对 1 型糖尿病青少年的情绪负担进行筛查和支持：糖尿病护理提供者的策略。
Screening and support for emotional burdens of youth with type 1 diabetes: Strategies for diabetes care providers.
机构信息
Department of Pediatrics, Psychology Section, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
Department of Medical Psychology, VU University Medical Center, Amsterdam, The Netherlands.
出版信息
Pediatr Diabetes. 2018 May;19(3):534-543. doi: 10.1111/pedi.12575. Epub 2017 Sep 22.
Abstract
Multiple sources of burden for youth with type 1 diabetes (T1D) impact key outcomes including quality of life, self-management, and glycemic control. Professional diabetes organizations recommend diabetes care providers screen for psychosocial and behavioral challenges and implement strategies to support youth with T1D. The purpose of this article is to review the literature and recommend practical strategies medical providers can use for screening and behavioral support for youth with diabetes and their families. As part of their routine medical care, diabetes care providers are well-positioned to identify and intervene to address emotional distress related to the burdens of living with diabetes. In collaboration with multidisciplinary team members, including psychologists and mental health professionals, medical providers may be able to successfully implement brief behavioral strategies for screening and providing emotional support.
摘要
多种因素会给青少年 1 型糖尿病（T1D）患者带来负担，影响关键结果，包括生活质量、自我管理和血糖控制。专业的糖尿病组织建议糖尿病护理提供者筛查心理社会和行为挑战，并实施策略来为 T1D 青少年提供支持。本文的目的是回顾文献并为医疗服务提供者推荐实用的策略，用于筛查和行为支持糖尿病青少年及其家庭。作为其常规医疗护理的一部分，糖尿病护理提供者能够识别和干预与糖尿病相关负担有关的情绪困扰。与包括心理学家和心理健康专业人员在内的多学科团队成员合作，医疗服务提供者可能能够成功实施简短的行为策略，用于筛查和提供情绪支持。
相似文献
1
Screening and support for emotional burdens of youth with type 1 diabetes: Strategies for diabetes care providers.对 1 型糖尿病青少年的情绪负担进行筛查和支持：糖尿病护理提供者的策略。
Pediatr Diabetes. 2018 May;19(3):534-543. doi: 10.1111/pedi.12575. Epub 2017 Sep 22.
2
Evidence-based behavioral interventions to promote diabetes management in children, adolescents, and families.基于证据的行为干预措施，以促进儿童、青少年及其家庭的糖尿病管理。
Am Psychol. 2016 Oct;71(7):590-601. doi: 10.1037/a0040359.
3
Small Interventions for Big Change: Brief Strategies for Distress and Self-Management Amongst Youth with Type 1 Diabetes.小干预，大改变：1 型糖尿病青少年心理困扰和自我管理的简要策略。
Curr Diab Rep. 2020 Jan 30;20(1):3. doi: 10.1007/s11892-020-1290-7.
4
Type 1 diabetes-related distress: Current implications in care.1 型糖尿病相关痛苦：当前护理中的影响。
Eur J Intern Med. 2024 Jul;125:19-27. doi: 10.1016/j.ejim.2024.03.030. Epub 2024 Apr 11.
5
Self-Regulation as a Protective Factor for Diabetes Distress and Adherence in Youth with Type 1 Diabetes During the COVID-19 Pandemic.自我调节作为 COVID-19 大流行期间 1 型糖尿病青少年糖尿病困扰和治疗依从性的保护因素。
J Pediatr Psychol. 2022 Aug 12;47(8):873-882. doi: 10.1093/jpepsy/jsac045.
6
Routine behavioral and mental health screening in young children with type 1 diabetes mellitus.对1型糖尿病幼儿进行常规行为和心理健康筛查。
Pediatr Diabetes. 2014 Aug;15(5):384-8. doi: 10.1111/pedi.12099. Epub 2013 Nov 26.
7
Psychosocial screening and management of young people aged 18-25 years with diabetes.18至25岁糖尿病青年的心理社会筛查与管理
Intern Med J. 2017 Apr;47(4):415-423. doi: 10.1111/imj.13375.
