Social validity of support group and behavior therapy interventions for families of adolescents with insulin-dependent diabetes mellitus.

Compared the social validity of behavior therapy vs. support group interventions for reduction of parent-adolescent conflict among families of adolescents with diabetes. Families were randomized to 10 sessions of an Education and Support group (ES) or 10 sessions of Behavioral Family Systems Therapy (BFST). We compared participants' social validity ratings of BFST and ES using the Treatment Evaluation Questionnaire (TEQ). Mean TEQ scores were significantly more positive for BFST than ES and, for 13 of 20 items, BFST was rated significantly more positively by parents and/or adolescents. Adolescents rated ES less positively than did parents. Fathers' responses reflected fewer differences between ES and BFST. Results extend previous research on BFST and confirm its superiority over ES for targeting family conflict.

[1]  J. F. Alexander,et al.  Short-term behavioral intervention with delinquent families: impact on family process and recidivism. , 1973, Journal of abnormal psychology.

[2]  D. R. Green,et al.  Training predelinquent youths and their parents to negotiate conflict situations. , 1974, Journal of applied behavior analysis.

[3]  A. Robin.  An Approach to Teaching Parents and Adolescents Problem-Solving Communication Skills. , 1977 .

[4]  M. Koski,et al.  A psychosomatic follow-up study of childhood diabetics. , 1976, Acta paedopsychiatrica.

[5]  Alan E. Kazdin,et al.  Assessing the Clinical or Applied Importance of Behavior Change through Social Validation , 1977 .

[6]  B. Scharf,et al.  The Family Life Cycle. , 1980 .

[7]  K. O’leary,et al.  Multivariate assessment of conflict in distressed and nondistressed mother-adolescent dyads. , 1979, Journal of applied behavior analysis.

[8]  M. McGoldrick,et al.  The family life cycle. , 1980 .

[9]  A. Robin.  A controlled evaluation of problem-solving communication training with parent-adolescent conflict* , 1981 .

[10]  J. Miller,et al.  Family Characteristics of Diabetic Adolescents: Relationship to Metabolic Control , 1981, Diabetes Care.

[11]  B. Guerney,et al.  Relationship enhancement versus a traditional approach to therapeutic/preventative/enrichment parent-adolescent programs. , 1981, Journal of consulting and clinical psychology.

[12]  S. L. Foster,et al.  Behavioral and systems family therapies: A comparison of theoretical assumptions , 1982 .

[13]  K. O’leary,et al.  Impact of Problem-Solving Communication Training and Generalization Procedures on Family Conflict. , 1983 .

[14]  R. Winter,et al.  Unstable diabetes and unstable families: a psychosocial evaluation of diabetic children with recurrent ketoacidosis. , 1984, Pediatrics.

[15]  J. Siller,et al.  Mother-Daughter Interaction and Adherence to Diabetes Regimens , 1985, Diabetes Care.

[16]  T. Marteau,et al.  Family life and diabetic control. , 1987, Journal of child psychology and psychiatry, and allied disciplines.

[17]  P. Gustafsson,et al.  Family interaction and metabolic balance in juvenile diabetes mellitus. A prospective study. , 1987, Diabetes research and clinical practice.

[18]  J. B. Saffer,et al.  Difficulties encountered in the treatment of outpatient adolescents. , 1987, Adolescence.

[19]  A. Robin,et al.  Negotiating Parent-Adolescent Conflict: A Behavioral-Family Systems Approach , 1989 .

[20]  P. Lavori,et al.  Adherence among children and adolescents with insulin-dependent diabetes mellitus over a four-year longitudinal follow-up: II. Immediate and long-term linkages with the family milieu. , 1990, Journal of pediatric psychology.

[21]  A. Robin,et al.  Multidimensional assessment of parent-adolescent relations. , 1990 .

[22]  B. J. Mann,et al.  A critical review of psychotherapy outcome studies with adolescents: 1978-1988. , 1991, Adolescence.

[23]  T. Wysocki,et al.  Use of Blood Glucose Data by Families of Children and Adolescents with IDDM , 1992, Diabetes Care.

[24]  R. Barkley,et al.  A comparison of three family therapy programs for treating family conflicts in adolescents with attention-deficit hyperactivity disorder. , 1992, Journal of consulting and clinical psychology.

[25]  R. Rubin,et al.  Psychosocial Problems and Interventions in Diabetes: A review of the literature , 1992, Diabetes Care.

[26]  T. Wysocki.  Associations among teen-parent relationships, metabolic control, and adjustment to diabetes in adolescents. , 1993, Journal of pediatric psychology.

[27]  D. Brent,et al.  A psychoeducational program for families of affectively ill children and adolescents. , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[28]  W. Clarke,et al.  Parent-child relationships and the management of insulin-dependent diabetes mellitus. , 1994, Journal of consulting and clinical psychology.

[29]  D. Bennett,et al.  Parent acceptability and feasibility of ADHD interventions: assessment, correlates, and predictive validity. , 1996, Journal of pediatric psychology.