Document Detail


A conceptual model of childhood adaptation to type 1 diabetes.
MedLine Citation:
PMID:  20934079     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Childhood Adaptation Model to Chronic Illness: Diabetes Mellitus was developed to identify factors that influence childhood adaptation to type 1 diabetes (T1D). Since this model was proposed, considerable research has been completed. The purpose of this article is to update the model on childhood adaptation to T1D using research conducted since the original model was proposed. The framework suggests that, in individuals and families, characteristics such as age and socioeconomic status as well as the individuals' and families' responses (self-management, coping, self-efficacy, family functioning, social competence) influence the level of adaptation; in children with T1D, characteristics such as treatment modality (pump vs injections) and psychosocial responses (depressive symptoms and anxiety) also influence the level of adaptation. Adaptation has both physiologic (metabolic control) and psychosocial (Quality of Life [QOL]) components. This revised model provides greater specificity to the factors that influence adaptation to chronic illness in children. Research and clinical implications are discussed.
Authors:
Robin Whittemore; Sarah Jaser; Jia Guo; Margaret Grey
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Nursing outlook     Volume:  58     ISSN:  1528-3968     ISO Abbreviation:  Nurs Outlook     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-10-11     Completed Date:  2011-02-02     Revised Date:  2011-09-26    
Medline Journal Info:
Nlm Unique ID:  0401075     Medline TA:  Nurs Outlook     Country:  United States    
Other Details:
Languages:  eng     Pagination:  242-51     Citation Subset:  AIM; IM; N    
Copyright Information:
Copyright © 2010 Mosby, Inc. All rights reserved.
Affiliation:
Yale University, School of Nursing, 100 Church Street South, PO Box 9740, New Haven, CT 06536-0740, USA. robin.whittemore@yale.edu
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological*
Adolescent
Anxiety / etiology
Blood Glucose Self-Monitoring / psychology
Child
Depression / etiology
Diabetes Mellitus, Type 1 / nursing,  psychology*,  therapy*
Family Characteristics
Female
Humans
Male
Models, Theoretical
Parenting
Quality of Life*
Self Care* / psychology
Self Efficacy
Social Adjustment
Social Support
Grant Support
ID/Acronym/Agency:
R01 NR004009-08/NR/NINR NIH HHS; R01 NR004009-09/NR/NINR NIH HHS; R01 NR004009-10/NR/NINR NIH HHS; R01 NR004009-11/NR/NINR NIH HHS; R01NR0094009/NR/NINR NIH HHS
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