针对1型糖尿病青少年的基于正念的干预:一个案例系列
Francesca Lupini1,2, Hailey Moore1, Molly Basch3,4
1Division of Psychology, Children's National Hospital, Washington, DC, USA.
Clinical practice in pediatric psychology
|September 25, 2025
概括
基于正念的干预措施 (MBI) 对患有1型糖尿病 (T1D) 的青少年来说是有前途的,他们经历了负面影响. 这一案例系列强调了参与者心理健康和糖尿病管理方面的改进,包括那些来自边缘化背景的人.
科学领域:
- 青少年健康 青少年健康
- 心理健康干预措施 心理健康干预
- 糖尿病管理 糖尿病管理
背景情况:
- 患有1型糖尿病 (T1D) 的青少年有增加负面影响的风险.
- 基于正念的干预措施 (MBI) 可以为这一群体提供有效的支持.
- 从历史上看,边缘化群体往往面临着更大的负担,影响健康结果.
研究的目的:
- 评估T1D青少年MBI后负面影响,正念和糖尿病结果的个体变化.
- 探索MBI在T1D历史边缘化青少年群体中的实用性.
- 为了检查抑郁,焦虑,压力,糖尿病困扰,自我管理和HbA1c的变化.
主要方法:
- 使用案例系列设计,从MBI的试点随机对照试验中选择参与者.
- 两个患有T1D和高负面情绪的青少年女孩,来自历史上边缘化的背景,参与了这项研究.
- 参与者参与了6-7个会议的虚拟小组MBI,并在基线,干预后和三个月内完成了评估.
主要成果:
- 两位参与者都在抑郁,焦虑,压力,正念和糖尿病自我管理方面表现出改善.
- 一位参与者瓦莱里也在HbA1c和饮食失调方面略有改善.
- 另一位参与者Jayla在HbA1c或饮食失调方面没有表现出改善.
结论:
- 基于正念的干预措施显示,T1D青少年可能会经历负面影响.
- 对青少年来说,MBI可能特别有益,他们面临着健康挑战的社会决定因素.
- 这一案例系列强调了针对T1D的不同青少年群体量身定制的MBI的价值.
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