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Behavioral medicine interventions in diabetes.

Kristin Plack¹, Stephan Herpertz, Frank Petrak

¹Department of Clinical Psychology and Psychotherapy, Johannes Gutenberg-University of Mainz, Mainz, Germany. kplack@uni-mainz.de

Current Opinion in Psychiatry

|January 9, 2010

Summary

Behavioral medicine interventions improve diabetes management by enhancing self-care and reducing psychological distress. These approaches effectively lower HbA1c and boost patient confidence, particularly for those with high distress levels.

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Area of Science:

Behavioral Medicine
Endocrinology
Psychology

Background:

Poor glycemic control significantly impacts diabetes patient outcomes.
Patient self-management is crucial for successful diabetes treatment.
Behavioral interventions target self-management, coping, and stress reduction.

Purpose of the Study:

Review randomized controlled trials (RCTs) of behavioral medicine interventions for diabetes.
Evaluate effects on metabolic control, medical variables, self-management, and psychological outcomes.
Focus on RCTs published between March 2008 and September 2009.

Main Methods:

Systematic review of recent randomized controlled trials.
Analysis of interventions targeting diabetes self-management and psychological well-being.
Assessment of outcomes including glycated hemoglobin (HbA1c).

Main Results:

Behavioral interventions show beneficial effects on metabolic control, reducing HbA1c.
Positive impacts observed in diabetes self-efficacy, self-management, and coping strategies.
Interventions effectively reduce psychological burdens and symptoms in patients.

Conclusions:

Behavioral medicine interventions are effective for diabetes treatment.
These interventions are particularly beneficial for patients with high distress or coping difficulties.
Improved blood glucose awareness is a key outcome for certain interventions.