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This article has been cited by other articles in PMC. Abstract Type 1 Diabetes mellitus is known to have a major psychological impact on adolescents. Different types of therapies have been developed to support the patient as well as their families to deal with this impact.
However, studies conducted recently, though few in numbers have shown a direct relationship between general psychological functioning and metabolic control.
Self-management of diabetes and its complication therefore, is an integral part of these program.
This review looks into the various studies carried out that decide the best approach towards addressing the psychological aspect of type 1 Diabetes Mellitus.
The development of type 1 diabetes is a life sentence to a difficult therapeutic regimen that is only partially effective in preventing acute and chronic complications. Children and young people with diabetes are at a greater risk for emotional and behavioral problems.
Few aspects of the psychological domain of a diabetic have been studied. This study analyzes some of them in a critical perspective. Family Behavior and Support Adaptation to IDDM is often more difficult during adolescence when family communication and conflict resolution tend to deteriorate.
The treatment burden pervades daily life, complicating other challenges of adolescence, and the regimen often becomes the focus of parent-adolescent conflict. A study independently assessed 58 adolescents diagnosed with type 1 diabetes and their parents mothers with structured interviews and scales.
Another study carried out on 72 children with type 1 diabetes and their parents reported similar finding. Some other studies concluded that the association between parent-adolescent relationships and family conflict may be bi-directional and discussed that it may be plausible that a treatment targeting family communication and conflict resolution could improve adaptation to IDDM, treatment adherence and diabetic control.
Most of the studies do not involve randomization of the subjects, thereby giving scope for bias. A large proportion of the studies in this field have either been of quantitative or mixed both qualitative and quantitative approach, with very few qualitative studies done.
Moreover, most studies had control trials where both groups differed at baseline along many clinically meaningful dimensions, impeding the confirmation of clear treatment effects.
The effects of stress on regimen adherence and metabolic control have been of particular interest. Stress has the potential to affect metabolic control directly through its impact on cortisol and other catabolic hormones that interfere with insulin metabolism.
It may also affect metabolic control indirectly, by interfering with completion of self-care tasks. A study assessed 98 adolescents with type 1 diabetes, dividing them into three groups based on annual tests of hemoglobin A1 values. Their study supported a direct relationship between stress and metabolic control.
However, there appears to be no consensus regarding the relationship between stress and metabolic control.
Another study showed that adherence mediates the relationship between stress and metabolic control.Dec 15, · Understanding the nature of the psychological aspects that are pertinent in patients with DM, and the links between the emotional disorders (stress, distress, anxiety, DRD and depression) and inflammation has provided a mechanistic insight into the relationships between psychological domains and poor physical health.
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Diabetes Research Papers Diabetes research papers discuss the causes of diabetes and how it affects public health. This is a research paper topic outline on Diabetes.
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It concerns every person who seeks to create a strong long-term relationship, which becomes a basis of a family and a whole society, with another one.
Psychological Aspects of Diabetes Essay Sample. Introduction. Diabetes mellitus is one of the leading killer diseases in the world. Diabetes has been associated with the changing lifestyle especially increased consumption of fast foods.