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患有糖尿病的青少年的心理问题。

Psychological problems in adolescents with diabetes.

作者信息

Jaser Sarah S

机构信息

Yale University School of Nursing, 100 Church Street South, PO Box 9740, New Haven, CT 06536, USA.

出版信息

Adolesc Med State Art Rev. 2010 Apr;21(1):138-51, x-xi.

Abstract

For youth with type 1 diabetes (T1DM), the transition into adolescence is often associated with poorer adherence to treatment, deteriorating metabolic control, and increased risk for psychological disorders. The current article summarizes recent findings on psychological problems for adolescents with diabetes, including depression, eating disorders, fear of hypoglycemia, and problems specific to adolescents with T2DM. The impact of family functioning on adolescent adjustment and the importance of parent-child collaboration on treatment management is emphasized. By using the strategies described in this article, primary care providers have the potential to support adolescents with diabetes, while screening for problems that may be better treated by other professionals.

摘要

对于1型糖尿病(T1DM)青少年而言,步入青春期往往伴随着治疗依从性变差、代谢控制恶化以及心理障碍风险增加。本文总结了糖尿病青少年心理问题的最新研究结果,包括抑郁症、饮食失调、低血糖恐惧以及2型糖尿病青少年特有的问题。文中强调了家庭功能对青少年适应的影响以及亲子合作在治疗管理中的重要性。通过运用本文所述策略,初级保健提供者有潜力为糖尿病青少年提供支持,同时筛查可能更适合由其他专业人员治疗的问题。

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本文引用的文献

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Psychological care of children and adolescents with diabetes.糖尿病儿童和青少年的心理护理
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Psychosocial issues in youth with type 2 diabetes mellitus.2型糖尿病青少年的心理社会问题
Curr Diab Rep. 2009 Apr;9(2):147-53. doi: 10.1007/s11892-009-0025-6.

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