Diabetes is a chronic disease that has been known since ancient times and affects human health in various aspects. Diabetes, which is not only a physical disease but also has psychiatric and psychosocial dimensions; It brings up a series of spiritual, social, emotional and psychosexual problems and conflicts in the patient.
Physical and Emotional Stress Pulls the Trigger in the Emergence of Diabetes
Physical stress in the emergence of diabetes. It is known that emotional stress is often the trigger factor. Stress and anxiety are important factors in cases where blood sugar cannot be regulated despite medical treatment.
Different emotional reactions and adaptation difficulties are frequently encountered problems in patients diagnosed with diabetes. Because it is a chronic disease that causes various limitations and requires the individual to cope with complications, patients have difficulty adapting to their new lives. Anxiety about losing their independence, fears about further deterioration in body functions, and concerns about increasing sexual inadequacy are frequently observed.
The following reactions towards behavioral, emotional, cognitive and interpersonal relationships develop in patients diagnosed with diabetes. :
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Psycho-social strains and psychological conflicts can cause fluctuations in blood sugar.
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Diabetes causes mental disorders. may occur.
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Mood may affect the course and response of diabetes.
Negative Factors in the Treatment Process: Anxiety and Depression Developing in the Patient
In the face of such a chronic and devastating disease, individuals may show reactions such as mourning, rebellion, denial and anger. In children diagnosed with diabetes, deteriorations in the child-parent relationship can be observed. Parents' anxiety may reflect on the child, or they may use the child's illness to manipulate those at home.
Anxiety and depression are common among the psychiatric problems associated with diabetes. Although depression and anxiety that develop in patients may negatively affect the patient's compliance, quality of life, and response to treatment; depression, weight loss, hopelessness, insomnia and Psychomotor slowdown is one of the common findings in diabetic patients.
Family's Attitude Also Affects the Course of Diabetes
The disease state causes a crisis in the family as well as in the individual, and the patient and the family Difficulties arise in the relations between them. We define 4 different family types that make the patient's adaptation difficult. Over-protective and over-anxious family, Over-indulgent and submissive family, Perfectionist and controlling family, Indifferent and rejecting family. The patient's adaptation is best in families where relationships are balanced, allow the free expression of emotions, have fewer conflicts and more cooperation. The family's attitude is caring, but not overly anxious. Lack of clear roles within the family, rigid family environments dominated by overprotectiveness and ignoring conflicts make the patient's adaptation difficult.
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