ผู้วิจัย/Authors: Sirichai Hongsanguansri, M.D.

ชื่อเรื่อง/Title: Group Therapy for Parents of Children with Insulin Dependent Diabetes Mellitus

แหล่งที่มา/Source: Journal of The Psychiatric Association of Thailand, Vol. 46 No.4 October-December 2002. P. 323-333.

รายละเอียด / Details:

Objective To study the relationships between family functioning, diabetic specific family behaviors, and metabolic control; and to develop group therapy for parents of children with IDDM and examine its efficacy on diabetic specific family behaviors and metabolic control. Method Chulalongkorn Family Inventory (CFI) and Diabetic Family Behavior Checklist (DFBC) were used to assess family function and diabetic specific family behaviors, respectively. Metabolic control was determined by HbA1C level. DFBC and HbA1C level were assessed again after 6 sessions of group therapy. Results Two aspects of family function significantly correlated with metabolic control were general functioning (r = -0.71, p = 0.04) and role (r = -0.75, p = 0.03). Communication was marginally related to HbA1C level (r = -0.64, p = 0.08). Family functions that were related to positive DFBC scores were general functioning (r = 0.72, p = 0.04) and communication (r = 0.78, p = 0.02). Higher positive DFBC scores were associated with better metabolic control (r = -0.75, p = 0.03), but not for negative DFBC scores (r = 0.29, p = 0.49). After 6 sessions of monthly parental group therapy, positive DFBC scores of 10 diabetic family were significantly increased (30.3 + 6.0 Vs 34.3 + 4.9, p ‹ 0.05), but there were no significant changes for negative DFBC scores (17.9 + 4.2 Vs 17.5 + 3.4, p = 0.23 ) and HBA1C level (8.4 + 2.3 Vs 8.2 + 1.1, p = 0.33). Conclusions There was a significant relationship between family function, diabetic specific family behaviors, and metabolic control in Thai children with IDDM. Parental group therapy should be included as one of the psychosocial interventions for diabetic family to improve supportive diabetic specific family behaviors.

Keywords: insulin dependent diabetes mellitus, family, group therapy, psychology, behavior therapy

ปีที่เผยแพร่/Year: 2002

Address: Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400

Code: 0000027

ISSN/ISBN: 0125-6985

Country of publication: Thailand.

Language: English.

Category: Abstract Journal.

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