在1型和2型糖尿病中,CBT和基于CBT的干预措施有多有效? 一个雨审查
Hanna S Press1, Leeanne Nicklas1
1School of Medicine, University of Dundee, Dundee, UK.
Diabetic medicine : a journal of the British Diabetic Association
|February 21, 2026
概括
认知行为疗法 (CBT) 和基于CBT的干预措施有效地管理糖尿病困扰,抑郁症和HbA1c. 通过治疗师的CBT改善了焦虑,而通过多学科工作人员的CBT干预措施,痛苦减轻更大.
科学领域:
- 行为科学 行为科学
- 心理学 心理学 心理学
- 内分泌学 在内分泌学.
背景情况:
- 认知行为疗法 (CBT) 是基于证据的糖尿病管理方法.
- 实践变化使评估不同CBT交付影响变得复杂.
- 需要进行一项综合性审查,以综合关于CBT对糖尿病有效性的证据.
研究的目的:
- 综合关于CBT对糖尿病相关的痛苦,抑郁,焦虑和HbA1c有效性的证据.
- 为了比较治疗师提供的CBT与多学科工作人员基于CBT的干预措施的有效性.
主要方法:
- 搜索了CINAHL,MEDLINE,PsychINFO,PsychArticles和Cochrane图书馆的系统审查和元分析 (2014-2023年).
- 使用苏格兰大学间指南网络检查清单评估审查质量.
- 对二次目标的差异化随机对照试验结果.
主要成果:
- 包括11个系统审查和元分析;审查质量各不相同.
- 由多学科工作人员进行的基于CBT的干预措施减少了抑郁,痛苦和HbA1c.
- 通过治疗师进行的CBT显著减少了痛苦,焦虑,抑郁和HbA1c.
结论:
- 基于CBT和CBT的干预措施对抑郁症和HbA1c.表现出类似的有效性.
- 焦虑症状仅在由治疗师提供的CBT下得到改善.
- 基于CBT的干预措施降低了与糖尿病相关的痛苦;由于异质性,需要进一步研究.
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