communication were correlated with other improvements in family relationships and adaptation to diabetes, but not with changes in diabetic control. Increased positive and decreased negative reciprocity in family communication and improved family problem solving were associated with improved treatment adherence and adolescent adjustment to IDDM, but not with improved diabetic control.",
author = "Tim Wysocki and Miller, {Kathryn M.} and Peggy Greco and Harris, {Michael A.} and Harvey, {Linda M.} and Alexandra Taylor and Danda, {Caroline Elder} and Kelly McDonell and White, {Neil H.}",
note = "Funding Information: This work was supported by grant #1-RO1-DK43802 {"}Behavior Therapy for Families of Diabetic Adolescents{"} awarded by the National Institutes of Health (National Institute of Diabetes, Digestive and Kidney Diseases) to the first author and by the Pediatric and General Clinical Research Centers of Washington University (RR06021 and RR00036). The authors wish to thank the following physicians and their respective clinic staffs for their assistance in recruiting families for this study: Thomas Aceto, George Bright, Dominique Dar-maun, Myrto Frangos, John Galgani, Luigi Garibaldi, Santosh Gupta, Morey Haymond, Nelly Mauras, Robert Miller, and Patricia Wolff. We would also like to thank Arthur L. Robin, Ph.D. and Diana Guthrie, Ph.D. for their consultation in intervention design and evaluation. Address correspondence to Tim Wysocki, Ph.D., Nemours Children's Clinic, 807 Nira Street, Jacksonville, FL 32207; e-mail: twysocki@nemours.org Copyright 1999 by Associationf or Advancemento f BehaviorT herapy All fights for reproduction in any formr eserved.",
year = "1999",
doi = "10.1016/S0005-7894(99)80022-7",
language = "English (US)",
volume = "30",
pages = "507--525",
journal = "Behavior Therapy",
issn = "0005-7894",
publisher = "Elsevier Inc.",
number = "3",
}