Diabetes UK, Wells Lawrence House, 126 Back Church Lane, London, UK.
JDRF, London, UK.
Diabet Med. 2019 Dec;36(12):1532-1538. doi: 10.1111/dme.14048. Epub 2019 Jun 19.
To identify key gaps in the research evidence base that could help to improve the mental well-being of people with diabetes, and to provide recommendations to researchers and research funders on how best to address them.
A 2-day international research workshop was conducted, bringing together research experts in diabetes and in mental health, people living with diabetes and healthcare professionals.
The following key areas needing increased financial investment in research were identified: understanding the mechanisms underlying depression; understanding the multifactorial impact of social stigma; improving the language used by healthcare professionals; supporting people who find it difficult to engage with their diabetes; supporting significant others; supporting people with diabetes and eating disorders; improving models of care by learning from best practice; the potential benefits of screening and managing diabetes distress in routine diabetes care pathways; primary prevention of mental health issues at the time of diagnosis of diabetes; establishing the effectiveness of diabetes therapies on mood and other mental health issues; and understanding the impact of current diabetes technologies on mental health. Research recommendations as to how to address each of these priority areas were also developed.
This inaugural position statement outlines recommendations to address the urgent unmet need related to the mental well-being of people living with diabetes, and calls on the research community and funders to develop research programmes and strategies to reduce this need.
确定有助于改善糖尿病患者心理健康的研究证据基础中的关键空白，并就如何最好地解决这些问题向研究人员和研究资助者提出建议。
举办了为期两天的国际研究研讨会，汇集了糖尿病和心理健康方面的研究专家、糖尿病患者和医疗保健专业人员。
确定了需要增加研究经费投入的以下关键领域：了解抑郁症的发病机制；了解社会耻辱感的多因素影响；改善医疗保健专业人员使用的语言；支持那些难以参与糖尿病治疗的人；支持重要他人；支持患有糖尿病和饮食失调的人；通过借鉴最佳实践来改进护理模式；从常规糖尿病护理途径中筛查和管理糖尿病困扰的潜在益处；在诊断糖尿病时预防心理健康问题的初级预防；确定糖尿病疗法对情绪和其他心理健康问题的影响；了解当前糖尿病技术对心理健康的影响。还针对如何解决这些优先领域中的每一个提出了研究建议。
本首次立场声明概述了满足与糖尿病患者心理健康相关的迫切未满足需求的建议，并呼吁研究界和资助者制定研究计划和战略来减少这种需求。
