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Coping skills training and problem solving in diabetes.

Margaret Grey1, Diane Berry

  • 1Yale University School of Nursing, 100 Church Street South, PO Box 9740, New Haven, CT 06536-0740, USA. margaret.grey@yale.edu

Current Diabetes Reports
|March 24, 2004
PubMed
Summary

Coping skills training improves diabetes self-management by teaching constructive behaviors. This cognitive-behavioral approach benefits both children and adults with diabetes, enhancing metabolic and psychosocial outcomes.

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Area of Science:

  • Endocrinology
  • Behavioral Medicine
  • Psychology

Background:

  • Effective diabetes self-management necessitates significant patient engagement.
  • Traditional diabetes education, focused on knowledge transfer, often fails to induce behavioral change.
  • Coping skills training (CST) offers a cognitive-behavioral strategy to enhance patient self-efficacy.

Purpose of the Study:

  • To evaluate the efficacy of CST in improving diabetes self-management.
  • To assess the impact of CST on metabolic and psychosocial outcomes in pediatric and adult populations with diabetes.

Main Methods:

  • CST is a cognitive-behavioral intervention designed to modify maladaptive coping mechanisms.
  • The intervention retrains patients to adopt more constructive behavioral patterns for managing their condition.

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  • Studies included children, adolescents, and adults with type 1 and type 2 diabetes.

    • Main Results:

    • CST led to improved metabolic control (e.g., HbA1c) in pediatric patients with type 1 diabetes.
    • Psychosocial outcomes, including quality of life and reduced distress, were enhanced in children and adolescents with type 1 diabetes.
    • Adults with type 2 diabetes also showed positive results in self-management and overall well-being following CST.

    Conclusions:

    • CST is an effective intervention for improving diabetes self-management across different age groups and diabetes types.
    • The principles of CST can be integrated into clinical practice to empower patients.
    • Behavioral interventions like CST are crucial for optimizing diabetes care beyond knowledge dissemination.