Recognizing the psychosocial aspects of type 1 diabetes in adolescents.
Recognizing the psychosocial aspects of type 1 diabetes in adolescents.
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DOI：
10.4274/jcrpe.1745
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发表时间：
2015-03
影响因子：
1.9
通讯作者：
Aydın A
中科院分区：
文献类型：
--
作者：
Adal E;Önal Z;Ersen A;Yalçın K;Önal H;Aydın A
考虑到糖尿病青少年人口的不断增加以及该疾病在整个病程中与心理社会问题的关联，抑郁和/或焦虑以及父母的社会支持是这些患者特别关注的问题。该研究旨在确定糖尿病青少年的抑郁和焦虑状态及其对糖尿病（DM）管理的影响。 295 名患有 1 型糖尿病的青少年及其父母参加了我们的研究。使用儿童抑郁量表和儿童状态特质焦虑量表（STAI I-II）、家庭感知社会支持量表（PSS-Fa）、成人贝克抑郁量表、成人 STAI I-II 和感知社会支持多维量表（MSPSS）来评估心理困扰。血糖测量、胰岛素剂量和糖化血红蛋白水平的记录被用作血糖控制参数。 抑郁率为12.9%。状态焦虑 (p<0.001) 和特质焦虑 (p<0.001) 水平较高；抑郁症患者的 PSS-Fa (p<0.001) 和 MSPSS (p<0.006) 评分较低。抑郁症、PSS-Fa、STAI-I 和 STAI-II 之间呈正相关。糖尿病的治疗策略应包括整个病程中共存的精神疾病。在糖尿病青少年中，PSS-Fa、STAI-I 和 STAI-II 似乎是评估抑郁症的有效工具。
Considering the ever increasing population of diabetic adolescents and the association of the disease with psychosocial problems throughout its course, depression and/or anxiety and social support from parents are issues of special concern in these patients. The study aimed to identify the depression and anxiety state of diabetic adolescents and its impact on the management of diabetes mellitus (DM). 295 adolescents with type 1 DM and their parents attended our study. Psychological distress was assessed using the Children’s Depression Inventory and the State-Trait Anxiety Inventory (STAI I-II) for Children, Perceived Social Support from Family (PSS-Fa) scale, Beck Depression Inventory for adults, STAI I-II for adults and the Multidimensional Scale of Perceived Social Support (MSPSS). Records of glycemic measurements, insulin dosage and hemoglobin A1c levels were used as glycemic control parameters. Depression rate was 12.9%. State (p<0.001) and trait anxiety (p<0.001) levels were high; PSS-Fa (p<0.001) and MSPSS (p<0.006) scores were low in the depressive patients. Positive correlations were noted between depression, PSS-Fa, STAI-I and STAI-II. Therapeutic strategies of DM should include co-existing psychiatric conditions throughout the course of the disease. In diabetic adolescents, PSS-Fa, STAI-I and STAI-II appear to be effective tools in the evaluation of depression.
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影响因子：
1.8
作者：
KOKKONEN, J;KOKKONEN, ER
通讯作者：
KOKKONEN, ER
影响因子：
5.9
作者：
MILLERJOHNSON, S;EMERY, RE;MARTIN, M
通讯作者：
MARTIN, M
影响因子：
16.2
作者：
Northam, Elisabeth A.;Lin, Ashleigh;Cameron, Fergus J.
通讯作者：
Cameron, Fergus J.
影响因子：
3.4
作者：
Whittemore, Robin;Kanner, Sheri;Grey, Margaret
通讯作者：
Grey, Margaret
影响因子：
3.6
作者：
Jaser, Sarah S.;Whittemore, Robin;Grey, Margaret
通讯作者：
Grey, Margaret