scholarly journals Role of Psychoeducation on Self- Management of Type 1 Diabetes in Adolescents – A Review

2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Sanjana Malhotra ◽  
Sherin P. Antony

The efficacy of Psychoeducation for adolescents with type 1 diabetes mellitus has long been debated among mental health professionals. Psychoeducation is an effective intervention which aids in managing the mental health concerns of the adolescents along with the parameters of their illness such as insulin regimen, dietary and exercise discipline and need for autonomy as adolescence is a developmentally challenging period. The current paper reviews twofold objectives: first is to comprehend the relationship between psychosocial factors, Psychoeducation and type 1 diabetes. Second is to uncover the implications of Psychoeducation in health care practice. A review of 40 studies from 1991 to 2014 was carried out to understand the role of Psychoeducation in type 1 diabetes. The studies reviewed indicates a positive association between Psychoeducation, quality of life, reduction in disturbed eating pattern and management of their health condition.

2020 ◽  
Vol 46 (3) ◽  
pp. 252-260
Author(s):  
Eveline R. Goethals ◽  
Rebecca O. La Banca ◽  
Peter W. Forbes ◽  
Gabriela H. Telo ◽  
Lori M. Laffel ◽  
...  

Purpose The purpose of the study was to describe experiences reported by diabetes care and education specialists caring for young adults with type 1 diabetes and to assess perceived deficiencies in clinical resources and barriers to care delivery. Methods A 60-item electronic survey was fielded through email to members of the Association of Diabetes Care and Education Specialists (ADCES). Respondents completed a survey consisting of: (1) clinical practice characteristics and respondents’ demographics; (2) health care transition components (eg, referrals) and their perceived importance; (3) framework of current clinical diabetes care delivery and perceived need for additional support; and (4) perceived barriers regarding clinical care delivery. Statistical analyses included descriptive statistics, chi-square tests, and logistic regression. Results Respondents (N = 531, 96% female, median years in practice = 13; interquartile range = 7-20) represented 49 states plus the District of Columbia. Although 88% of respondents reported reviewing pediatric records as important/very important, only 22% often/always reviewed them. Although 58% of respondents noted easy access to mental health care providers for young adults, 50% stated a need for additional resources. Furthermore, diabetes care and education specialists without easy access to mental health professionals were significantly more likely to report barriers to diabetes management for young adults with depression, substance abuse, eating disorders, and developmental disabilities. Conclusion Study findings highlight modifiable factors that may improve diabetes care coordination for transitioning young adults. Uniform approaches and increased access to trained mental health professionals may help support diabetes care and education specialists in their care of young adults with type 1 diabetes.


2021 ◽  
Vol 10 (3) ◽  
pp. 141-146
Author(s):  
Hussain Abdrabalrasool Alturaifi ◽  
Nof Tarq Alzayyat ◽  
Majed Shuraya Mohammed Alshahrani ◽  
Mujtaba Matar M Alnakhli ◽  
Abdulrahman Almuataz W Ezzi ◽  
...  

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Behiye Özcan ◽  
Patric J. D. Delhanty ◽  
Martin Huisman ◽  
Jenny A. Visser ◽  
Sebastian J. Neggers ◽  
...  

Abstract Background Several studies have demonstrated suppressed levels of acylated (AG) and unacylated ghrelin (UAG) in patients with type 2 diabetes. However, the role of these hormones in type 1 diabetes has not been extensively studied. This study assessed the relationship between AG and UAG levels and body composition in patients with type 1 diabetes. Methods We selected eighteen patients with type 1 diabetes and divided them into two groups: non-obese (BMI < 25 kg/m2) and overweight (BMI ≥ 25 kg/m2). Demographics, parameters of body composition and serum parameters including AG and UAG, were assessed. Results The patients with a BMI ≥ 25 kg/m2 were older and had a longer duration of diabetes. AG and UAG levels were not significantly different between non-obese and overweight groups (mean AG non-obese ± SD: 44.5 ± 29.4 pg/ml and mean UAG non-obese 42.4 ± 20.7 pg/ml vs mean AG overweight ± SD: 46.1 ± 29.6 pg/ml and mean UAG overweight 47.2 ± 18.2 pg/ml). AG/UAG ratios did not discriminate between these groups. There was a positive association of insuline dose/kg bodyweight with BMI (r2 = 0.45, p = 0.002). Conclusions Surprisingly, unlike non-diabetics and in T2D, we did not observe a difference in plasma levels of AG and UAG between normal weight and overweight adult type 1 diabetics. However, we did observe a positive correlation between BMI and insuline dose/kg bodyweight, suggesting that exogenous insulin is more important than the ghrelin system in the development of obesity in type 1 diabetes.


2013 ◽  
Author(s):  
P. Osborn ◽  
C. A. Berg ◽  
A. E. Hughes ◽  
P. Pham ◽  
D. J. Wiebe

2018 ◽  
Author(s):  
SK Garg ◽  
RR Henry ◽  
P Banks ◽  
JB Buse ◽  
MJ Davies ◽  
...  

2014 ◽  
Vol 11 (01) ◽  
pp. 35-42
Author(s):  
M. Hermans

SummaryThe author presents his personal opinion inviting to discussion on the possible future role of psychiatrists. His view is based upon the many contacts with psychiatrists all over Europe, academicians and everyday professionals, as well as the familiarity with the literature. The list of papers referred to is based upon (1) the general interest concerning the subject when representing ideas also worded elsewhere, (2) the accessibility to psychiatrists and mental health professionals in Germany, (3) being costless downloadable for non-subscribers and (4) for some geographic aspects (e.g. Belgium, Spain, Sweden) and the latest scientific issues, addressing some authors directly.


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