Bombaci Bruno, Torre Arianna, Longo Alessandro, Pecoraro Maria, Papa Mattia, Sorrenti Lacrima, La Rocca Mariarosaria, Lombardo Fortunato, Salzano Giuseppina
Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, 98122 Messina, Italy.
Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy.
Children (Basel). 2024 Sep 4;11(9):1085. doi: 10.3390/children11091085.
Adolescence, a critical period of physical and psychological development, presents unique challenges in type 1 diabetes (T1D) management due to endocrinological changes, reduced therapeutic adherence, and elevated susceptibility to psychological issues such as depression, anxiety, and eating disorders. This narrative review explores the impact of psychological and behavioral factors on glycemic control in adolescents with T1D. We examine the prevalence and influence of mental health disorders, lifestyle factors, harmful behaviors, and social dynamics on diabetes management and glycemic outcomes. Strategies for improving metabolic control are also reviewed, including cognitive behavioral therapy, technological devices, and educational interventions. The importance of tailored psychological support, family involvement, and targeted interventions to improve adherence to treatment and glycemic control in adolescents with T1D should be emphasized.
青春期是身体和心理发育的关键时期，由于内分泌变化、治疗依从性降低以及对抑郁症、焦虑症和饮食失调等心理问题的易感性增加，在1型糖尿病（T1D）管理方面呈现出独特的挑战。本叙述性综述探讨了心理和行为因素对T1D青少年血糖控制的影响。我们研究了心理健康障碍、生活方式因素、有害行为和社会动态对糖尿病管理和血糖结果的患病率及影响。还综述了改善代谢控制的策略，包括认知行为疗法、技术设备和教育干预措施。应强调提供量身定制的心理支持、家庭参与以及针对性干预措施对于提高T1D青少年的治疗依从性和血糖控制的重要性。
