Chapter 16: Psychological Issues
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5/9/2018 at 8:44:40 AM GMT
Posts: 40
Chapter 16: Psychological Issues
Dear ISPAD member/friend,

Thank you for your continued interest in the 2018 ISPAD Clinical Practice Consensus Guidelines and in the previous drafts chapters we shared with you.

We are happy to announce that the Chapter 16: Psychological Care of Children and Adolescents with Type 1 Diabetes is now ready for you to read and comment on. We are looking forward to hearing your thoughts and input on this chapter. 

Kind regards,

David Maahs

ISPAD Secretary-General
 


Last edited Wednesday, July 11, 2018
6/7/2018 at 3:37:37 AM GMT
Posts: 6
Well done on this well referenced work.

I would like to comment on the section that pertains to interventions. I note that many of the references in this section are quite old- only 7/53 being later than 2010. This is significant in that some of the references have been eclipsed by passage of time- a good example being a UK pilot study for motivational interviewing in 2003 (Ref #203) being eclipsed by the very large multicentre study UK motivational interviewing trial (DEPICTED) (Robling et al BMJ 2012). Other relevant MI studies that are also more recent than those cited in the draft by Wang et al Diabetes Care 2010 and Stanger et al J Pediatr Psychol 2013 have similarly not been canvassed. Taken together, these three recent trials provide less than a ringing endorsement of MI in adolescents with typ1 diabetes. This is broadly in line with a review of MI in adolescents generally (Gayes et al J Consult Clin Psychol 2014) showing "slightly higher than a small effect size”. This section also omits two recent RCT’s- one a parenting intervention (Westrupp et al Pediatric Diabetes 2015) and the other a resiliency intervention (Serlachius et al J Health Psychol. 2016). This omission is surprising given that one of the authors of this draft is also an author on both of these papers and the studies are germaine to the topic.

Fergus Cameron


6/8/2018 at 9:49:23 PM GMT
Posts: 7
Dear authors, Thank you for this great chapter.
In the section on Disordered Eating I wondered if cross reference should be made to the Nutrition chapter where screening tools are discussed?
Early detection and intervention remains a challenge in many paediatric centres.
Very Best Wishes,
Carmel Smart


7/11/2018 at 9:29:13 AM GMT
Posts: 1
Thank you very much to the comments made by one reviewer regarding the section on psychosocial and behavioral interventions. Based on recommendations, we have added the specific additional recent studies that were not included in the draft that was posted for comment. We believe that this section of the paper is now improved with the additional report and discussion.


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