Psycho-social aspects of children and adolescents with diabetes |
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| Authors: | Z. Laron A. Galatzer S. Amir R. Gil M. Karp |
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| Affiliation: | (1) Institute of Pediatric and Adolescent Endocrinology, Beilinson Medical Center, Sackler Faculty of Medicine, Tel Aviv University, WHO Collaborating Center for the Study of Diabetic in Youth, Tel Aviv University, Israel;(2) Incumbent of the Irene and Nicholas Marsh Chair of Endocrinology and Diabetes, Tel Aviv University, Israel;(3) Beilinson Medical Center, 49 100 Petah Tikva, Israel |
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| Abstract: | The diagnosis of diabetes mellitus, a life-long disease with many possible complications, has a dramatic impact upon the entire family, precipitating a state of “shock”. The psychological problems in diabetes should be divided in 3 periods : at diagnosis (other diseases or tension existing in the family and not related to diabetes, socio-economic state); initial adaptation period (acceptance to be “different”, adjustment to rules of control such as daily injection of insulin, self blood glucose monitoring or urine testing, changing of nutritional habits, etc.), and long term coping (self-image, family dynamics, social activities, school achievements, vocational rehabilitation and continuing compliance. Counselling of the psychological problems is an ongoing need and is best delivered when the treating team included psychologists and social workers |
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| Keywords: | Diabetes mellitus Psychological aspects Multidisciplinary team |
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