Psychology and adherence in type 1 diabetes

Entre las diversas patologías que generan angustia, la diabetes tipo 1 (DMT1 ) es una enfermedad crónica con un alto nivel de "impacto social y psicológico" y alto "potencial emotivo". En el manejo de la diabetes existe un creciente uso del concepto de adhesión (acuerdo paciente con el tratamiento), con formación específica destinada a desarrollar las habilidades de auto-cuidado en el paciente. Tanto la experiencia clínica y la literatura médica, sin embargo, demuestran que a muchos pacientes adultos con DMT1 les resulta difícil adaptarse a los procesos de auto-cuidado. En este artículo exploramos los rasgos de personalidad de una muestra de pacientes DMT1 que están experimentando dificultades con la adherencia y su interacción con factores biomédicos y sociales, con el fin de que sea posible diseñar e implementar intervenciones psicológicas que son más apropiadas y que se centran en la reducción de "episodios psíquicos" y una mejora en el nivel de adherencia.Among the various pathologies that generate distress, Type 1 Diabetes (DMT1) is a chronic illness with a high level of “social and psychological impact” and high “emotive potential”. In managing diabetes there is growing use of the concept of Adherence (patient agreement with treatment), with specific education aimed at developing self-care abilities in the patient. Both clinical experience and medical literature, however, demonstrate that many adult patients with DMT1 find it difficult to adapt to the self-care processes. In this paper we explore the personality traits of a sample of DMT1 patients who are experiencing difficulties with Adherence and their interaction with biomedical and social factors, in order to make it possible to devise and implement psychological interventions that are more appropriate and which focus on reducing “psychic episodes” and an improvement in the level of Adherence.peerReviewe

Psychology and adherence in type 1 diabetes

Entre las diversas patologías que generan angustia, la diabetes tipo 1 (DMT1 ) es una enfermedad crónica con un alto nivel de "impacto social y psicológico" y alto "potencial emotivo". En el manejo de la diabetes existe un creciente uso del concepto de adhesión (acuerdo paciente con el tratamiento), con formación específica destinada a desarrollar las habilidades de auto-cuidado en el paciente. Tanto la experiencia clínica y la literatura médica, sin embargo, demuestran que a muchos pacientes adultos con DMT1 les resulta difícil adaptarse a los procesos de auto-cuidado. En este artículo exploramos los rasgos de personalidad de una muestra de pacientes DMT1 que están experimentando dificultades con la adherencia y su interacción con factores biomédicos y sociales, con el fin de que sea posible diseñar e implementar intervenciones psicológicas que son más apropiadas y que se centran en la reducción de "episodios psíquicos" y una mejora en el nivel de adherencia.Among the various pathologies that generate distress, Type 1 Diabetes (DMT1) is a chronic illness with a high level of “social and psychological impact” and high “emotive potential”. In managing diabetes there is growing use of the concept of Adherence (patient agreement with treatment), with specific education aimed at developing self-care abilities in the patient. Both clinical experience and medical literature, however, demonstrate that many adult patients with DMT1 find it difficult to adapt to the self-care processes. In this paper we explore the personality traits of a sample of DMT1 patients who are experiencing difficulties with Adherence and their interaction with biomedical and social factors, in order to make it possible to devise and implement psychological interventions that are more appropriate and which focus on reducing “psychic episodes” and an improvement in the level of Adherence.peerReviewe

Changes in bird abundance in eastern North America : urban sprawl and global footprint?

Author Posting. © American Institute of Biological Sciences, 2007. This article is posted here by permission of American Institute of Biological Sciences for personal use, not for redistribution. The definitive version was published in BioScience 57 (2007): 360-370, doi:10.1641/B570410.The abundance of birds recorded in the North American Breeding Bird Survey decreased by up to 18 percent between 1966 and 2005. The abundance of US and Canadian resident species decreased by 30 percent, and that of migrants within the United States and Canada decreased by 19 percent. By contrast, Neotropical migrants increased by up to 20 percent. Land-cover changes in northern latitudes therefore seem more consequential for bird populations than those occurring in Neotropical habitats. Lower abundances were most marked for resident breeding birds that used open, edge, and wetland habitats, the environments most affected by human disturbances—particularly urban sprawl—in northern latitudes. The abundance of resident and migrant forest-dwelling birds increased (although trends varied from species to species), with the increases seeming to follow the 20th-century expansion of forest area in northern latitudes, rather than the loss of Neotropical forests. The geographic footprint of changes in bird abundance linked to habitat changes in North America may thus be extending southward, with negative effects on birds that use open habitats and positive effects on forest birds.P. M. was supported by a fellowship from CONICET (Consejo Nacional de Investigaciones Científicas y Técnicas, Argentina)