Medical compliance and coping with cystic fibrosis

J Child Psychol Psychiatry. 1987 Mar;28(2):311-9. doi: 10.1111/j.1469-7610.1987.tb00213.x.


This investigation evaluated the utility of a new assessment tool based on a competency/coping skills model in predicting medical compliance of adolescents with cystic fibrosis. The Medical Compliance Incomplete Stories Test (M-CIST) and an assessment of several coping behaviors identified as assisting chronically ill children in their adaptation were used with 40 adolescent inpatients aged 13-23. These data were compared to objective measures of the patient's medical compliance. The total M-CIST score was shown to be positively correlated with compliance and to significantly discriminate between compliant and non-compliant groups. Although the assessment of coping behaviors also discriminates significantly between the two groups, it provided no additional power when used in common with the M-CIST. The data identified differences in coping behaviors between compliant and non-compliant patients which may prove useful to clinicians treating adolescents with cystic fibrosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Age Factors
  • Cystic Fibrosis / psychology*
  • Cystic Fibrosis / therapy
  • Family Characteristics
  • Female
  • Goals
  • Humans
  • Male
  • Patient Compliance*
  • Sex Factors
  • Social Adjustment*