Medo, estresse e diabetes mellitus tipo 1 cronicamente mal controlado

Abstract

The diabetes mellitus is characterized as a chronic disease that impairs the individual’s daily activities and requires the use of special devices to be controlled. Type 1 diabetes comprises an autoimmune process that develops rapidly and progressively, with peak incidence in the age group between 10-14 years old. Currently, this condition can be regarded as an epidemic worldwide, thus representing a great challenge to healthcare systems. This research aimed to describe, based on the psychoanalytic theoretical framework, how fear and stress factors affect the control of diabetes mellitus type 1in children. We conducted a qualitative cross exploratory study, using a semi-structured interview applied in diabetic children and their parents at two health institutions with child endocrinology outpatient. The interviews were analyzed by means of Bardin content analysis. The results showed that fear and stress factors interfere in diabetes control. It is expected that the current study helps creating multidisciplinary approaches that can include acomprehensive view of patients regarding their biopsychosocial aspects, leading to a better control of diabetes.