Kichler Jessica C, Harris Michael A, Weissberg-Benchell Jill
Cincinnati Children`s Hospital Medical Center, 3333 Burnet Ave, MLC #3015, Cincinnati, OH 45229, USA.
Curr Diabetes Rev. 2015;11(4):210-21. doi: 10.2174/1573399811666150421104449.
Important stakeholders, including the American Diabetes Association (ADA) and the International Society of Pediatric and Adolescent Diabetes (ISPAD), recognize the need for psychologists to be an integral part of diabetes care. This review paper aims to provide a comprehensive examination of pediatric psychologists' roles in working with children and adolescents with diabetes, including during distinct phases of treatment (e.g., diagnosis, outpatient diabetes clinic visits, inpatient hospitalizations, and outpatient psychology visits) and with different modalities of psychological interventions (e.g., screening, individual, family, and group therapy). In addition, the role of the psychologist in diabetes care within various settings (e.g., private practice, academic medical centers, and community organizations) will be explored. Finally, this paper will outline other roles in which psychologists contribute to diabetes-specific efforts (e.g., translational research, program development in transition to adult care, advocacy for health care reform initiatives, health care billing/reimbursement, and alternative methods to psychosocial care delivery) as well as future directions for working with children and adolescents with diabetes. Pediatric psychologists have multiple professional roles in a wide variety of settings; however, there is more that can be done in the future to fully utilize pediatric psychologists in diabetes care for children and adolescents, such as embedding psychologists into integrated clinic visits where families receive comprehensive medical and psychological services to support overall health and well-being. Therefore, there is a need for increased advocacy to obtain even more pediatric psychology engagement in diabetes care to provide new clinical services and develop more translational research.
包括美国糖尿病协会（ADA）和国际儿童及青少年糖尿病学会（ISPAD）在内的重要利益相关者认识到，心理学家应成为糖尿病护理不可或缺的一部分。本综述文章旨在全面审视儿科心理学家在为患有糖尿病的儿童和青少年提供服务时所扮演的角色，包括在治疗的不同阶段（如诊断、门诊糖尿病诊所就诊、住院治疗以及门诊心理治疗）以及采用不同心理干预方式（如筛查、个体、家庭和团体治疗）时的角色。此外，还将探讨心理学家在各种环境（如私人诊所、学术医疗中心和社区组织）中在糖尿病护理方面的作用。最后，本文将概述心理学家在糖尿病相关工作中所发挥的其他作用（如转化研究、向成人护理过渡的项目开发、倡导医疗改革倡议、医疗计费/报销以及心理社会护理提供的替代方法）以及未来与患有糖尿病的儿童和青少年合作的方向。儿科心理学家在广泛的环境中扮演着多种专业角色；然而，未来在糖尿病护理中充分利用儿科心理学家为儿童和青少年服务方面还有更多工作可做，例如将心理学家融入综合门诊就诊中，使家庭能够获得全面的医疗和心理服务以支持整体健康和幸福。因此，需要加大宣传力度，以使更多儿科心理学专业人员参与糖尿病护理，从而提供新的临床服务并开展更多转化研究。
