Advertisement

Psychosoziale Situation und psychologische Betreuung diabetischer Kinder, Jugendlicher und ihrer Eltern

  • K. Lange

Zusammenfassung

Angesichts der anspruchsvollen Diabetestherapie und den damit verbundenen alltäglichen Einschränkungen und seelischen Belastungen kommt der psychosozialen Betreuung von Kindern, Jugendlichen und Eltern eine wichtige Stellung in der Langzeitbehandlung zu. Diese Tatsache findet heute sowohl in den Rahmenbedingungen zur Anerkennung als Therapie- und Behandlungszentrum für Kinder und Jugendliche mit Diabetes (DDG) (Hürter u. Holl 1995), als auch in anderen Consensus Statements zur Qualitätssicherung in der Diabetologie Berücksichtigung (European IDDM Policy Group 1993, American Diabetes Association 1996).

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Alexander F (1971) Psychosomatische Medizin. de Gruyter, BerlinGoogle Scholar
  2. American Diabetes Association (1996) Clinical practice and recommendations 1996. Diabetes Care 19 (Supp1.1)a-118Google Scholar
  3. Anderson BJ, Auslander WF, Jung KC, Miller JP, Santiago JV (199o) Assessing family sharing of diabetes responsibilities. J Pediatr Psychol 15:477–492Google Scholar
  4. Anderson BJ, Miller JP, Auslander WF, Santiago JV (1981) Family characteristics of diabetic adolescents: Relationship to metabolic control. Diabetes Care 4: 586–594Google Scholar
  5. Anderson BJ, Wolf FM, Burkhart MT, Cornell RG, Bacon GE (1989) Effects of peergroup intervention on metabolic control of adolescents with IDDM: randomized outpatient study. Diabetes Care 12: 179–183PubMedCrossRefGoogle Scholar
  6. Anderson RM, Funnell MM, Barr PA, Dedrick RF, Davis WK (1991) Learning to empower patients. Diabetes Care 14:584–590Google Scholar
  7. Barglow P, Edidin DV, Budlong-Springer AS, Berndt D, Phillips R, Dubow E (1983) Diabetic control in children and adolescents: Psychosocial factors and therapeutic efficacy. J Youth Adolescence 1277–94Google Scholar
  8. Birk R, Spencer ML (1989) The prevalence of anorexia nervosa, bulimia and induced glycosuria in IDDM females. Diabetes Ed 15: 336–341CrossRefGoogle Scholar
  9. Blanz JB, Rensch-Riemann BS, Fritz-Sigmund DI, Schmidt MH (1993) IDDM is a risk factor for adolescent psychiatric disorders. Diabetes Care 16:1579–1587Google Scholar
  10. Bradley C (1994) Contributions of psychology to diabetes management. B J Clin Psychol 33:11–21 Bruch H (1949) Physiological and psychological interrelationships in diabetes in children. Psychosom Med 11:200–210Google Scholar
  11. Campagnoli M (1979) A „fifth“ pillar in diabetes therapy? Bull Int Diab Fed 24: 21–22Google Scholar
  12. Carney R, Schechter K, Davis T (1983) Improving adherence to blood glucose testing in insulin dependent diabetic children. Behav Ther 13:247–254Google Scholar
  13. Cierpka M (1982) Der juvenile Diabetiker and seine Familie. Z Psychsom Med 28:363–384Google Scholar
  14. Cox DJ, Gonder-Frederick LA (1991) Stress and diabetes mellitus. In: McCabe P, Schneiderman N, Field T, Skyler J (eds) Stress and coping. Erlbaum, Hillsdale NJ, pp 119–134Google Scholar
  15. Cox DJ, Gonder-Frederick LA (1992) Major developments in behavioral diabetes research. J Consult Clin Psychol 60: 628–638PubMedCrossRefGoogle Scholar
  16. Cox DJ, Gonder-Frederick LA, Julian DM, Cryer P, Lee JA, Richards FE, Clarke WL (1991) Intensive versus standard blood glucose awareness training (BGAT) with insulin-dependent diabetes: mechanisms and ancillary effects. Psychosom Med 53: 453–462PubMedGoogle Scholar
