The Korean Journal of Health Psychology
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The Effects of Eclectic Filial Therapy on Psychosocial Adjustment, Treatment Adherence, and Metabolic Control in Children with Insulin-Dependent Diabetes Mellitus
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Abstract
This study inspected the effect of eclectic filial therapy on children with Insulin-Dependent Diabetes Mellitus(IDDM), and showed that the improved psychosocial adjustment affects treatment adherence and metabolic control of the children with IDDM in this study. Seventeen elementary school students ranging from first-grade to fourth-grade, and their mothers participated in this study. Five pairs of experimental groups, five pairs of comparative groups, and seven pairs of control groups were implemented. The results obtained were as follows: First, eclectic filial therapy was an effective intervention for children diagnosed with IDDM in strengthening the parent-child relationship, and the children's total behavioral problems, externalizing problems, and depression/anxiety were significantly decreased. Second, then children's internal loci of control, preference for task difficulty, and self-control (which is a subscale of self-efficacy) were significantly increased. Third, treatment adherence reported by mothers was significantly increased, but treatment adherence reported by children did not show any noteworthy change. Last, the HbA1C level of the children in the experimental group was significantly decreased, which indicates that metabolic control was improved. In conclusion, this study confirmed that eclectic filial therapy is an effective psychotherapeutic intervention program for improving psychosocial adjustment in children with IDDM and also found out that this therapy can affect treatment adherence and metabolic control.
- keywords
- Insulin-dependent diabetes mellitus, eclectic filial therapy, 인슐린-의존형 당뇨병, 절충적 부모-자녀 놀이치료
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