Patienten mit Diabetes mellitus vom Typ 1 oder 2 benötigen relativ
häufig eine psychotherapeutische oder psychopharmakologische Behandlung im
Zusammenhang mit ihrer Erkrankung, z. B. wegen Problemen mit der
Krankheitsbewältigung und/oder einer psychischen
Komorbidität. Beide Anlässe sind oft verknüpft mit
diabetes-spezifischen Problemen, aber auch mit Folge- oder Begleiterkrankungen.
Abstract
People affected by diabetes mellitus often have difficulties coping with their condition.
This can be further worsened by psychological co-morbidities (e. g., depression
or anxiety disorders). Both factors are associated with diabetes-specific problems
(e. g., persistent hyperglycaemia, recurrent hypoglycaemia), but also with
diabetes complications or comorbid somatic diseases. When psychotherapeutic or
psychopharmacological treatment is indicated, it is essential to take into account
the
particularities of diabetes and the different types of diabetes. This review focuses
on
adults only and includes a brief description of the clinical features and therapeutic
goals in diabetes mellitus. Critical diabetic symptoms that should result in specific
interventions (yellow flags) as much as symptoms that require immediate intervention
(red flags) are highlighted. Finally, psychological and behavioural factors as well
as
mental comorbidities that are relevant to the management of diabetes mellitus are
discussed.
Key words
Diabetes mellitus - psychological factors - mental comorbidity - diagnostics - therapy
Schlüsselwörter
Diabetes mellitus - psychologische Faktoren - psychische Komorbidität - Diagnostik
- Therapie