  17. Cox DJ, Irvine AI, Gonder-Frederick LA, Nowacek G, Butterfield J (1987) Fear of hypoglycemia: quantification, validation, and utilization. Diabetes Care 10: 617–621PubMedCrossRefGoogle Scholar
  18. Deak D (1991) Familientherapie bei Kindern and Jugendlichen mit Typ-I-Diabetes mellitus. In: Roth R, Borkenstein M (Hrsg) Psychosoziale Aspekte in der Betreuung von Kindern and Jugendlichen mit Diabetes. Karger, Basel, S 168–176Google Scholar
  19. Dumont RH, Jacobson AM, Cole C, Hauser ST, Wolfsdorf JI, Willett JB, Milley JE, Wertlieb D (1995)Google Scholar
  20. Psychosocial predictors of acute complications of diabetes in youth. Diabet Med 12:612–618 Dunbar F (1954) Emotions and bodily changes. Columbia University Press, New YorkGoogle Scholar
  21. Dunn SM, Turtle JR (1981) The myth of the diabetic personality. Diabetes Care 4: 640–646PubMedGoogle Scholar
  22. European IDDM Policy Group (1993) Consensus guidelines for the management of insulin-dependent (type I) diabetes. Medicom Europe BV, Bussum, The Netherlands.Google Scholar
  23. Fairburn CG, Peveler RC, Davies B, Mann JI, Mayou RA (1991) Eating disorders in young adults with insulin dependent diabetes mellitus: a controlled study. Br Med J 303: 17–20CrossRefGoogle Scholar
  24. Fällström K (1974) On the personality structure in diabetic school children. Acta Paediatr Scand 251 [Suppl]:5–7Google Scholar
  25. Galatzer A, Amir S, Gil R, Kap M, Laron Z (1982) Crisis intervention program in newly diagnosed diabetic children. Diabetes Care 5: 414–419PubMedCrossRefGoogle Scholar
  26. Green LB, Wysocki T, Reineck BM (1990) Fears of hypoglycemia in children and adolescents with diabetes. J Pediatr Psychol 15: 633–640PubMedCrossRefGoogle Scholar
  27. Grey MJ, Genel M, Tamborlane WV (1980) Psychosocial adjustment of latency-aged diabetics: determinants and relationship to control. Pediatrics 65: 69–73PubMedGoogle Scholar
  28. Gross AM, Heimann L, Shapiro R, Schultz RM (1983) Children with diabetes. Social-skills training and Hemoglobin Aic levels. Behav Modific 7: 151–164Google Scholar
  29. Grossmann HY, Brink S, Hauser ST (1987) Self-efficacy in adolescent girls and boys with insulin-dependent diabetes mellitus. Diabetes Care 10:324–329Google Scholar
  30. Gustafsson PA, Cederblad M, Ludvigsson J, Lundin B (1987) Family interaction and metabolic balance in juvenile diabetes mellitus. Diabetes Res Clin Pract 4: 7–14PubMedCrossRefGoogle Scholar
  31. Guthrie DW, Sargent L, Speelman D, Parks L (1990) Effects of parental relaxation training on glycosylated hemoglobin of children with diabetes. Patient Ed Counsel 16: 247–253CrossRefGoogle Scholar
  32. Halford WK, Cuddihy S, Mortimer RH (1990) Psychological stress and blood glucose regulation in type I diabetic patients. Health Psychol 9: 516–528PubMedCrossRefGoogle Scholar
  33. Hanson CL, Henggeler SW, Burghen GA (1987) Social competence and parental support as mediators of the link between stress and metabolic control in adolescents with insulin-dependent diabetes mellitus. J Consul Clin Psychol 55: 529–533CrossRefGoogle Scholar
  34. Hanson CL, Pritchert JW (1986) Perceived stress and diabetes control in adolescents. Health Psychol 5:439–452Google Scholar
  35. Hauenstein EJ, Marvin RS, Snyder AL, Clarke WL (1989) Stress in parents of children with diabetes mellitus. Diabetes Care 12: 18–23PubMedCrossRefGoogle Scholar
