A controlled study of psychoanalytic treatment of brittle diabetes.
The study compared two equivalent groups of 11 diabetic children with grossly abnormal blood glucose profiles necessitating repeated admissions to a hospital. Patients in the treatment group were offered an intensive inpatient treatment program including psychoanalytic psychotherapy three to four times a week, which took place on the hospital ward and lasted an average of 15 weeks. The intervention was highly effective in improving the diabetic control of the children, and this was maintained at a 1 year follow-up. Patients in the comparison group, who were offered only inpatient medical intervention, returned to their prehospitalization level of metabolic control within a period of 3 months from discharge.
Moran
G
G
Anna Freud Centre, London, and at the Department of Psychology, University College, London.
Fonagy
P
P
Kurtz
A
A
Bolton
A
A
Brook
C
C
D000293:Adolescent; D002648:Child; D003131:Combined Modality Therapy; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology* / Q000628:therapy; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D010349:Patient Compliance / Q000523:psychology*; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy / Q000379:methods*; D012803:Sick Role