Glycosylated hemoglobin and psychological adjustment in adolescents with diabetes.

The relationships between glycosylated hemoglobin levels as an index of metabolic control, life events occurring in the previous year, and general adjustment in the areas of attitude towards diabetes, independence, peer, school, and family relationships were investigated in 37 adolescents with insulin-dependent diabetes mellitus. The number or type of life events did not show a relationship with metabolic control. As measured by the Sullivan Diabetic Adjustment Scale, diabetic adolescents who were in better metabolic control reported more conflict regarding family relationships and issues of independence than did those in lesser control.

Adolescent sexual offense behavior: the role of the physician.

This article explores the more common adolescent sexual behavior problems that have legal ramifications, and the role of the physician in approaching such problems. Various presenting sexual offense behaviors are described, as well as the implications for the patient as offender, and finally the parental and physician attitudes necessary to facilitate successful treatment outcomes. Intervention approaches are discussed, and two cases are presented from a group of 83 adolescent male sexual offenders referred to our Juvenile Sexual Offender Project.