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.
Pediatr Diabetes. 2018 May;19(3):534-543. doi: 10.1111/pedi.12575. Epub 2017 Sep 22.
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.
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。
