RESUMO
Forty-nine patients with Type I diabetes mellitus were assessed to examine the relationship between lifetime prevalence of psychiatric illness and retinopathy severity. The subjects with a history of psychiatric illness had significantly worse retinopathy than the subjects without psychiatric illness. Eighty-nine percent of the subjects with severe nonproliferative retinopathy or proliferative retinopathy had a history of psychiatric illness, predominantly affective illness. In addition, the subjects with a history of psychiatric illness had significantly higher current glycohemoglobin levels than those with no psychiatric history. This study's findings suggest that psychiatric illness may be a risk factor for development of retinopathy in Type I diabetic patients.
Assuntos
Diabetes Mellitus Tipo 1/psicologia , Retinopatia Diabética/psicologia , Transtornos Mentais/psicologia , Transtornos Psicofisiológicos/psicologia , Adaptação Psicológica , Adolescente , Comorbidade , Feminino , Humanos , Masculino , Escalas de Graduação Psiquiátrica , Fatores de Risco , Autocuidado/psicologia , Papel do DoenteRESUMO
This article reports the initiation of a joint hospital-school district child protection committee in an urban setting of socio-economic blight. The committee provided a structure for consultation about troubling, complex situations of school children at high risk for physical and sexual abuse and medical neglect.