Chapter

Psychological problems

David Levy

in Type 1 Diabetes

Published on behalf of Oxford University Press

ISBN: 9780199553211
Published online September 2011 | e-ISBN: 9780191740190 | DOI: http://dx.doi.org/10.1093/med/9780199553211.003.0008

Series: Oxford Diabetes Library

Psychological problems

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• Psychological disturbances are common at all stages of diabetes, from diagnosis to the experience of late tissue complications. • The most profound disturbances occur in young females, from early adolescence onwards, often manifested as a range of eating disorders associated with manipulation of insulin dosing. • Quality of life broadly improves with better glycaemic control in the real-life setting. • Depression is common, often not diagnosed, and frequently relapses. It should be actively sought out. • The causes of family dysfunction, which is common, are multiple, but usually centre around issues of blood glucose control. Family dysfunction is associated with recurrent diabetic ketoacidosis. Cognitive behaviour therapy is effective, particularly in young people. • Less intensive interventions designed to guide change in the absence of overt psychological difficulties, such as motivational interviewing, also seem to be valuable in young people.

Chapter.  3694 words. 

Subjects: Endocrinology and Diabetes

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