Psychosocial interventions for the diabetic patient
John N Harvey Diabetes Research Group, Wrexham Academic Unit, Bangor University, Wrexham, UK Abstract: 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. Edu...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2015-01-01
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| Series: | Diabetes, Metabolic Syndrome and Obesity |
| Online Access: | http://www.dovepress.com/psychosocial-interventions-for-the-diabetic-patient-peer-reviewed-article-DMSO |
| _version_ | 1797934597394137088 |
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| author | Harvey JN |
| author_facet | Harvey JN |
| author_sort | Harvey JN |
| collection | DOAJ |
| description | John N Harvey Diabetes Research Group, Wrexham Academic Unit, Bangor University, Wrexham, UK Abstract: 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. Keywords: health beliefs, motivational interviewing, cognitive behavioral therapy, family therapy, adolescence |
| first_indexed | 2024-04-10T18:02:35Z |
| format | Article |
| id | doaj.art-46d515dada6847b0b63e6c57f706211e |
| institution | Directory Open Access Journal |
| issn | 1178-7007 |
| language | English |
| last_indexed | 2024-04-10T18:02:35Z |
| publishDate | 2015-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Diabetes, Metabolic Syndrome and Obesity |
| spelling | doaj.art-46d515dada6847b0b63e6c57f706211e2023-02-02T14:54:13ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072015-01-012015default294319909Psychosocial interventions for the diabetic patientHarvey JNJohn N Harvey Diabetes Research Group, Wrexham Academic Unit, Bangor University, Wrexham, UK Abstract: 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. Keywords: health beliefs, motivational interviewing, cognitive behavioral therapy, family therapy, adolescencehttp://www.dovepress.com/psychosocial-interventions-for-the-diabetic-patient-peer-reviewed-article-DMSO |
| spellingShingle | Harvey JN Psychosocial interventions for the diabetic patient Diabetes, Metabolic Syndrome and Obesity |
| 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 |
| url | http://www.dovepress.com/psychosocial-interventions-for-the-diabetic-patient-peer-reviewed-article-DMSO |
| work_keys_str_mv | AT harveyjn psychosocialinterventionsforthediabeticpatient |