Background: The COVID-19 pandemic has challenged the worldviews of most people. Social isolation after the COVID-19 lockdown has not only led to economic difficulties but also resulted in adverse psychological reactions. As in most countries, including Poland, this situation has been very challenging for patients with type 1 diabetes mellitus (T1DM). In Poland, a crisis intervention team for patients with T1DM was established. The goal of the team was to provide psychological support for these patients, if needed, and to present information concerning how these patients may obtain medical consultations and prescriptions. Objective: We aimed to analyze the psychological parameters and main emotional reactions of patients with T1DM during the COVID-19 lockdown. Methods: An email with information concerning the possibility of having a web-based consultation with psychologists and psychiatrists and an attached set of psychological tests was sent to all patients with T1DM who were under the care of an outpatient diabetes clinic. The consultations were performed by licensed clinical psychologists and psychologists. This study was approved by the Bioethics Committee of the Jagiellonian University in Krakow, Poland. Results: The patients who decided to use psychological support had statistically higher levels of anxiety (state P=.043; trait P=.022), stress (P=.001) than those of patients from the group who did not seek support. Conclusions: The presented intervention team may be perceived as an example of important and successful cooperation and communication between specialists of different fields of medicine (diabetology, psychiatry, and psychology) in a crisis situation.

中文翻译：

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1 型糖尿病患者 COVID-19 锁定压力的心理危机干预：调查研究和定性分析

背景： COVID-19 大流行挑战了大多数人的世界观。COVID-19 封锁后的社会隔离不仅导致经济困难，还导致不良心理反应。与包括波兰在内的大多数国家一样，这种情况对 1 型糖尿病 (T1DM) 患者来说非常具有挑战性。在波兰，一个针对 T1DM 患者的危机干预小组成立。该团队的目标是在需要时为这些患者提供心理支持，并提供有关这些患者如何获得医疗咨询和处方的信息。目的：我们旨在分析 COVID-19 封锁期间 T1DM 患者的心理参数和主要情绪反应。方法：一封包含有关与心理学家和精神科医生进行网络咨询的可能性以及随附的一组心理测试的信息的电子邮件已发送给所有在门诊糖尿病诊所接受治疗的 T1DM 患者。咨询由有执照的临床心理学家和心理学家进行。这项研究得到了波兰克拉科夫雅盖隆大学生物伦理委员会的批准。结果：决定使用心理支持的患者的焦虑水平（状态P = .043；特质P = .022）、压力（P = .001）高于未寻求支持的患者。结论： 所呈现的干预团队可能被视为危机情况下不同医学领域（糖尿病学、精神病学和心理学）的专家之间重要且成功的合作与沟通的一个例子。