MENTAL-HEALTH AND SOCIAL ADAPTATION IN YOUNG-ADULTS WITH JUVENILE-ONSET DIABETES
MENTAL-HEALTH AND SOCIAL ADAPTATION IN YOUNG-ADULTS WITH JUVENILE-ONSET DIABETES
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DOI：
10.3109/08039489509011903
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发表时间：
1995-01-01
影响因子：
1.8
通讯作者：
KOKKONEN, ER
中科院分区：
文献类型：
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作者：
KOKKONEN, J;KOKKONEN, ER
为了确定青少年发病的糖尿病是否并发有越来越多的年轻人的心理健康障碍，我们检查了一组63例患者和123名健康对照与现状检查（PSE）在19-25岁。并对社会性发展及精神障碍对社会生活的影响进行了评价。糖尿病患者精神障碍的总体患病率为17%（CI 95，8-26%），对照组为20%（CI 95，13-27%）。14%的糖尿病患者和11%的对照组被确定为抑郁障碍，但糖尿病患者的抑郁表现为更严重的情感障碍。特异性和非特异性神经症症状评估的基础上的PSE分项评分更常见于糖尿病患者比对照组。在社会发展方面，糖尿病患者在学校教育和与父母分离方面比对照组有更多的问题。我们可以得出结论，从童年开始患有糖尿病不能被认为是成年后心理健康的危险因素。这种疾病只会加重心理症状，特别是抑郁症。
To ascertain whether juvenile-onset diabetes is complicated by an increased number of mental health disorders in young adults, we examined a group of 63 patients and 123 healthy controls with the Present State Examination (PSE) at the age of 19-25 years. We also evaluated the social development and the significance of psychiatric disorder on social Life. The overall prevalence of mental disorders was 17% (CI95, 8-26%) among diabetics and 20% (CI95, 13-27%) among controls. Depressive disorders were identified in 14% of the patients and in 11% of the controls, but the diabetics' depression presented as more severe affective disorder. Both specific and nonspecific neurotic symptoms evaluated on the basis of the PSE subscores were more common in diabetics than in controls. In social development diabetics had had more problems than the controls in schooling and in separation from parents. We could conclude that just to have diabetes since childhood cannot be considered a risk factor for mental health on achieving young adulthood. The disease can only strenghten the severity of psychological symptoms, especially depression.