@article{oai:nagoya.repo.nii.ac.jp:00003955,
 author = {Sato, Eiko and Ohsawa, Isao and Kataoka, Jun and Miwa, Miki and Tsukagoshi, Fumie and Sato, Juichi and Oshida, Yoshiharu and Sato, Yuzo},
 issue = {1-2},
 journal = {Nagoya Journal of Medical Science},
 month = {May},
 note = {Purpose: To identify the serious emotional impacts as socio-psychological problems encountered by patients with late adolescent onset type 1 diabetes since their disease onset. Subjects and methods: Thirteen patients (aged 21-35 years) with type 1 diabetes, onset age from 17 to 28, were interviewed. To extract their disturbing experiences from the content of the interviews, a qualitative analysis was carried out. We categorized their experiences as socio-psychological problems. Results: Twenty-two items of socio-psychological problems which posed obstacles to the control of diabetes were found. Problems with particularly strong impacts included a fulminant crisis prior to hospitalization; surprise and shock of patients themselves and family members upon diagnosis; unacceptable feelings against insulin injections and diabetes; difficulty and anxiety over frequent and unexpected occurrences of hypoglycemia; noncompliance with diet therapy; stress of disclosing the disease to fiances and their parents; no understanding of or knowledge about diabetes on the part of people around them; restricted range in occupation selection, travel and daily life; existence of stigma; no place for performing insulin injections; resistant or negative feelings against disclosing to others that they had diabetes; acceptance of the disease using various emotional coping behaviors. Conclusions: These results suggest that for patients with such problems we should seek a more effective sort of intervention to improve their quality of life (QOL).},
 pages = {21--29},
 title = {Socio-psychological problems of Patients with late adolescent onset type 1 diabetes : analysis by qualitative research},
 volume = {66},
 year = {2003}
}