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对于肥胖和2型糖尿病患者的生活方式改变的认知行为疗法:系统性审查和元分析
Katja Kurnik Mesarič1,2, Jernej Pajek3,4, Bernarda Logar Zakrajšek5
1Department of Nephrology, University Medical Centre Ljubljana, Ljubljana, Slovenia. katja.kurnik.mesaric@kclj.si.
Scientific reports
|August 7, 2023
概括
认知行为疗法 (CBT) 显著有助于改变生活方式,特别是在肥胖和2型糖尿病患者的减肥和维持体重. 然而,它对降低HbA1c水平的影响并不显著.
科学领域:
- 行为科学 行为科学
- 临床心理学 临床心理学
- 代谢健康 代谢健康
背景情况:
- 改变生活方式对于控制肥胖和2型糖尿病至关重要.
- 认知行为疗法 (CBT) 是促进这些变化的潜在工具.
- 在这些人群中,CBT对生活方式干预的有效性的证据需要综合.
研究的目的:
- 系统地审查和元分析CBT对生活方式变化实施的贡献.
- 评估与CBT干预相关的健康和行为结果.
- 评估CBT在患有肥胖和/或2型糖尿病的患者中的疗效.
主要方法:
- 在PsycInfo,PubMed和MEDLINE的系统文献综述.
- 包括CBT的随机对照试验 (RCT) 来改变生活方式.
- 使用柯克莱恩偏差风险工具对9项RCT (902名参与者) 的结果进行元分析.
主要成果:
- 认知认知疗法在减肥和维持体重方面表现出中等,显著的效果大小.
- 对于降低糖化血红蛋白 (HbA1c) 水平,观察到较低,不显著的效果大小.
- 在生活方式变化实施中,CBT干预措施的总体中等,显著的效果大小被发现.
结论:
- 与常规护理相比,CBT干预措施有效促进生活方式的改变.
- 认知认知疗法在减肥和体重维持方面特别有效.
- 可能需要进一步的研究来优化CBT用于血糖控制.
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