A cognitive behavior therapy-based intervention among poorly controlled adult type 1 diabetes:
OBJECTIVE: To examine the impact of a Cognitive Behavior Therapy (CBT)-based intervention on HbA(1c), self-care behaviors and psychosocial factors among poorly controlled adult type 1 diabetes patients. METHODS: Ninety-four type 1 diabetes patients were randomly assigned to either an intervention group or a control group. The intervention was based on CBT and was mainly delivered in group format, but individual sessions were also included. All subjects were provided with a continuous glucose monitoring system (CGMS) during two 3-day periods. HbA(1c), self-care behaviors and psychosocial factors were measured up to 48 weeks. RESULTS: Significant differences were observed with respect to HbA(1c) (P<0.05), well-being (P<0.05), diabetes-related distress (P<0.01), frequency of blood glucose testing (P<0.05), avoidance of hypoglycemia (P<0.01), perceived stress (P<0.05), anxiety (P<0.05) and depression (P<0.05), all of which showed greater improvement in the intervention group compared with the control group. A significant difference (P<0.05) was registered with respect to non-severe hypoglycemia, which yielded a higher score in the intervention group. CONCLUSION: This CBT-based intervention appears to be a promising approach to diabetes self-management. PRACTICE IMPLICATIONS: Diabetes care may benefit from applying tools commonly used in CBT. For further scientific evaluation in clinical practice, there is a need for specially educated diabetes care teams, trained in the current approach, as well as cooperation between diabetes care teams and psychologists trained in CBT.
Patient Educ Couns. 2009 Mar 16. Amsberg S, Anderbro T, Wredling R, Lisspers J, Lins PE, Adamson U, Johansson UB. Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division of Medicine, House 17, 4th floor, SE-182 88 Stockholm, Sweden; Sophiahemmet University College Stockholm, Sweden.
Posted: 09/12/2009
This article provided by The International Hypnosis Research Institute.
Enter your email address to subscribe to the IHRI Newsletter.
Health & WellbeingWellbeing starts in the mind. Hypnosis is extremely effective at helping you build the basis of a healthy life because it works at the deep inner mind level to reprogram your mind to expect and welcome health into your life.
|
Clear & Healty SkinHypnosis is very effective in healing and reducing acne!In this hypnosis session I’ll give your body suggestions that will work at the deep inner mind level so that you’ll naturally want to nurture your skin.You’ll be confident in public!
|
Sooth Away IBSOver 15 years of solid scientific research has demonstrated hypnosis to be an effective, safe and inexpensive choice for IBS alleviation.Utilizing the healing power of your mind, you’ll relax your body and sooth away IBS.
|
