Chapter 49. Psychologic Factors and Diabetes

  1. Richard I. G. Holt MA, MB BChir, PhD, FRCP, FHEA Professor in Diabetes & Endocrinology2,
  2. Clive S. Cockram MB BS, BSc, MD (Lond), FRCP, FRACP, FHKAM (Med) Emeritus Professor of Medicine3,
  3. Allan Flyvbjerg MD, DMSc Professor of Clinical Endocrinology Chair4 and
  4. Barry J. Goldstein MD, PhD, FACP, FACE Therapeutic Area Head Vice President5
  1. Christopher M. Ryan PhD Professor of Psychiatry

Published Online: 9 JUL 2010

DOI: 10.1002/9781444324808.ch49

Textbook of Diabetes, Fourth Edition

Textbook of Diabetes, Fourth Edition

How to Cite

Ryan, C. M. (2010) Psychologic Factors and Diabetes, in Textbook of Diabetes, Fourth Edition (eds R. I. G. Holt, C. S. Cockram, A. Flyvbjerg and B. J. Goldstein), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444324808.ch49

Editor Information

  1. 2

    Developmental Origins of Health and Disease Division, University of Southampton School of Medicine, Southampton, UK

  2. 3

    Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China

  3. 4

    Department of Endocrinology and Internal Medicine, The Medical Research Laboratories, Aarhus University Hospital – Aarhus University, Aarhus, Denmark

  4. 5

    Clinical Research, Metabolism Merck Research Laboratories Rahway, NJ, USA

Author Information

  1. University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

Publication History

  1. Published Online: 9 JUL 2010
  2. Published Print: 9 JUL 2010

ISBN Information

Print ISBN: 9781405191814

Online ISBN: 9781444324808



  • Psychologic distress shortly after diagnosis;
  • Observations in children and their parents;
  • Psychologic reactions emerging in the course of diabetes;
  • Psychologic reactions to biomedical complications;
  • Depression exacerbates the development and course of complications;
  • Interactions between acute metabolic complications and psychologic distress;
  • Diabetes treatment - induced fears and phobias;
  • cognitive- behavioral therapy (CBT);
  • CNS sequelae of diabetes in children and adolescents;
  • Brain structure and function in adults with type 1 diabetes


This chapter contains sections titled:

  • Introduction

  • Psychologic impact of diabetes

  • Neuropsychologic impact of diabetes

  • Diabetes management and psychologic processes

  • Conclusions

  • References