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Depressive Stimmung und Depression bei Kindern und Jugendlichen mit Diabetes

Depressive mood and depression in children and adolescents with diabetes

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Zusammenfassung

Auf die Diagnose des Diabetes reagieren Eltern und betroffene Kinder oft mit einer Anpassungsstörung. Eine integrierte psychologische Beratung während der Initialtherapie kann hier einer ungünstigen Diabetesbewältigung vorbeugen. Während eine klinisch relevante Depression bei Kindern und Jugendlichen mit Diabetes nicht häufiger als in der Normalbevölkerung beobachtet wird, sind subklinische depressive Verstimmungen vor allem bei Jugendlichen mit Diabetes 2- bis 3-fach häufiger zu erwarten. Die frühzeitige Diagnose affektiver Störungen und darauf individuell abgestimmte Beratungen, Schulungen, Trainingsprogramme oder psychotherapeutische Interventionen, können dazu beitragen, die Qualität der Stoffwechseleinstellung und die langfristige psychische Befindlichkeit zu verbessern. Die Komorbidität von Typ-1-Diabetes und klinischer Depression kann eine vitale Bedrohung darstellen. Betroffene Jugendliche benötigen hier eine diabetologisch und psychiatrisch abgestimmte Behandlung. Aktuelle Leitlinien empfehlen dazu, dass diabetologisch qualifizierte psychosoziale Fachkräfte Teil jedes pädiatrischen Diabetesteams sein sollten.

Abstract

Children with diabetes and their parents are at high risk for experiencing adjustment problems during the initial period following diagnosis. Integrated psychological intervention at diabetes onset can prevent long-standing adjustment difficulties. While children and adolescents with diabetes are not at higher risk for severe clinical depression, there is evidence of a two- to three-fold risk for subclinical depressive disorders in this group. Early identification of depressive symptoms as well as providing individualized interventions (counselling, education, training-courses or psychotherapy) can improve long-term glycemic control and psychological well-being. Comorbidity of type 1 diabetes and clinical depression in adolescents increases the risk of vital health complications. An integrated psychiatric and diabetological therapy concept is essential for these young people. Current guidelines therefore recommend that experienced mental health professionals form an integral part of the interdisciplinary diabetes team.

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  1. Medizinische Psychologie OE 5430, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland

    K. Lange

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Lange, K. Depressive Stimmung und Depression bei Kindern und Jugendlichen mit Diabetes. Diabetologe 6, 287–293 (2010). https://doi.org/10.1007/s11428-009-0533-7

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  • DOI: https://doi.org/10.1007/s11428-009-0533-7

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