对糖尿病患者的认知行为疗法交付格式的比较有效性:系统性审查和网络元分析
Mingqi Hu1,2,3, Meixuan Li1,2,3, Qian Liu1,2,3
1Centre for Evidence-Based Social Science/Center for Health Technology Assessment, School of Public Health, Lanzhou University, Lanzhou, China.
Journal of general internal medicine
|December 1, 2025
概括
数字辅助认知行为疗法 (CBT) 有效地减少糖尿病患者的抑郁和焦虑. 其他形式,如团体和指导自助,也可以改善血糖控制和应急.
科学领域:
- 精神病学是一个精神病学.
- 内分泌学 在内分泌学.
- 行为科学 行为科学
背景情况:
- 认知行为疗法 (CBT) 有助于糖尿病管理,改善血糖控制和心理健康.
- 现有的研究缺乏对糖尿病所有CBT交付格式的比较.
- 本综述系统地比较了糖尿病患者的各种CBT输送格式.
研究的目的:
- 为了比较糖尿病患者不同认知行为疗法 (CBT) 输送格式的有效性.
- 确定最佳的CBT格式,以改善糖尿病的血糖控制,抑郁和焦虑.
主要方法:
- 搜索了九个数据库,查找随机临床试验,比较糖尿病患者的CBT格式.
- 包括糖化血红蛋白 (HbA1c) 降低,抑郁症和焦虑症严重程度的主要结局.
- 利用对联和网络元分析来进行数据合成.
主要成果:
- 分析了29项涉及5208名参与者的试验.
- 数字辅助CBT在减少干预后和随访期间抑郁症方面最有效.
- 团体和指导自助CBT格式对HbA1c和痛苦有好处.
结论:
- 数字辅助的CBT显示有望减少糖尿病患者的抑郁和焦虑.
- 团体和指导自助CBT格式对HbA1c和痛苦有益.
- 限制包括潜在的出版偏见和某些结果和格式的有限数据.
相关概念视频
Rational Emotive Behavior Therapy
327
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
327
Cognitive Therapy
844
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
844
Diabetes: Management and Pharmacotherapy
848
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
848
Behavior Therapy
576
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
576
Modeling in Therapy
364
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
364
Treatment Strategies for Psychological Disorders
666
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
666

