Current recommendations and considerations for psychosocial and psychoeducational support of adolescents with Type 1 diabetes

摘要

Living with diabetes requires an individual to follow a regimen that focuses on balancing diet, activity and medication 24 h a day 7 days a week. Reducing psychological distress associated with poor glycemic control has proven to be a challenge. Approaches that focus on increasing knowledge/skills, addressing psychosocial issues and improving self-management behaviors demonstrate modest short-term improvements. Multifaceted, individually tailored interventions that address the inter-relatedness of the various aspects of diabetes management and include multiple components (e.g., emotional, social and family targets alongside behavioral goals) appear to be the most effective. However, limited long-term changes suggest a need for continuous support delivered by a multidisciplinary diabetes team rather than the delivery of any particular one-off short-term intervention. This review describes individual, group and family psychosocial and psychoeducational interventions that address psychological wellbeing and glycemic control in adolescents living with diabetes.