For my doctoral dissertation, I am assessing psycho-social predictors of treatment adhernece for children and adolescents with type-1 diabetes in partnership with the Children's Hospital of Orange County (CHOC). These individuals are required to take part in numerous public behaviors to ensure their health while at school, including blood glucose monitoring, insulin injections, and proper eating. Often, these behaviors make their illness "visible" to their non-ill peers, making them a target for bullying and victimization.
In the school environment, many adolescents avoid properly adhering to their medication because they want to 'fit in' and appear 'normal.' This has damaging consequences for their physical health, including ketoacidossis, a condition that results from failure to adhere to proper medical treatment and can often result in hospitalization. Adolescents girls are also particularly at-risk for a phenomena known as "dia-bulimia" where they do not adhere to their insulin injections because of potential weight gain. The desire for thinness over medical treatment can result in negative health consequences in these young women, such as blidness, kidney problems, and even death.
Children who chosoe to adhere to their treatment may experience high levels of physical health, but low levels of psychological well-being. I am collecting data at CHOC to explore the psycho-social predictors of treatment adherence in over 250 adolescents (aged 12-18) and their parents, to ultimately design an intervention (including cognitive behavioral group therapy and social skills training) to help adolescents with diabetes manage their illness correctly while still feeling accepted amongst their peers. Please contact me for more information, or view the short article about my research on page 7 of the CGU/SBOS Spring 2008 Newsletter.
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