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首页> 美国卫生研究院文献>Children >The Synergistic Effects of a Complementary Physiotherapeutic Scheme in the Psychological and Nutritional Treatment in a Teenage Girl with Type 1 Diabetes Mellitus Anxiety Disorder and Anorexia Nervosa
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The Synergistic Effects of a Complementary Physiotherapeutic Scheme in the Psychological and Nutritional Treatment in a Teenage Girl with Type 1 Diabetes Mellitus Anxiety Disorder and Anorexia Nervosa

机译：糖尿病型糖尿病患者焦虑症和厌食症患者心理和营养治疗互补物理治疗方案的协同效应

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Type 1 diabetes mellitus (T1DM) is a chronic disease that can affect the physical and mental health of children and adolescents, often leading to anxiety disorders with chronic activation of the hypothalamic axis (HPA). Moreover, a great proportion of adolescents with T1DM also demonstrate anorexia nervosa (AN), due to the increased preoccupation with food and the need to have an acceptable body image. Herein is described the first case study of an adolescent patient diagnosed with T1DM, anxiety disorder (AD), and AN. A 14-year-old girl with T1DM since the age of 12 years presented weight loss at age 13 years and 3 months and low body mass index (BMI), which did not improve despite dietary recommendations and adequate disease control. Additionally, she presented menstrual disorders at the age of 12 years and 11 months (menstrual age 12 years and 1 month). A psychological evaluation of the teenager was conducted using a semi-structured interview that assessed perceived stress, health status, quality of life, and depression. AD and AN were diagnosed and the patient initiated an intervention focusing on psychological health and nutrition and which incorporated physiotherapeutic relaxation sessions and breathing exercises. After 3 months of treatment, the patient’s BMI was increased, and a normal menstrual cycle was apparent. These results have since remained consistent. Stress leads to the appearance of AN and menstrual disorders. Therefore, physiotherapeutic programs could reduce stress and effectively ameliorate AN and AD.
机译：1型糖尿病（T1DM）是一种慢性疾病，可影响儿童和青少年的身心健康，往往导致焦虑症，慢性激活下丘脑轴（HPA）。此外，由于对食物的关注增加，并且需要具有可接受的身体形象，因此具有T1DM的大部分青少年也证明了厌食症（AN）。描述了诊断患有T1DM，焦虑症（AD）和A的青少年患者的第一种情况研究。一个14岁的女孩，T1DM自12年以来，13岁和3个月和低体重指数（BMI）的体重减轻，尽管饮食建议和充足的疾病控制并没有改善。此外，她还在12岁和11个月（月经年龄12岁和1个月）的月经障碍。使用半结构化访谈进行了对少年的心理评估，这些面试评估了感知的压力，健康状况，生活质量和抑郁症。 AD和AN被诊断，患者发起了一种针对心理健康和营养的干预，并纳入了物理治疗性松弛会话和呼吸锻炼。治疗3个月后，患者的BMI增加，正常的月经周期是明显的。这些结果仍然是一致的。压力导致和月经障碍的外观。因此，物理治疗程序可以减少压力，有效地改善AN和AD。

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