  36. Hauser ST, Jacobson AM, Lavori P, Wolfsdorf JI, Herskowitz RD, Milley JE, Bliss R (1991) Adherence among children and adolescents with insulin-dependent diabetes mellitus over a four-year longitudinal follow-up: II. Immediate and long-term linkages with the family milieu. J Pediatric Psychol 15: 527–542Google Scholar
  37. Herman CP, Polivy J (1988) Restraint and excess in dieters and bulimics. In: Pirke KM, VandereyckenGoogle Scholar
  38. W, Ploog D (eds) The psychobiology of bulimia nervosa. Springer, Berlin, pp 33–41Google Scholar
  39. Hinkle LE, Wolf S (1956) A summary of experimental evidence relating life stress to diabetes mellitus. J Mount Sinai Hospital 19: 537–570Google Scholar
  40. Hurter A, Otten A (1991) Familien mit diabetischen Kindern and Jugendlichen: Psychische and soziale Probleme and der Wunsch nach psychologischer Hilfe im Vergleich mit anderen chronischen Erkrankungen. In: Roth R, Borkenstein M (Hrsg) Psychosoziale Aspekte in der Betreuung von Kindern and Jugendlichen mit Diabetes. Karger, Basel, S 150–159Google Scholar
  41. Hurter P, Holl R (1995) Qualitätssicherung in der pädiatrischen Diabetologie. Statement der Arbeitsgemeinschaft Pädiatrische Diabetologie in der Deutschen Gesellschaft für Kinderheilkunde and der Deutschen Diabetes-Gesellschaft. Diab Stoffw 4: 481–485Google Scholar
  42. Jacobson AM, Hauser ST, Lavori P, Willett JB, Cole CF, Wolfsdorf JI, Dumont RH, Wertlieb D (1994) Family environment and glycemic control: a four-year prospective study of children and adolescents with insulin-dependent diabetes mellitus. Psychosom Med 56: 401–409PubMedGoogle Scholar
  43. Jacobson AM, Hauser ST, Wertlieb D, Wolfsdorf JI, Orleans J,Vieyra M (1986) Psychological adjustment of children with recently diagnosed diabetes mellitus. Diabetes Care 9:323–329Google Scholar
  44. Johnson SB (1980) Psychosocial factors in juvenile diabetes: a review. J Behav Med 3:95–116Google Scholar
  45. Jones PM (1990) Use of a course on self-control behavior techniques to increase adherence to prescribed frequency for self-monitoring blood glucose. Diabetes Ed 16: 296–303CrossRefGoogle Scholar
  46. Kaplan RM, Chadwick MW (1987) Training sozialer Kompetenz bei Typ-I-Diabetes mellitus. In: Strian F, Hö1z1 R, Haslbeck M (Hrsg) Verhaltensmedizin and Diabetes mellitus. Springer, Berlin Heidelberg New York, S 309–325Google Scholar
  47. Kemmer FW, Bisping R, Steingräber HI (1986) Psychological stress and metabolic control in patients with type I diabetes mellitus. N Engl J Med 314: 1078–1084PubMedCrossRefGoogle Scholar
  48. Koski M (1969) The coping processes in childhood diabetes. Acta Paediatr Scand 198 [Suppl]:7–56 Koski M, Ahlas A, Kumento A (1975/76) A psychosomatic follow-up study of childhood diabetics. Acta Paedopsychiatrica 42: 12–26Google Scholar
  49. Kovacs M, Charron-Prochownik D, Obrosky DS (1995) A longitudinal study of biomedical and psychosocial predictors of multiple hospitalizations among young people with insulin-dependent diabetes mellitus. Diabet Med 12: 142–148PubMedCrossRefGoogle Scholar
  50. Kovacs M, Feinberg TL, Paulauskas S, Finkelstein R, Pollock M, Crouse-Novak M (1985) Initial coping responses and psychosocial characteristics of children with insulin-dependent diabetes mellitus. J Pediatr 106: 827–834PubMedCrossRefGoogle Scholar
  51. Kovacs M, Kass RE, Schnell TM, Goldston D, Marsh J (1989) Family functioning and metabolic control of school-aged children with IDDM. Diabetes Care 12:409–414Google Scholar
  52. Kuznik G (1995) Psychiatrisch-psychotherapeutische Betreuung von Jugendlichen mit Diabetes and ihren Familien. Vortrag auf der 13. Arbeitstagung des Arbeitskreises Diabetes and Psychologie, Hannover.Google Scholar
