Dantzer Cécile, Swendsen Joel, Maurice-Tison Sylvie, Salamon Roger
Laboratory of Clinical Psychology and Psychopathology, University of Savoie, 73011, Cedex, Chambery, France.
Clin Psychol Rev. 2003 Nov;23(6):787-800. doi: 10.1016/s0272-7358(03)00069-2.
A critical examination of the recent literature on anxiety and depression in juvenile diabetes is presented. The objectives of this review are: (1) to determine the general association of psychological factors, especially anxiety and depression, with diabetes, (2) to examine the specific association of anxiety and depression with metabolic control, and (3) to propose methodological changes that are needed to advance future research in this field. The major conclusions of this review support the notion of a general association of psychological disorders with juvenile diabetes. However, while anxiety and depression appear to play an important and complex role in determining adaptation to the disease, their relationship to metabolic control does not yet appear clear. Additional prospective and controlled studies as well as multivariate models of chronic disease are now necessary to more fully understand the etiology and impact of these disorders in the adolescent population.
本文对近期有关青少年糖尿病患者焦虑和抑郁的文献进行了批判性审视。本综述的目的是：（1）确定心理因素，尤其是焦虑和抑郁与糖尿病的总体关联；（2）研究焦虑和抑郁与代谢控制的具体关联；（3）提出推进该领域未来研究所需的方法学变革。本综述的主要结论支持心理障碍与青少年糖尿病存在总体关联这一观点。然而，尽管焦虑和抑郁在决定对疾病的适应方面似乎起着重要且复杂的作用，但它们与代谢控制的关系目前尚不清楚。现在需要更多前瞻性和对照研究以及慢性病的多变量模型，以更全面地了解这些障碍在青少年人群中的病因和影响。
