Psychological Treatment Improves Hemoglobin A1c Outcomes in Adolescents with Type 1 Diabetes Mellitus

被引：18

作者：

Bitsko, Matthew J. ^{[1
,2
,3
,4
]}

Bean, Melanie K. ^{[1
,2
,3
]}

Bart, Sarah ^{[5
]}

Foster, Rebecca H. ^{[6
]}

Thacker, Leroy ^{[7
]}

Francis, Gary L. ^{[1
,2
]}

机构：

[1] Childrens Hosp Richmond, Richmond, VA 23298 USA

[2] Virginia Commonwealth Univ, Childrens Hosp Richmond, Dept Pediat, Richmond, VA 23298 USA

[3] Virginia Commonwealth Univ, Dept Psychol, Richmond, VA 23298 USA

[4] Virginia Commonwealth Univ, Dept Pediat, Richmond, VA 23298 USA

[5] Yeshiva Greater Washington, Silver Spring, MD 20902 USA

[6] St Jude Childrens Res Hosp, Dept Psychol, Memphis, TN 38105 USA

[7] Virginia Commonwealth Univ, Sch Med, Dept Biostat, Richmond, VA 23298 USA

来源：

JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS | 2013年 / 20卷 / 03期

关键词：

Diabetes; Adolescents; HgbA1c; Psychotherapy; FAMILY SYSTEMS THERAPY; METABOLIC-CONTROL; PEDIATRIC PSYCHOLOGY; DEPRESSIVE SYMPTOMS; BEHAVIOR-THERAPY; GLYCEMIC CONTROL; YOUNG-ADULTS; ADHERENCE; CARE; CHILDREN;

D O I：

10.1007/s10880-012-9350-z

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Adolescents diagnosed with Type 1 Diabetes Mellitus often exhibit reduced adherence to their medical regimen and poor glycemic control. A retrospective study examined longitudinal hemoglobin A1c (HgbA1c) outcomes for adolescent patients referred to the psychology service embedded within an endocrinology clinic. Three patient groups were examined: (1) Treatment: 59 adolescents referred who engaged in psychotherapy; (2) No Treatment: 40 adolescents referred yet failed to initiate psychotherapy; (3) Control: 58 adolescents not referred for treatment and matched on demographics to the two treatment groups. Over 1 year, the Treatment group had a sustained decrease in HgbA1c while the No Treatment and Control groups had an overall increase in HgbA1c. At study end, the Treatment group had HgbA1c values that were not significantly different from patients who were not considered in need of psychological treatment (Control). Adolescents that utilized the pediatric psychology service saw decreased HgbA1c values over time.

引用

页码：333 / 342

页数：10

共 50 条

[31] Depressive Symptoms and Glycemic Control in Adolescents With Type 1 Diabetes Mediational role of blood glucose monitoring [J].