Psychological interventions for adherence, metabolic control, and coping with stress in adolescents with type 1 diabetes: a systematic review

Aljawarneh, Yousef M.; Al-Qaissi, Nesreen M.; Ghunaim, Hana Y.

doi:10.1007/s12519-020-00352-6

Cited by 17 publications

(12 citation statements)

References 32 publications

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“…However, one thing in common is the effect of the interventions over time; in both populations, the long-term effects (12 months) are more visible and stable than in the short-term (3 months). These results are in line with those found in previous metanalyses [18,19].…”

Section: Discussionsupporting

confidence: 94%

“…Reviews and metanalyses have shown contradictory results on the influence of psychological interventions in improving glycemic control. Two metanalyses of studies carried out with adolescents and adults with diabetes, reported having achieved a significant improvement in HbA1c compared to poor control at baseline [18,19]. However, the metanalysis carried out by Winkley et al [20] found no overall effect of psychological interventions compared to control groups on HbA1c.…”

Section: Introductionmentioning

confidence: 99%

“…However, the metanalysis carried out by Winkley et al [20] found no overall effect of psychological interventions compared to control groups on HbA1c. The discrepancy between results could be explained as a consequence of the limited number of studies identified [20] or because the other metanalyses were either focused on mindfulness-based interventions [19] or included only an adolescent population [18]. In this sense, there is research that supports the concept that the intensity of psychological interventions (determined by the number and duration of sessions) and motivational interviews are related to a reduction in DD and HbA1c.…”

Section: Introductionmentioning

confidence: 99%

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Psychotherapeutic Interventions to Improve Psychological Adjustment in Type 1 Diabetes: A Systematic Review

Resurrección

Navas-Campaña

Gutiérrez-Colosía

et al. 2021

IJERPH

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Background: International clinical practice guidelines highlight the importance of improving the psychological and mental health care of patients with Type 1 diabetes mellitus (T1DM). Psychological interventions can promote adherence to the demands of diabetes self-care, promoting high quality of life and wellbeing. Methods: A systematic review was carried out to determine whether psychological treatments with a specific focus on emotional management have an impact on glycemic control and variables related to psychological adjustment. Comprehensive literature searches of PubMed Medline, Psycinfo, Cochrane Database, Web of Science, and Open Grey Repository databases were conducted, from inception to November 2019 and were last updated in December 2020. Finally, eight articles met inclusion criteria. Results: Results showed that the management of emotions was effective in improving the psychological adjustment of patients with T1DM when carried out by psychologists. However, the evidence regarding the improvement of glycemic control was not entirely clear. When comparing adolescent and adult populations, findings yielded slightly better results in adolescents. Conclusions: More rigorous studies are needed to establish what emotional interventions might increase glycemic control in this population.

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Section: Discussionsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Psychotherapeutic Interventions to Improve Psychological Adjustment in Type 1 Diabetes: A Systematic Review

Resurrección

Navas-Campaña

Gutiérrez-Colosía

et al. 2021

IJERPH

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“…Psychological interventions have a positive impact on coping with stress, self-care adherence, and metabolic control. 61 …”

Section: Discussionmentioning

confidence: 99%

“…2,7 Unfortunately, poor control of diabetes is widely prevalent worldwide. [8][9][10][11][12][13][14][15][16][17][18] Different rates of poorly controlled T2DM were revealed in various countries, such as 49.4-74.9% in Saudi Arabia, 19,20 54% in Oman, 21 69.6% in Libya, 11 67.5% in Turkey, 4 64.1-70.9% in Ethiopia, 13,22 69.7% in Tanzania, 23 61.3% in Zambia, 24 72.6-83% in Pakistan, 8,9 40% in Malaysia, 25 89% in China, 10 and 66% in the United States. 26 In Jordan, poorly controlled T2DM ranged from 56.5% to 83.8%.…”

Section: Introductionmentioning

confidence: 99%

Glycemic Control and Its Relationship with Diabetes Self-Care Behaviors Among Patients with Type 2 Diabetes in Northern Jordan: A Cross-Sectional Study

Almomani¹,

Al-Tawalbeh²

2022

PPA

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Background Type 2 diabetes mellitus (T2DM) is a chronic progressive disease that significantly impacts morbidity and mortality worldwide. Glycemic control is central in diabetes management, yet complex and challenging to achieve; it can be affected by various factors. Diabetes self-care behaviors are vital strategies for effective T2DM management. Purpose To evaluate the levels of glycemic control and diabetes self-care behaviors, and the significance of each behavior on glycemic control among patients with T2DM in Jordan. Patients and Methods This cross-sectional study was conducted in medical and endocrinology outpatient clinics of three hospitals in northern Jordan. A convenience sample of 520 patients with T2DM participated in the study. Diabetes self-care behaviors, including diet, exercise, blood glucose testing, taking medication, and foot care behaviors, were measured using the Arabic version of the Summary of Diabetes Self-Care Activities (SDSCA-Arabic) questionnaire. Psychological distress was measured using the Arabic version of the 4-items Patient Health Questionnaire (PHQ-4). Glycated hemoglobin (HbA1c) levels were used to assess glycemic control. Results Out of 520 participants, 92.7% (n= 482) had poor glycemic control (HbA1c ≥7%), with a mean of 9.29% (SD=2.06) for HbA1c. The SDSCA overall mean score was 3.25 days (SD=0.88), indicating an unsatisfactory level, with 79.2% of participants having performed self-care activities 4-days/week. Greater adherence to diabetes self-care behaviors was associated with better glycemic control. Exercise was the most important predictor of HbA1c (p<0.001), followed by general diet (p<0.001), specific diet (p<0.001), and blood sugar testing (p<0.001). Moreover, the Body Mass Index (p<0.001), treatment type (p<0.001), and income (p=0.03) were significant predictors. Conclusion The proportions of poor glycemic control and unsatisfactory self-care behaviors were high among T2DM patients. To enhance patients’ self-care behaviors and lifestyles changes, the patients need tailored diabetes self-care management educational and supportive programs, conducted by qualified diabetes educators using culturally sensitive strategies.

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Characteristics and Principles of a Healthy Lifestyle

2022

Textbook of Lifestyle Medicine

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Psychological interventions for adherence, metabolic control, and coping with stress in adolescents with type 1 diabetes: a systematic review

Cited by 17 publications

References 32 publications

Psychotherapeutic Interventions to Improve Psychological Adjustment in Type 1 Diabetes: A Systematic Review

Psychotherapeutic Interventions to Improve Psychological Adjustment in Type 1 Diabetes: A Systematic Review

Glycemic Control and Its Relationship with Diabetes Self-Care Behaviors Among Patients with Type 2 Diabetes in Northern Jordan: A Cross-Sectional Study

Characteristics and Principles of a Healthy Lifestyle

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