Brown R T, Kaslow N J, Sansbury L, Meacham L, Culler F L
Department of Pediatrics, Emory University, Atlanta, GA.
J Am Acad Child Adolesc Psychiatry. 1991 Nov;30(6):921-5. doi: 10.1097/00004583-199111000-00009.
The psychiatric functioning of 28 youths with insulin-dependent diabetes mellitus was examined. Measures of psychological functioning were related to age at onset, duration of diabetes, and metabolic control, as assessed by HgbAlC. Children diagnosed with insulin-dependent diabetes mellitus at a later age were considered by teachers to have more behavioral problems. Children who had better metabolic control tended to hold themselves responsible for negative events. It is worthwhile to develop interventions to teach diabetic children a realistic balance between taking appropriate responsibility for controllable negative events without taking undue blame for uncontrollable negative events associated with the disease.
对28名胰岛素依赖型糖尿病青少年的精神功能进行了检查。心理功能测量结果与发病年龄、糖尿病病程以及糖化血红蛋白（HgbAlC）评估的代谢控制情况相关。教师认为在较晚年龄被诊断为胰岛素依赖型糖尿病的儿童有更多行为问题。代谢控制较好的儿童往往会为负面事件承担责任。开展干预措施，教导糖尿病儿童在对可控负面事件承担适当责任与不为与疾病相关的不可控负面事件承担过多责任之间达成现实的平衡，这是很有必要的。
