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
| Autor: | Vaios Dafoulis, Emmanuel Roilides, Pelagia Tsakona, Ioannis Kitsatis, Alexandra Hristara-Papadopoulou, Styliani Mina, Anastasios Vamvakis, Konstantina Kosta, Kyriaki Tsiroukidou |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty 030209 endocrinology & metabolism Case Report relaxation techniques Anorexia nervosa RJ1-570 anorexia nervosa psychiatric disorder breathing exercise 03 medical and health sciences 0302 clinical medicine Quality of life Weight loss medicine anxiety disorder 030212 general & internal medicine Depression (differential diagnoses) physiotherapy Type 1 diabetes business.industry medicine.disease Mental health eating disorder Pediatrics Perinatology and Child Health Anxiety medicine.symptom business diet Anxiety disorder |
| Zdroj: | Children Children, Vol 8, Iss 443, p 443 (2021) |
| ISSN: | 2227-9067 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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