Psychotherapy in patients with poorly controlled type 1 (insulin-dependent) diabetes.
We studied a group of 9 poorly controlled type 1 diabetic patients who were referred to the metabolic ward for a 10-day intensive patient education and treatment period and followed thereafter for 1 year. The psychodynamically and phase-specifically oriented intensive psychotherapy was prescribed. In terms of mental coping ability assessed by an index constituting the attitude towards diabetes, the family support and the expectations from the psychotherapy, the final outcome was classified as good or moderate in 7 of 9 patients. The complexities of different personality characteristics and their interaction with metabolic control are issues that require further exploration.
Viinamäki
H
H
Department of Psychiatry, University of Kuopio, Finland.
Niskanen
L
L
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003922:Diabetes Mellitus, Type 1 / Q000378:metabolism / Q000523:psychology / Q000628:therapy*; D005190:Family; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000628:therapy; D010043:Outcome and Process Assessment, Health Care; D010353:Patient Education as Topic; D010551:Personality; D011615:Psychotherapy, Group
D006442:Glycated Hemoglobin