8
Protocol for the Promoting Resilience in Stress Management (PRISM) intervention: A multi-site randomized controlled trial for adolescents with type 1 diabetes.压力管理促进韧性（PRISM）干预方案：一项针对 1 型糖尿病青少年患者的多中心随机对照试验。
Contemp Clin Trials. 2023 Jan;124:107017. doi: 10.1016/j.cct.2022.107017. Epub 2022 Nov 21.
9
UTILITY OF PSYCHOLOGICAL SCREENING OF YOUNG ADULTS WITH TYPE 1 DIABETES TRANSITIONING TO ADULT PROVIDERS.青年 1 型糖尿病患者向成人提供者过渡时进行心理筛查的效用。
Endocr Pract. 2016 Sep;22(9):1104-10. doi: 10.4158/EP151190.OR. Epub 2016 Jun 13.
10
"I'm essentially his pancreas": Parent perceptions of diabetes burden and opportunities to reduce burden in the care of children <8 years old with type 1 diabetes.“我基本上就是他的胰腺”：父母对儿童 1 型糖尿病患者负担的看法，以及在照顾 8 岁以下儿童时减轻负担的机会。
Pediatr Diabetes. 2020 Mar;21(2):377-383. doi: 10.1111/pedi.12956. Epub 2019 Dec 16.
引用本文的文献
1
Spanish Validation of the Problem Area in Diabetes-Pediatric Version Survey and Its Weak Association with Metabolic Control Parameters in Pediatric Diabetes: A Cross-Sectional Multicenter Study.《糖尿病患儿问题领域调查问卷的西班牙语版验证及其与儿童糖尿病代谢控制参数的弱关联：一项横断面多中心研究》
J Clin Med. 2025 Jan 15;14(2):523. doi: 10.3390/jcm14020523.
2
Pre-Type 1 Diabetes in Adolescents and Teens: Screening, Nutritional Interventions, Beta-Cell Preservation, and Psychosocial Impacts.青少年1型糖尿病前期：筛查、营养干预、β细胞保护及社会心理影响
J Clin Med. 2025 Jan 9;14(2):383. doi: 10.3390/jcm14020383.
3
14. Children and Adolescents: Standards of Care in Diabetes-2025.14. 儿童和青少年：2025年糖尿病照护标准
Diabetes Care. 2025 Jan 1;48(Supplement_1):S283-S305. doi: 10.2337/dc25-S014.
4
The impact of emotion regulation strategies on disordered eating behavior in children and adolescents with type 1 diabetes: a cross-sectional study.情绪调节策略对1型糖尿病儿童和青少年饮食失调行为的影响：一项横断面研究。
Front Pediatr. 2024 Aug 7;12:1400997. doi: 10.3389/fped.2024.1400997. eCollection 2024.
5
Screening for diabetes distress and depression in routine clinical care for youth with type 1 diabetes.在常规临床护理中筛查 1 型糖尿病青少年的糖尿病困扰和抑郁。
J Pediatr Psychol. 2024 May 16;49(5):356-364. doi: 10.1093/jpepsy/jsae016.
6
Moderating Effect of Depression on Glycemic Control in an eHealth Intervention Among Black Youth With Type 1 Diabetes: Findings From a Multicenter Randomized Controlled Trial.抑郁症对1型糖尿病黑人青少年电子健康干预中血糖控制的调节作用：一项多中心随机对照试验的结果
JMIR Diabetes. 2024 Apr 9;9:e55165. doi: 10.2196/55165.
7
14. Children and Adolescents: Standards of Care in Diabetes-2024.14. 儿童和青少年：2024 年糖尿病护理标准。
Diabetes Care. 2024 Jan 1;47(Suppl 1):S258-S281. doi: 10.2337/dc24-S014.
8
Parental diabetes distress is a stronger predictor of child HbA1c than diabetes device use in school-age children with type 1 diabetes.父母的糖尿病困扰比 1 型糖尿病学龄儿童使用糖尿病设备更能预测儿童的 HbA1c 水平。
BMJ Open Diabetes Res Care. 2023 Sep;11(5). doi: 10.1136/bmjdrc-2023-003607.