  53. Lazarus RS (1981) Streß and Streßbewältigung–ein Paradigma. In: Filipp SH (Hrsg) Kritische Lebensereignisse. Urban u. Schwarzenberg, München, S 198–232Google Scholar
  54. Littlefield CH, Craven JL, Rodin GM, Daneman D, Murray MA, Rydall AC (1992) Relationship of selfefficacy and bingeing to adherence to diabetes regimen among adolescents. Diabetes Care 15: 90–94PubMedCrossRefGoogle Scholar
  55. Lowe K, Lutzker JR (1979) Increasing compliance to a medical regimen with a juvenile diabetic. Behav Ther 10: 57–62CrossRefGoogle Scholar
  56. Ludvigsson J (1977) Sociopsychological factors and metabolic control in juvenile diabetes. Acta Paediatr Scand 66:431–437Google Scholar
  57. Ludvigsson J, Richt B (1989) Sociopsychological complications of getting diabetes mellitus in childhood. In: Laron Z, Karp M (eds) Prognosis of diabetes in children. Karger, Basel, pp 252–258Google Scholar
  58. Lustman PJ, Griffith LS, Gavard JA, Clouse RE (1988) Depression in adults with diabetes. Diabetes Care 15: 1631–1639CrossRefGoogle Scholar
  59. Marrero DG, Myers GL, Golden MP, West D, Kershnar A, Lau N (1982) Adjustment to misfortune: the use of a social support group for adolescent diabetics. Pediatr Adoles Endocrinol 10: 213–218Google Scholar
  60. Marteau TM, Bloch S, Baum ID (1987) Family life and diabetic control. J Child Psychol Psychiat 28: 823–833PubMedCrossRefGoogle Scholar
  61. Mayer EJ, Hamman RF, Gay EC, Lezotte DC, Savitz DA, Klingensmith GJ (1988) Reduced risk of IDDM among breast-fed children: the Colorado IDDM registry. Diabetes 37: 1625–1632PubMedCrossRefGoogle Scholar
  62. Menninger WC (1935) Psychological factors in the etiology of diabetes. J Nery Ment Dis 81: 1–13CrossRefGoogle Scholar
  63. Metzmacher B (1991) Zum Problem des Schwindelns bei diabetischen Kindern and Jugendlichen. In: Roth R, Borkenstein M (Hrsg) Psychosoziale Aspekte in der Betreuung von Kindern and Jugend-lichen mit Diabetes. Karger, Basel, 5 93–100Google Scholar
  64. Minuchin S, Baker L, Rosman BL, Liebman R, Milman L, Todd TC (1975) A conceptual model of psychosomatic illness in children. Arch Gen Psychiatry 32: 1031–1038PubMedCrossRefGoogle Scholar
  65. Moran GS, Fonagy P, Kurtz A, Bolton A, Brook C (1991) A controlled study of psychoanalytic treatment of brittle diabetes. J Am Acad Child Adolesc Psychiatry 30: 926–935PubMedCrossRefGoogle Scholar
  66. Peveler RC, Fairburn CG, Boller I, Dunger D (1992) Eating disorders in adolescents with IDDM: a controlled study. Diabetes Care 15: 1356–1360PubMedCrossRefGoogle Scholar
  67. Pollock M, Kovacs M, Charron-Prochownik D (1995) Eating disorders and maladaptive dietary/insulin management among youth with childhood-onset insulin-dependent diabetes mellitus. J Am Acad Child Adolesc Psychiatry 34:291–296Google Scholar
  68. Popkin MK, Callies AI, Lentz RD, Colon EA, Sutherland DE (1988) Prevalence of major depression, simple phobia, and other psychiatric disorders in patients with long-standing type I diabetes mellitus. Arch Gen Psychiatry 45: 64–68PubMedCrossRefGoogle Scholar
  69. Rodin GM, Johnson LE, Garfinkel PE, Daneman D, Kenshole AB (1986) Eating disorders in female adolescents with insulin dependent diabetes mellitus. J Clin Psychiatry 161: 49–57Google Scholar
  70. Rodin GM, Daneman D (1992) Eating disorders and IDDM: a problematic association. Diabetes Care 15: 1402–1412.PubMedCrossRefGoogle Scholar
