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. Ed...

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Autor principal:	Harvey JN
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/46d515dada6847b0b63e6c57f706211e
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spelling	oai:doaj.org-article:46d515dada6847b0b63e6c57f706211e2021-12-02T03:24:50ZPsychosocial interventions for the diabetic patient1178-7007https://doaj.org/article/46d515dada6847b0b63e6c57f706211e2015-01-01T00:00:00Zhttp://www.dovepress.com/psychosocial-interventions-for-the-diabetic-patient-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007 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, adolescenceHarvey JNDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2015, Iss default, Pp 29-43 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Specialties of internal medicine RC581-951
spellingShingle	Specialties of internal medicine RC581-951 Harvey JN Psychosocial interventions for the diabetic patient
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
format	article
author	Harvey JN
author_facet	Harvey JN
author_sort	Harvey JN
title	Psychosocial interventions for the diabetic patient
title_short	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_sort	psychosocial interventions for the diabetic patient
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/46d515dada6847b0b63e6c57f706211e
work_keys_str_mv	AT harveyjn psychosocialinterventionsforthediabeticpatient
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Psychosocial interventions for the diabetic patient

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