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The psychophysiologic aspects of stress in juvenile diabetes mellitus
Insights
This study explores the psychophysiology of juvenile diabetes, proposing a model where emotional factors influence disease control. Understanding these connections is key to improving treatment for children with diabetes mellitus.
Area of Science:
- Pediatric Endocrinology
- Psychoneuroendocrinology
Background:
- Diabetes Mellitus is a growing endocrine concern in children.
- Effective diabetic control is crucial for mitigating short and long-term complications.
- Factors influencing diabetic control, beyond traditional medical management, require further investigation.
Purpose of the Study:
- To review and synthesize existing literature on the role of emotional factors in juvenile diabetes.
- To propose a psychophysiologic model integrating metabolic, endocrinologic, and stress research.
- To identify future research directions and therapeutic implications for juvenile diabetes management.
Main Methods:
- Literature review of psychophysiologic factors in diabetes.
- Synthesis of basic metabolic, endocrinologic, and stress research.
- Development of a psychophysiologic model for juvenile diabetes.
Main Results:
- Emotional factors are increasingly recognized as significant in diabetes mellitus.
- A psychophysiologic model can integrate diverse research findings.
- Physiological factors demonstrably influence the disease's progression and control.
Conclusions:
- Psychophysiologic factors play a critical role in juvenile diabetes management.
- Further research is needed to refine the proposed psychophysiologic model.
- The model has potential implications for both psychological and physiological therapeutic strategies.
Abstract:
Diabetes Mellitus is the most common endocrine disease found in children, and its reported incidence is increasing. Most investigators now agree that improved diabetic control is effective in decreasing both long and short term complications. The delineation of factors which affect control are, therefore, of importance. Classically, the physician has emphasized insulin dose, presence of infection, diet, and exercise. Emotional factors have long been thought to play a role in diabetes mellitus. The exact nature of this role, however, has been rather elusive and controversial. The authors review this literature, summarize the major viewpoints, and conclude that physiological factors can influence the physiology of the disease. The focus of this paper is the synthesis of recent advances in basic metabolic, endocrinologic, and stress research, relevant to juvenile diabetes, into a psychophysiologic model. The authors discuss future research directions necessary for clarification of the model, as well as its psychological and physiological therapeutic implications.