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Res Nurs Health. 2009 Aug;32(4):405-18. doi: 10.1002/nur.20336.

Effects of coping skills training in school-age children with type 1 diabetes.

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  • 1Yale School of Nursing, 100 Church Street South, New Haven, CT 06536-0740, USA.


Children with type 1 diabetes are at risk for negative psychosocial and physiological outcomes, particularly as they enter adolescence. The purpose of this randomized trial (n = 82) was to determine the effects, mediators, and moderators of a coping skills training intervention (n = 53) for school-aged children compared to general diabetes education (n = 29). Both groups improved over time, reporting lower impact of diabetes, better coping with diabetes, better diabetes self-efficacy, fewer depressive symptoms, and less parental control. Treatment modality (pump vs. injections) moderated intervention efficacy on select outcomes. Findings suggest that group-based interventions may be beneficial for this age group.

Copyright 2009 Wiley Periodicals, Inc.

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