Cited by 291Mindfulness and Compassion InterventionsDiabetes Management and EducationCancer survivorship and care

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Kindness Matters: A Randomized Controlled Trial of a Mindful Self-Compassion Intervention Improves Depression, Distress, and HbA1c Among Patients With Diabetes

Friis, Anna M., Johnson, Malcolm H., Cutfield, Richard G., Consedine, Nathan S.·2016·Diabetes Care

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Abstract

OBJECTIVE Mood difficulties are common among patients with diabetes and are linked to poor blood glucose control and increased complications. Evidence on psychological treatments that improve both mood and metabolic outcomes is limited. Greater self-compassion predicts better mental and physical health in both healthy and chronically ill populations. Thus, the purpose of this randomized controlled trial (RCT) was to evaluate the effects of self-compassion training on mood and metabolic outcomes among patients with diabetes. RESEARCH DESIGN AND METHODS This RCT tested the effects of a standardized 8-week mindful self-compassion (MSC) program (n = 32) relative to a wait-list control condition (n = 31) among patients with type 1 and type 2 diabetes. Measures of self-compassion, depressive symptoms, diabetes-specific distress, and HbA1c were taken at baseline (preintervention), at week 8 (postintervention), and at 3-month follow-up. RESULTS Repeated-measures ANOVA using intention to treat showed that MSC training increased self-compassion and produced statistically and clinically significant reductions in depression and diabetes distress in the intervention group, with results maintained at 3-month follow-up. MSC participants also averaged a clinically and statistically meaningful decrease in HbA1c between baseline and follow-up of >10 mmol/mol (nearly 1%). There were no overall changes for the wait-list control group. CONCLUSIONS This initial report suggests that learning to be kinder to oneself (rather than being harshly self-critical) may have both emotional and metabolic benefits among patients with diabetes.

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Authors: Friis, A. M., Johnson, M. H., Cutfield, R. G., & Consedine, N. S.
Affiliations: University of Auckland (NZ)
Waitemata District Health Board (NZ)
Corresponding author: Friis, Anna M.
ORCID: Cutfield, Richard G.
Consedine, Nathan S.
Venue: Diabetes Care
Publisher: American Diabetes Association
Published: 2016-06-22
Volume: 39
Issue: 11
Pages: 1963-1971
ISSN: 0149-5992 (ISSN-L)
1935-5548
DOI: 10.2337/dc16-0416
OpenAlex: W2465180286
Cited by: 291
References: 41
Citations by year: 2026: 16 · 2025: 21 · 2024: 21 · 2023: 34 · 2022: 24 · 2021: 29 · 2020: 87 · 2019: 16 · 2018: 22 · 2017: 17 · 2016: 3
FWCI: 25.86
Type: journal article
Language: en
Open access: closed
Licence: www.diabetesjournals.org/content/license (vor, 120 d)
Locations: Diabetes Care (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords: mindful self-compassion, self-compassion, depression, diabetes distress, HbA1c, glycemic control, type 1 diabetes, type 2 diabetes, mood, psychological intervention, self-criticism
MeSH terms: Adolescent, Adult, Aged, Depression, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Empathy, Female, Follow-Up Studies, Glycated Hemoglobin, Humans, Male, Middle Aged, Treatment Outcome, Young Adult, Mindfulness

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Kindness Matters: A Randomized Controlled Trial of a Mindful Self-Compassion Intervention Improves Depression, Distress, and HbA1c Among Patients With Diabetes

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