  71. Rubin RR, Peyrot M (1992) Psychosocial problems and interventions in diabetes. Diabetes Care 15: 1640–1657PubMedCrossRefGoogle Scholar
  72. Ryan C, Longstreet C, Morrow L (1985) The effects of diabetes mellitus on the school attendance and school achievement of adolescents. Child Care Health Dev 11: 229–240PubMedCrossRefGoogle Scholar
  73. Satin W, LaGreca AM, Zigo MA, Skyler JS (1989) Diabetes in adolescence: effects of multifamiliy group intervention and parental simulation of diabetes. J Ped Psycho! 15:477–492Google Scholar
  74. Seligman ME (1986) Erlernte Hilflosigkeit. 3. erw. Aufl., Urban u. Schwarzenberg, München Siemiatycki J, Colle E, Campbell S, Dewar R, Belmonte MM (1989) Case-control! study of IDDM. Diabetes Care 12: 209–216Google Scholar
  75. Simonds JF (1976/77) Psychiatric status of diabetic youth in good and poor control. Int J Psychiat Med 7 133–151Google Scholar
  76. Simonds JF (1977) Psychiatric status of diabetic youth matched with a control group. Diabetes 26: 921–925PubMedGoogle Scholar
  77. Slawson PF, Flynn WR, Kollar EJ (1963) Psychosocial factors associated with the onset and course of diabetes mellitus. JAMA 185: 166–170PubMedCrossRefGoogle Scholar
  78. Stabler BS, Morris MA, Litton J, Feinglos MN, Surwit RS (1986) Differential glycemic response to stress in Type A and Type B individuals with IDDM. Diabetes Care 9: 550–552.PubMedGoogle Scholar
  79. Stancin T, Link DL, Reuter JM (1989) Binge eating and purging in young insulin-dependent diabetics. Diabetes Care 12: 601–603PubMedCrossRefGoogle Scholar
  80. Stark LJ, Dahlquist LM, Collins FL (1987) Improving children’s compliance with diabetes management. Clin Psychol Rev 7: 223–242CrossRefGoogle Scholar
  81. Steel JM, Young RJ, Lloyd GG, MacIntyre CA (1989) Abnormal eating attitudes in young insulin-dependent diabetics. Br J Psychiatry 155: 515–521PubMedCrossRefGoogle Scholar
  82. Steinhausen HC, Börner S (1978) Kinder and Jugendliche mit Diabetes. Verlag für Medizinische Psychologie, GöttingenGoogle Scholar
  83. Striegel-Moore RH, Nicholson TJ, Tamborlane WV (1992) Prevalence of eating disorder symptoms in preadolescent and adolescent girls with IDDM. Diabetes Care 15: 1361–1368PubMedCrossRefGoogle Scholar
  84. Swift C, Seidman F, Stein H (1967) Adjustment problems in juvenile diabetes. Psychosom Med 29: 555–571Google Scholar
  85. Tattersall RB, McCullough DK, Aveline M (1985) Group therapy in the treatment of diabetes. Diabetes Care 8: 180–188PubMedCrossRefGoogle Scholar
  86. Verge CF, Howard NJ, Irwig L, Simpson JM, Mackerras D, Silink M (1994) Environmental factors in childhood IDDM. A population-based, case-control study. Diabetes Care 17: 1381–1389Google Scholar
  87. Waadt S (1994) Eßstörungen bei Diabetes mellitus: Beschreibung and Therapie einer Doppelerkrankung. In: Zielke M, Sturm J (Hrsg) Handbuch stationärer Verhaltenstherapie. Seitz, Weinheim, S 610–618Google Scholar
  88. Weissberg-Benchell J, Glasgow AM, Tynan WD, Wirtz P, Turek J, Ward J (1995) Adolescent diabetes management and mismanagement. Diabetes Care 18: 77–82Google Scholar
  89. Wysocki T, Green L, Huxtable K (1989) Blood glucose monitoring by diabetic adolescents: compliance and metabolic control. Health Psychol 8: 276–284CrossRefGoogle Scholar
  90. Wysocki T, Taylor A, Hough BS, Linscheid TR, Yeates KO, Naglieri JA (1996) Deviation from developmentally appropriate self-care autonomy. Diabetes Care 19: 119–125PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • K. Lange

There are no affiliations available

Personalised recommendations