Predictors of anxiety during the perinatal period in women with gestational diabetes

Jansen, Tracey (2013). Predictors of anxiety during the perinatal period in women with gestational diabetes. University of Birmingham. Clin.Psy.D.

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Abstract

Background: The treatment of type 1 diabetes includes daily injections of insulin and requires attention to diet, exercise, and monitoring of blood glucose levels. Coping Skills Training is an intervention based on social learning theory and aims to develop an individual’s skills and ability to cope with the stressful situations related to managing diabetes on a daily basis. Aim: This paper has reviewed the literature examining the impact of Coping Skills Training on metabolic control and psychosocial outcomes in children and adolescents and aims to: (1) Describe and compare the characteristics of CST across the available literature, (2) Provide a quality assessment of studies evaluating CST, (3) Describe the impact of CST on metabolic control and psychosocial variables in children and adolescents, in light of the quality assessment. Method: A keyword search in Embase, Medline, PsycINFO and Pubmed Central databases yielded a total of 15 quantitative articles using a variety of designs. Results: The small number of well-designed studies indicated that metabolic control is not improved in a limited population of children who participate in CST. However the results in adolescents are more promising. Conclusions: The evidence on whether CST can improve psychosocial outcomes in children and adolescents is mixed and appeared dependent on the mode of delivery and whether CST is compared to routine care or diabetes related education. A summary of recommendations for future research is provided along with the clinical implications of the results described in this review.

Type of Work:

Thesis (Doctorates > Clin.Psy.D.)

Award Type:

Doctorates > Clin.Psy.D.

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