Positive Psychological Characteristics in Diabetes: A Review
Abstract
Positive psychological characteristics, such as optimism, self-efficacy, and resilience, have been increasingly associated with improved outcomes in medically ill individuals. However, there has been minimal systematic review of these characteristics and their associations with outcomes in people with diabetes. We aim to review these associations, their potential mediating mechanisms, and the evidence supporting interventions targeting these qualities. In people with diabetes, positive psychological characteristics are significantly associated with improved glycemic control, fewer complications, and reduced rates of mortality. Potential mechanisms mediating these associations include behavioral factors (e.g., improved treatment adherence), reduced inflammation, and improved neuroendocrine and autonomic functioning. Most psychosocial treatments in this population have focused on improving self-efficacy and resilience; such interventions may improve quality of life, well-being, and diabetes self-care. While untested in diabetes, interventions to boost other positive characteristics have been effective in other medically ill patients and may warrant further study in this cohort.
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These prior studies suggest a prospective and independent role of positive constructs on health behaviors, above and beyond the effects of medical variables and depression.
“These prior studies 9-11 suggest a prospective and independent role of positive constructs on health behaviors, above and beyond the effects of medical variables and depression.”
From Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes (2016) · cites this paper as [11]
Higher baseline levels of positive psychological constructs, such as optimism and positive affect, are associated with greater subsequent improvements in health behaviors (and medical outcomes) in patients with type 2 diabetes and other chronic conditions, controlling for baseline physical activity, medical illness severity, and depression.
“In contrast, higher baseline levels of positive psychological constructs, such as optimism and positive affect, are associated with greater subsequent improvements in health behaviors (and medical outcomes) in patients with type 2 diabetes and other chronic conditions, controlling for baseline physical activity, medical illness severity, and depression. 9-11”
From Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes (2016) · cites this paper as [11]
Positive psychological characteristics are associated with greater function and health behavior participation.
“These findings are concordant with the literature 11 that has found positive psychological characteristics to be associated with greater function and health behavior participation”
From Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes (2016) · cites this paper as [11]
Psychological states may significantly impact health behavior and clinical outcomes in patients with type 2 diabetes.
“Psychological states may significantly impact health behavior and clinical outcomes in patients with T2D [17].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [17]
Self-efficacy and perceived control are influenced by positive cognitions and emotions and are associated with improved health behaviors.
“Self-efficacy and perceived control are influenced by positive cognitions and emotions and are associated with improved health behaviors [17, 58].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [17]
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- Authors
- Celano, C. M., Beale, E. E., Moore, S. V., Wexler, D. J., & Huffman, J. C.
- Affiliations
- Harvard University (US)
- Massachusetts General Hospital (US)
- Corresponding author
- Celano, Christopher M.
- Venue
- Current Diabetes Reports
- Published
- 2013-09-19
- Volume
- 13
- Issue
- 6
- Pages
- 917-929
- ISSN
- 1534-4827 (ISSN-L)
- 1539-0829
- OpenAlex
- W2081032591
- Cited by
- 69
- References
- 140
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 6 · 2022: 11 · 2021: 6 · 2020: 5 · 2019: 2 · 2018: 6 · 2017: 8 · 2016: 5 · 2015: 6 · 2014: 2
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Diabetes Reports (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- diabetes mellitus, optimism, self-efficacy, resilience, glycemic control, diabetes complications, mortality, medication adherence, inflammation, neuroendocrine function, autonomic function, psychosocial interventions, quality of life, well-being, diabetes self-care
- MeSH terms
- Diabetes Mellitus, Humans, Self Care
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