A critical examination of the recent literature on anxiety and depression in juvenile diabetes is presented. The objectives of this review are: (1) to determine the general association of psychological factors, especially anxiety and depression, with diabetes, (2) to examine the specific association of anxiety and depression with metabolic control, and (3) to propose methodological changes that are needed to advance future research in this field. The major conclusions of this review support the notion of a general association of psychological disorders with juvenile diabetes. However, while anxiety and depression appear to play an important and complex role in determining adaptation to the disease, their relationship to metabolic control does not yet appear clear. Additional prospective and controlled studies as well as multivariate models of chronic disease are now necessary to more fully understand the etiology and impact of these disorders in the adolescent population.

中文翻译：

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青少年糖尿病患者的焦虑和抑郁：一项重要评论。

介绍了有关青少年糖尿病焦虑和抑郁的最新文献的批判性检查。这篇综述的目的是：（1）确定心理因素，特别是焦虑和抑郁与糖尿病的一般联系；（2）研究焦虑和抑郁与代谢控制的具体联系；（3）提出方法论推动该领域未来研究所需的变化。这篇综述的主要结论支持了心理疾病与青少年糖尿病的一般联系的观点。然而，尽管焦虑和抑郁似乎在确定对疾病的适应性中起着重要而复杂的作用，但它们与代谢控制的关系尚未明确。