Jaser Sarah S
Yale University School of Nursing, 100 Church Street South, PO Box 9740, New Haven, CT 06536, USA.
Adolesc Med State Art Rev. 2010 Apr;21(1):138-51, x-xi.
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.
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。