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Chapter 16: Psychological care of children & adolescent with type 1 diabetes

Chapter 16: Psychological care of children and adolescents with type 1 diabetes

Alan M. Delamater, Maartje de Wit, Vincent McDarby, Jamil A. Malik, Marisa E. Hilliard, Elisabeth Northam, Carlo L. Acerini


The research literature regarding psychological factors in the management of children and adolescents has been reviewed and the guidelines updated accordingly.  New evidence has documented the significant role of depression, diabetes distress, and disordered eating in diabetes management.  More studies have addressed the issue of cognitive function and school performance.   In addition, the influence of parental stress and coping, as well as new studies on youth coping have highlighted the importance of resiliency in relation to quality of life.  Recent controlled intervention research shows the benefits of integrated health care, family-focused approaches, and the prevention of diabetes distress. 

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