Journal article
CBT Applications for Youth With Type 1 Diabetes
Cognitive and behavioral practice, Vol.31(3), pp.322-334
02/08/2024
DOI: 10.1016/j.cbpra.2023.12.011
Abstract
•Youth with Type 1 Diabetes are at greater risk of psychological comorbidity.•Fear of hypoglycemia impacts diabetes self-management.•Cognitive behavioral therapy improves psychosocial functioning.•A course of modular cognitive behavioral therapy is demonstrated.
Youth diagnosed with Type 1 Diabetes are at higher risk for psychological comorbidities such as anxiety and depression than the general population. Disease-related psychological distress including fear of hypoglycemia contributes to poor adherence to youths' medical regimes and glycemic control. Poorly managed Type 1 Diabetes often leads to adverse health outcomes such as ketoacidosis, vision impairment, and sometimes death. Cognitive-behavioral therapy is a promising method to improve health outcomes and psychological functioning in youth with Type 1 Diabetes. Accordingly, this article offers a brief overview of Type 1 Diabetes as well as examining the role of fear of hypoglycemia and disease-related anxieties in pediatric patients. Additionally, various obstacles to medical adherence and the impact of family conflict are discussed. The clinical sequelae of Type 1 Diabetes in diverse populations and the research supporting cognitive behavioral therapy are delineated. Next, the case description illustrates the challenges for youth with Type 1 Diabetes and their families. This bench-to-bedside translation presents evidence of clinically meaningful improvements from implementing CBT with a Latino male child. Psychoeducation, relaxation training, cognitive restructuring, and behavioral experiments were deployed. Last, additional considerations for treatment were presented.
Details
- Title: Subtitle
- CBT Applications for Youth With Type 1 Diabetes
- Creators
- Jennifer Paternostro - University of Iowa Stead Family Children’s HospitalMegan Neelley - Palo Alto UniversityJoee Zucker - Palo Alto UniversityIsabella Xie - Palo Alto UniversityCallie Goodman - Palo Alto UniversityAndrea Noble - Palo Alto UniversityRobert D. Friedberg - Palo Alto University
- Resource Type
- Journal article
- Publication Details
- Cognitive and behavioral practice, Vol.31(3), pp.322-334
- DOI
- 10.1016/j.cbpra.2023.12.011
- ISSN
- 1077-7229
- eISSN
- 1878-187X
- Publisher
- Elsevier Ltd
- Language
- English
- Electronic publication date
- 02/08/2024
- Academic Unit
- Pediatric Psychology; Stead Family Department of Pediatrics
- Record Identifier
- 9984563559602771
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