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Major health problem in Oman

Introduction:

Diabetes mellitus is a major health problem in Oman, the prevalence is estimated to be 14% and it is expected to increase sharply in the next 25 years. Diabetes can affect any member of the family at any age. However, the impact on the family is variable depending on who is in the family affected, the socioeconomic status of the family, access to health care and others a factor. But the diagnosis of diabetes is always unpleasant news to the family regardless of previous mentioned factors. Biomedical model always directed to the numeric control of blood sugar level; however the psychosocial part in diabetic patient is extremely crucial in order to achieve the goal from treating diabetes. In this paper I will discuss the use of Biopsychosocial model and family therapy in caring of diabetic patient when different member of the family diagnosed with diabetes e.g.: Father, mother, child, adolescent, pregnant mother ... etc.

Objectives:

The objectives of this paper will be to:

Method:

Online search for articles discussing the use of Biopsychosocial model in caring of diabetic patient published in the last 10 year. The paper will be divided in parts, each part will discuss one family member getting diabetes and it will start with case scenario followed by few questions and discussion. Last part will be allocated for proposal to health care authority in Oman in order to integrate Biopsychosocial model in caring of diabetic patient in Oman. The paper is potential for publication in Omanis journals (e.g. SQUMJ, OMJ) aiming to bring changes in health system for better care.

References:

  1. Abdulhadi N, Al-Shafaee MA, Ostenson CG, Vernby A, Wahlstrom R. Quality of interaction between primary health-care providers and patients with type 2 diabetes in Muscat, Oman: an observational study. BMC Fam.Pract. 2006 Dec 7;7:72.
  2. Adili F, Larijani B, Haghighatpanah M. Diabetic patients: Psychological aspects. Ann.N.Y.Acad.Sci. 2006 Nov;1084:329-349.
  3. Ahmed Al-Mandhari. Quality of Diabetes Care: A cross-sectional observational study in Oman. SQUMJ 2009;9(1):32-36.
  4. Anderberg E, Berntorp K, Crang-Svalenius E. Diabetes and pregnancy: women's opinions about the care provided during the childbearing year. Scand.J.Caring Sci. 2009 Mar;23(1):161-170.
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  9. Prakash Patel. Type 2 Diabetes and its characteristics during Ramadan in Dhahira region, Oman. OMJ 2007:16-23.
  10. Schwartz LS, Coulson LR, Toovy D, Lyons JS, Flaherty JA. A biopsychosocial treatment approach to the management of diabetes mellitus. Gen.Hosp.Psychiatry 1991 Jan;13(1):19-26.
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  12. Weinger K, O'Donnell KA, Ritholz MD. Adolescent views of diabetes-related parent conflict and support: a focus group analysis. J.Adolesc.Health 2001 Nov;29(5):330-336.
  13. Wysocki T, Greco P, Harris MA, Bubb J, White NH. Behavior therapy for families of adolescents with diabetes: maintenance of treatment effects. Diabetes Care 2001 Mar;24(3):441-446.
  14. Wysocki T, Harris MA, Buckloh LM, Mertlich D, Lochrie AS, Mauras N, et al. Randomized trial of behavioral family systems therapy for diabetes: maintenance of effects on diabetes outcomes in adolescents. Diabetes Care 2007 Mar;30(3):555-560.
  15. Wysocki T, Harris MA, Buckloh LM, Mertlich D, Lochrie AS, Taylor A, et al. Randomized, controlled trial of Behavioral Family Systems Therapy for Diabetes: maintenance and generalization of effects on parent-adolescent communication. Behav.Ther. 2008 Mar;39(1):33-46.
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