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Behavioral medicine interventions in diabetes.
Curr Opin Psychiatry. 2010 Mar; 23(2):131-8.CO

Abstract

PURPOSE OF REVIEW

Poor glycemic control is prevalent in the majority of patients with diabetes and has a strong impact on medical as well as psychological outcomes. Psychological and behavioral variables are of particular interest, as the patients themselves are the most determining factor of treatment success. Consequently, a wide range of behavioral medicine interventions are aimed at improvement in diabetes self-management, coping strategies, blood glucose awareness, and stress reduction. This review provides an overview of randomized controlled trials (RCTs) published in the past 18 months (from March 2008 to September 2009) that evaluated behavioral medicine interventions in patients with diabetes. The review summarizes the interventions' effects on metabolic control and other medical variables, as well as diabetes self-management and psychological outcomes.

RECENT FINDINGS

Behavioral medicine interventions in the diabetes field encompass a number of different approaches with the goal of improving medical outcomes such as glycemic control as well as psychological outcomes. There is evidence for beneficial effects of recent behavioral medicine treatments in terms of improvement of metabolic control as indicated by decreased glycated hemoglobin (HbA1c). Furthermore, positive effects were observed regarding diabetes-related self-efficacy, self-management, proactive coping, and the reduction of psychological burdens and symptoms.

SUMMARY

Behavioral medicine interventions are effective in diabetes treatment, especially in patients with a high level of diabetes-related distress, difficulty in coping, or insufficient blood glucose awareness.

Authors+Show Affiliations

Department of Clinical Psychology and Psychotherapy, Johannes Gutenberg-University of Mainz, Mainz, Germany. kplack@uni-mainz.deNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

20057315

Citation

Plack, Kristin, et al. "Behavioral Medicine Interventions in Diabetes." Current Opinion in Psychiatry, vol. 23, no. 2, 2010, pp. 131-8.
Plack K, Herpertz S, Petrak F. Behavioral medicine interventions in diabetes. Curr Opin Psychiatry. 2010;23(2):131-8.
Plack, K., Herpertz, S., & Petrak, F. (2010). Behavioral medicine interventions in diabetes. Current Opinion in Psychiatry, 23(2), 131-8. https://doi.org/10.1097/YCO.0b013e3283366555
Plack K, Herpertz S, Petrak F. Behavioral Medicine Interventions in Diabetes. Curr Opin Psychiatry. 2010;23(2):131-8. PubMed PMID: 20057315.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Behavioral medicine interventions in diabetes. AU - Plack,Kristin, AU - Herpertz,Stephan, AU - Petrak,Frank, PY - 2010/1/9/entrez PY - 2010/1/9/pubmed PY - 2010/4/27/medline SP - 131 EP - 8 JF - Current opinion in psychiatry JO - Curr Opin Psychiatry VL - 23 IS - 2 N2 - PURPOSE OF REVIEW: Poor glycemic control is prevalent in the majority of patients with diabetes and has a strong impact on medical as well as psychological outcomes. Psychological and behavioral variables are of particular interest, as the patients themselves are the most determining factor of treatment success. Consequently, a wide range of behavioral medicine interventions are aimed at improvement in diabetes self-management, coping strategies, blood glucose awareness, and stress reduction. This review provides an overview of randomized controlled trials (RCTs) published in the past 18 months (from March 2008 to September 2009) that evaluated behavioral medicine interventions in patients with diabetes. The review summarizes the interventions' effects on metabolic control and other medical variables, as well as diabetes self-management and psychological outcomes. RECENT FINDINGS: Behavioral medicine interventions in the diabetes field encompass a number of different approaches with the goal of improving medical outcomes such as glycemic control as well as psychological outcomes. There is evidence for beneficial effects of recent behavioral medicine treatments in terms of improvement of metabolic control as indicated by decreased glycated hemoglobin (HbA1c). Furthermore, positive effects were observed regarding diabetes-related self-efficacy, self-management, proactive coping, and the reduction of psychological burdens and symptoms. SUMMARY: Behavioral medicine interventions are effective in diabetes treatment, especially in patients with a high level of diabetes-related distress, difficulty in coping, or insufficient blood glucose awareness. SN - 1473-6578 UR - https://www.unboundmedicine.com/medline/citation/20057315/Behavioral_medicine_interventions_in_diabetes_ L2 - http://dx.doi.org/10.1097/YCO.0b013e3283366555 DB - PRIME DP - Unbound Medicine ER -