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Psychosocial interventions for the diabetic patient

Diabetes usually requires substantial life-long self-management by the patient. Psychological factors and the patient’s health beliefs are important determinants of self-care behavior. Education has a modest influence on generating better self-care, but psychologically based interventions are clearl...

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Autor principal: Harvey, John N
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295896/
https://www.ncbi.nlm.nih.gov/pubmed/25657590
http://dx.doi.org/10.2147/DMSO.S44352
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author Harvey, John N
author_facet Harvey, John N
author_sort Harvey, John N
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description Diabetes usually requires substantial life-long self-management by the patient. Psychological factors and the patient’s health beliefs are important determinants of self-care behavior. Education has a modest influence on generating better self-care, but psychologically based interventions are clearly more effective. This review gives an overview of these interventions with some discussion of their basis in psychological theory. Some labels such as cognitive behavioral therapy and family therapy include a wide range of approaches. Randomized trials have generally produced improvement in measures of psychological well-being, but improved glycemic control has been more elusive. The influence on behavior can be very dependent on the individual therapist. Only a few trials have managed to sustain improvement in glycosylated hemoglobin beyond a year. Not all patients are prepared to engage and accept these forms of therapeutic intervention. We are still some way from moving psychological management from the trial situation into the diabetic clinic.
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spelling pubmed-42958962015-02-05 Psychosocial interventions for the diabetic patient Harvey, John N Diabetes Metab Syndr Obes Review Diabetes usually requires substantial life-long self-management by the patient. Psychological factors and the patient’s health beliefs are important determinants of self-care behavior. Education has a modest influence on generating better self-care, but psychologically based interventions are clearly more effective. This review gives an overview of these interventions with some discussion of their basis in psychological theory. Some labels such as cognitive behavioral therapy and family therapy include a wide range of approaches. Randomized trials have generally produced improvement in measures of psychological well-being, but improved glycemic control has been more elusive. The influence on behavior can be very dependent on the individual therapist. Only a few trials have managed to sustain improvement in glycosylated hemoglobin beyond a year. Not all patients are prepared to engage and accept these forms of therapeutic intervention. We are still some way from moving psychological management from the trial situation into the diabetic clinic. Dove Medical Press 2015-01-09 /pmc/articles/PMC4295896/ /pubmed/25657590 http://dx.doi.org/10.2147/DMSO.S44352 Text en © 2015 Harvey. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Review
Harvey, John N
Psychosocial interventions for the diabetic patient
title Psychosocial interventions for the diabetic patient
title_full Psychosocial interventions for the diabetic patient
title_fullStr Psychosocial interventions for the diabetic patient
title_full_unstemmed Psychosocial interventions for the diabetic patient
title_short Psychosocial interventions for the diabetic patient
title_sort psychosocial interventions for the diabetic patient
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295896/
https://www.ncbi.nlm.nih.gov/pubmed/25657590
http://dx.doi.org/10.2147/DMSO.S44352
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