关键词: Alexithymia Chronic conditions Clinical psychology Diabetes Mental health T1DM Type 1 diabetes mellitus Uncertainty

Mesh : Humans Adolescent Diabetes Mellitus, Type 1 / psychology complications Male Female Affective Symptoms / epidemiology Child Uncertainty Anxiety / epidemiology Depression / epidemiology Mental Health Prevalence

来  源:   DOI:10.1186/s13052-024-01647-4   PDF(Pubmed)

Abstract:
BACKGROUND: Type 1 Diabetes Mellitus (T1DM) represents a serious chronic condition affecting a wide number of people. Discussion of the physical issues associated with T1DM pervades the literature, however, there is less discussion of the psychological consequences. Mental health difficulties, alexithymia and uncertainty are present in this population, and known to be harmful for the onset, maintenance and worsening of T1DM. This study aimed to evaluate the presence of these phenomena in people with T1DM.
METHODS: 105 participants aged between 11 and 17 years old (M: 13.88; SD: 2.16) affected by T1DM were included in the sample. To assess the presence of mental health difficulties, SAFA scales (Depression, Anxiety and Somatic symptoms) were included in the protocol together with TAS-20 and IUS-12, which evaluate the presence and role of alexithymia and intolerance to uncertainty in the sample, respectively.
RESULTS: A concerning presence of anxiety, depression and somatic symptoms was found in the sample. Mental health difficulties appeared to be consistently present in the sample, often overcoming pathological thesholds. Alexithymia and uncertainty were also common, highlighting their role in T1DM.
CONCLUSIONS: Active mental health difficulties together with high rates of alexithymia and intolerance to uncertainty were prevalent in the sample of adolescents with diabetes.
摘要:
背景:1型糖尿病(T1DM)是一种严重的慢性病,影响了许多人。与T1DM相关的物理问题的讨论遍及文献,然而,关于心理后果的讨论较少。心理健康困难,在这个人群中存在述情障碍和不确定性,已知对发病有害,T1DM的维持和恶化。本研究旨在评估这些现象在T1DM患者中的存在。
方法:将105名受T1DM影响的年龄在11至17岁(M:13.88;SD:2.16)的参与者纳入样本。为了评估心理健康困难的存在,SAFA量表(抑郁症,焦虑和躯体症状)与TAS-20和IUS-12一起包含在方案中,它们评估了运动障碍和对样本中不确定性的不耐受的存在和作用,分别。
结果:A关于焦虑的存在,样本中发现了抑郁和躯体症状。心理健康问题似乎一直存在于样本中,经常克服病态的问题。述情障碍和不确定性也很常见,强调其在T1DM中的作用。
结论:在患有糖尿病的青少年样本中,活跃的心理健康困难以及高的述情障碍和对不确定感的不耐受率普遍存在。
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