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      Prevalence and predictors of pervasive noncompliance with medical treatment among youths with insulin-dependent diabetes mellitus.

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          Abstract

          School-age children were assessed longitudinally for up to 9 years, after the onset of their insulin-dependent diabetes mellitus (IDDM), to determine the time-dependent risk of the psychiatric diagnosis of noncompliance with medical treatment and to examine protective and risk factors. The cumulative risk for this diagnosis over the 9 years was .45. Noncompliance tended to emerge in middle adolescence and was found to be protracted. Social competence, self-esteem, and aspects of family functioning at IDDM onset and initial psychiatric status did not predict noncompliance. However, noncompliance was associated with having major psychiatric disorder later in the course of IDDM.

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          Author and article information

          Journal
          J Am Acad Child Adolesc Psychiatry
          Journal of the American Academy of Child and Adolescent Psychiatry
          Ovid Technologies (Wolters Kluwer Health)
          0890-8567
          0890-8567
          Nov 1992
          : 31
          : 6
          Affiliations
          [1 ] University of Pittsburgh School of Medicine, Department of Psychiatry, PA.
          Article
          S0890-8567(09)64828-0
          10.1097/00004583-199211000-00020
          1429414
          794c937e-0404-4bec-901e-22f244bcb52b
          History

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