Missed opportunities-adolescents with a chronic condition (insulin-dependent diabetes mellitus) describe their cigarette-smoking trajectories and consider health risks
Female; Humans; Male; Adult; Attitude to Health; Parents; Interviews as Topic; Peer Group; adolescent; Adolescent Transitions; Chronic disease; Adolescent Behavior/psychology; Diabetes Mellitus; Type 1/psychology; Smoking Cessation/psychology; Smoking/adverse effects/prevention & control/psychology; Tobacco Use Disorder/psychology
AIM: To enhance our knowledge on why adolescents with a chronic condition (insulin-dependent diabetes mellitus, IDDM) choose to smoke despite possible awareness of health risks. METHODS: Twelve patients aged 15-20 with IDDM who smoked cigarettes volunteered to participate in qualitative interviews. The results were analyzed with content analysis according to Miles and Huberman 1994. RESULTS: One set confirmed what is earlier known on cigarette smoking among adolescents, such as plain exploring, needs to conform with group norms, identity needs and denial of risks. Other themes gave new insights. One was the emotional attitudes-or lack of emotions-expressed by important others, which exerted strong influences on the smoking trajectories. These emotions affected both initiation and motivation for quitting cigarette smoking and seemed crucial as means of meaningful communications concerning smoking. One theme was a flow path of cigarette smoking, which demonstrated opportunities for secondary prevention. Finally, developmental reasons for smoking and motivation for quitting could be described. CONCLUSIONS: There are several windows of opportunities to lower the risk of adolescents with IDDM and other chronic conditions from becoming and remaining smokers, as reported by young people themselves.
2007
Regber S; Kelly KB
Acta Paediatrica
2007
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1111/j.1651-2227.2007.00566.x" target="_blank" rel="noreferrer">10.1111/j.1651-2227.2007.00566.x</a>
Chronic disease and perceived developmental progression in adolescence
Female; Humans; Male; Peer Group; Sick Role; Social Adjustment; Body Image; adolescent; Adaptation; Psychological; Adolescent Transitions; Activities of Daily Living/psychology; Personality Development; Diabetes Mellitus; Life Style; Type 1/psychology
This study examined whether chronic illness causes delays in adolescents' perceived developmental status. Longitudinal data were obtained from 86 adolescents afflicted with insulin-dependent diabetes mellitus and 103 healthy adolescents. The adolescents annually completed a questionnaire pertaining to their current developmental status and their desired future developmental status in 11 age-specific developmental tasks. Health status and physical maturity were also determined. In the first year of the study, the diabetics reported delays compared with their healthy peers in some developmental tasks, particularly physical maturity and an independent lifestyle. However, the overall developmental progression perceived by chronically ill adolescents was impressive. The difficulty of balancing normative development with the demands of chronic illness is discussed.
1998
Seiffge-Krenke I
Developmental Psychology
1998
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1037//0012-1649.34.5.1073" target="_blank" rel="noreferrer">10.1037//0012-1649.34.5.1073</a>