9
Factors Affecting Depression and Its Relation to Sleep Quality among Parents of Type 1 Diabetes Patients.1型糖尿病患者父母中影响抑郁的因素及其与睡眠质量的关系。
Healthcare (Basel). 2023 Mar 30;11(7):992. doi: 10.3390/healthcare11070992.
10
Predicting role of illness perception in treatment self-regulation among patients with type 2 diabetes.预测疾病认知在 2 型糖尿病患者治疗自我管理中的作用。
J Prev Med Hyg. 2022 Dec 31;63(4):E604-E610. doi: 10.15167/2421-4248/jpmh2022.63.4.2727. eCollection 2022 Dec.
本文引用的文献
1
Diabetes care provider perceptions on family challenges of pediatric type 1 diabetes.糖尿病护理提供者对1型糖尿病患儿家庭面临挑战的看法。
Diabetes Res Clin Pract. 2017 Jul;129:203-205. doi: 10.1016/j.diabres.2017.05.006. Epub 2017 May 16.
2
The Diabetes Strengths and Resilience Measure for Adolescents With Type 1 Diabetes (DSTAR-Teen): Validation of a New, Brief Self-Report Measure.《1 型糖尿病青少年的糖尿病力量与韧性量表（DSTAR-Teen）》：一种新的简短自我报告量表的验证。
J Pediatr Psychol. 2017 Oct 1;42(9):995-1005. doi: 10.1093/jpepsy/jsx086.
3
Strengths, Risk Factors, and Resilient Outcomes in Adolescents With Type 1 Diabetes: Results From Diabetes MILES Youth-Australia.1型糖尿病青少年的优势、风险因素及适应性结果：澳大利亚糖尿病MILES青少年研究结果
Diabetes Care. 2017 Jul;40(7):849-855. doi: 10.2337/dc16-2688. Epub 2017 Apr 26.
4
Associations between major life events and adherence, glycemic control, and psychosocial characteristics in teens with type 1 diabetes.重大生活事件与 1 型糖尿病青少年的依从性、血糖控制和心理社会特征的关系。
Pediatr Diabetes. 2018 Feb;19(1):85-91. doi: 10.1111/pedi.12523. Epub 2017 Apr 19.
5
Cognitive behavioural therapy stabilises glycaemic control in adolescents with type 1 diabetes-Outcomes from a randomised control trial.认知行为疗法稳定青少年 1 型糖尿病患者的血糖控制——一项随机对照试验的结果。
Pediatr Diabetes. 2018 Feb;19(1):106-113. doi: 10.1111/pedi.12519. Epub 2017 Apr 17.
6
Provider Perspectives on the Implementation of Psychosocial Risk Screening in Pediatric Cancer.医疗服务提供者对儿科癌症心理社会风险筛查实施情况的看法。
J Pediatr Psychol. 2017 Jul 1;42(6):700-710. doi: 10.1093/jpepsy/jsw110.
7
Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association.糖尿病患者的心理社会护理：美国糖尿病协会的立场声明。
Diabetes Care. 2016 Dec;39(12):2126-2140. doi: 10.2337/dc16-2053.
8
Diabetes conflict outstrips the positive impact of self-efficacy on youth adherence and glycemic control in type 1 diabetes.糖尿病冲突超过了自我效能对 1 型糖尿病青少年依从性和血糖控制的积极影响。
Pediatr Diabetes. 2017 Nov;18(7):614-618. doi: 10.1111/pedi.12471. Epub 2016 Nov 17.
9
Evidence-based behavioral interventions to promote diabetes management in children, adolescents, and families.基于证据的行为干预措施，以促进儿童、青少年及其家庭的糖尿病管理。
Am Psychol. 2016 Oct;71(7):590-601. doi: 10.1037/a0040359.
10
The Costs and Cost-effectiveness of Collaborative Care for Adolescents With Depression in Primary Care Settings: A Randomized Clinical Trial.协作式护理治疗青少年抑郁症的成本和成本效益：一项随机临床试验。
JAMA Pediatr. 2016 Nov 1;170(11):1048-1054. doi: 10.1001/jamapediatrics.2016.1721.
Zotero 插件