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Chapter-027 Diabetes and Psychology

BOOK TITLE: ESI Manual of Clinical Endocrinology

Author
1. Sridhar GR
2. Kalra Sanjay
3. Balhara Yatan Pal Singh
ISBN
9789351526476
DOI
10.5005/jp/books/12535_34
Edition
2/e
Publishing Year
2015
Pages
6
Author Affiliations
1. Endocrine and Diabetes Centre, Vishakhapatnam, Endocrine and Diabetes Center, Krishnanagar, Vishakhapatnam, India, Endocrine and Diabetes Centre, Visakhapatnam, India, Endocrine and Diabetes Centre, Krishnanagar Visakhapatnam, Andhra Pradesh, India, Endocrine and Diabetes Centre, Visakhapatnam, Andhra Pradesh, India, Endocrine and Diabetes Centre, Visakhapatnam, Andhra Pradesh India
2. Bharti Hospital, Karnal, Haryana, India, Bharti Hospital and B.R.I.D.E., Karnal 132 001, Haryana, India, Bharti Hospital and BRIDE Karnal; Indian J Endocrinology Metabolism, Bharti Hospital, Karnal, Haryana, India, Bharti Hospital, Karnal-132001, Haryana, India, Indian J Endocrinology and Metabolism; J of Social Health in Diabetes (JoSH Diabetes), Bharti Hospital and BRIDE, Karnal, Haryana, India, Bharti Hospital and BRIDE, Karnal, Haryana, India
3. National Drug Dependence Treatment Centre (NDDTC), WHO Collaborating Centre on Substance Abuse, All India Institute of Medical Sciences, New Delhi, India
Chapter keywords
Psychological factors, brittle diabetes, psychological issues, psychoeducation, psychosocial maladjustment, ketonuria

Abstract

This chapter deals with the various psychological issues associated with diabetes care. The psychological factors such as depression, anxiety, hostility, sense of coherence during childhood and parental loss are usually seen in diabetic patients. These factors lead to poor treatment adherence with increased risk of microvascular and macrovascular complications of diabetes. A variety of psychological reactions like denial, anger, guilt, depression and acceptance can be observed once the diagnosis is made. Psychological stress may leads to an increase in the release of insulin counter-regulatory hormones such as cortisol, epinephrine, norepinephrine, growth hormone and glucagon. The two models: the Roy adaptation model (RAM) and the adaptation to chronic illness model explain the importance of adaptation in diabetes. Psychological issues play a major role in the management of diabetes. Psychoeducation, coping abilities, locus of control, behavioral interventions, family, self-management and treatment adherence plays a crucial role in diabetes care.

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