Gonder-Frederick Linda A, Cox Daniel J, Ritterband Lee M
Behavioral Medicine Center, University of Virginia Health System, Charlottesville 22908, USA.
J Consult Clin Psychol. 2002 Jun;70(3):611-25. doi: 10.1037//0022-006x.70.3.611.
Diabetes management depends almost entirely on behavioral self-regulation. Behavioral scientists have continued a collaboration with other health systems researchers to develop a holistic approach to this disease. The authors summarized the literature in 4 major areas: self-management of diabetes, psychosocial adjustment and quality of life, neuropsychological impact, and psychobehavioral intervention development. Progress made in each of these areas over the past decade is highlighted, as are important issues that have not yet received sufficient scientific attention. Emerging areas likely to become central in behavioral research, such as diabetes prevention, are introduced. The future of behavioral medicine in diabetes is also discussed, including topics such as the changing role of psychologists in diabetes care, the urgent need for more and better intervention research, the growing importance of incorporating a health system-public health perspective, and obstacles to the integration of psychobehavioral approaches into routine health care delivery.
糖尿病管理几乎完全依赖于行为自我调节。行为科学家们持续与其他卫生系统研究人员合作，以开发针对这种疾病的整体方法。作者总结了四个主要领域的文献：糖尿病的自我管理、心理社会调适与生活质量、神经心理学影响以及心理行为干预的发展。文中突出了过去十年在这些领域各自取得的进展，以及尚未得到充分科学关注的重要问题。还介绍了诸如糖尿病预防等可能在行为研究中占据核心地位的新兴领域。同时也讨论了行为医学在糖尿病领域的未来，包括心理学家在糖尿病护理中角色的转变、对更多更好干预研究的迫切需求、纳入卫生系统 - 公共卫生视角的重要性日益增加，以及将心理行为方法整合到常规医疗服务中的障碍等话题。
