Jan Freihardt
Perceptions of environmental changes among a climate-vulnerable population from Bangladesh
Climatic change
complex environmental social behavioral emotional factors known psychosocial factors influence living diabetes type 1 type 2 achieving satisfactory medical outcomes psychological wellbeing thus individuals diabetes families challenged complex multifaceted issues integrating diabetes care daily life promote optimal medical outcomes psychological wellbeing patientcentered care essential defined providing care respectful responsive individual patient preferences needs values ensuring patient values guide clinical decisions 1 practicing personalized patientcentered psychosocial care requires communications interactions problem identification psychosocial screening diagnostic evaluation intervention services take account context person diabetes pwd values preferences pwd article provides diabetes care providers evidencebased guidelines psychosocial assessment care pwd families recommendations based commonly used clinical models expert consensus tested interventions taking account available resources practice patterns practitioner burden consideration life span disease course factors fig 1 critical psychosocial care pwd position statement focuses common psychological factors affecting pwd including diabetes distress psychological comorbidities also considering needs special populations context care figure 1 psychosocial care pwd life disease course perspectives depressed mood anxiety emotion conduct disturbance personality traits coping style maladaptive health behaviors stressrelated physiological response examples include changing schools moving joboccupational changes marriage divorce experiencing loss recommendations