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Psychological interventions for adherence, metabolic control, and coping with stress in adolescents with type 1 diabetes:a systematic review

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World Journal of Pediatrics 2020年第5期16卷 456-470页

作者： yousef m.aljawarneh Nesreen m.Al-Qaissi Hana Y.Ghunaim Health Sciences Division School of NursingHigher Colleges of TechnologyP.O.Box 1626FujairahUnited Arab Emirates Higher Colleges of Technology P.O.Box 1626FujairahUnited Arab Emirates Fatima College of Health Sciences Institute of Applied TechnologyP.O.Box 24162Al AinUnited Arab Emirates

Background The aim of this review was to summarize and identify the variations in the effectiveness of psychological interventions on adherence,metabolic control,and coping with stress in adolescents with type 1 diabetes(T1D).methods An electronic search of literature was performed using Pubmed(NLm),Embase(Ovid),CINAHL Plus(EBSCO-host),PsycINFO(Ovid),and Google *** search was limited to include articles reported the effect of one of the psychological interventions:cognitive behavioral therapy(CBT),coping skills training(CST),stress management,or psychotherapy *** report included peer-reviewed articles published in English from January 1990 until may 2019in adolescents with T1D,and summarizes the results of 24 studies that met the inclusion *** Psychological interventions showed differential effects on adherence,metabolic control,and coping with stress in adolescents with *** interventions using principles of CBT appear to have a superior positive effect on regimen adherence compared with other types of psychological *** contrast,metabolic control was significantly improved with the implementation of CST and some forms of *** management and psychotherapy interventions showed significant promises for adolescents to cope with their diabetes-related daily *** However,the findings may add some promises to diabetes management in adolescents,additional research to understand the effect of these interventions is needed.

关键词： Adherence Adolescents Coping metabolic control Type 1 diabetes

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