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Cited by 52Diabetes Management and EducationBehavioral Health and InterventionsDiabetes Management and Research

Psychosocial interventions for the diabetic patient

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Harvey, John·2015·Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
DOI 10.2147/dmso.s44352PMC PMC4295896
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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.

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Authors
Harvey, J.
Affiliations
Bangor University (GB)
Corresponding author
Harvey, John
ORCID
Harvey, John
Venue
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
Publisher
Informa UK Limited
Published
2015-01
Volume
8
Pages
29
ISSN
1178-7007 (ISSN-L)
DOI
10.2147/dmso.s44352
PMC
PMC4295896
OpenAlex
W2060413534
Cited by
52
References
11
Citations by year
2026: 4 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 8 · 2021: 6 · 2020: 1 · 2019: 7 · 2018: 4 · 2017: 5 · 2016: 5 · 2015: 2
FWCI
0.81
Type
journal article
Language
en
Open access
Licence
Locations
  • Diabetes Metabolic Syndrome and Obesity (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords
psychosocial interventions, diabetes mellitus, self-care behavior, psychological well-being, glycemic control, HbA1c, cognitive behavioral therapy, family therapy, health beliefs, patient education

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