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. 2005 Jan;10(1):31-4.
doi: 10.1093/pch/10.1.31.

Exploring a black hole: Transition from paediatric to adult care services for youth with diabetes

Danièle Pacaud  1 , Jean-François Yale
Affiliations

Exploring a black hole: Transition from paediatric to adult care services for youth with diabetes

Danièle Pacaud et al. Paediatr Child Health. 2005 Jan.

Abstract
in English, French

DURING THE PASSAGE FROM ADOLESCENCE TO ADULTHOOD, INDIVIDUALS ARE EXPECTED TO GO THROUGH THREE PSYCHOLOGICAL STAGES: identity formation (finding out who they are), intimacy (establishment of stable intimate relationships) and generativity (productive lifestyle, career or vocational realization). Having diabetes may complicate this process. Further, the period of late adolescence and early adulthood coincides with the transition of care from paediatric to adult care services. This transition is a time when the individual is particularly at risk for loss of medical follow-up and medical complications. The present article reviews the current state of knowledge on psychosocial maturation in youth with diabetes and the process of transition of care from paediatric to adult care services.

Au passage de l’adolescence à l’âge adulte, les individus devraient traverser trois phases psychologiques : la formation de l’identité (découverte de qui ils sont), de l’intimité (établissement de relations intimes stables) et du souci de pérennité (vie productive, réalisation de carrière ou de formation professionnelle). Le diabète peut compliquer ce processus. De plus, la période de la fin de l’adolescence et du début de l’âge adulte coïncide avec la transition des services de santé pédiatriques aux services pour adultes. Cette transition représente un moment auquel l’individu risque énormément d’être perdu au suivi et de souffrir de complications médicales. Le présent article permet d’analyser l’état actuel des connaissances sur la maturation psychosociale chez les jeunes diabétiques et le processus de transition des soins des services pédiatriques aux services pour adultes.

Keywords: Adolescence; Transition of care; Type 1 diabetes; Young adults.

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