Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Diabetes Res Clin Pract. 2019 Jan;147:118-133. doi: 10.1016/j.diabres.2018.11.014. Epub 2018 Nov 27.
In patients with diabetes, psychological well-being constructs (e.g., optimism, positive affect) have been associated with superior medical outcomes, including better glucose control and lower mortality rates. Well-being interventions may be well-suited to individuals with diabetes, as they are simple to deliver, broadly applicable across a range of psychological distress, and may help increase self-efficacy and motivation for diabetes self-care. This systematic review, completed using PRISMA guidelines, examined peer-reviewed studies indexed in PubMed, PsycINFO, and/or Scopus between database inception and October 2017 that investigated the effects of well-being interventions (e.g., positive psychology interventions, mindfulness-based interventions, resilience-based interventions) on psychological and physical health outcomes in individuals with Type 1 or Type 2 diabetes. The search yielded 34 articles (N = 1635 participants), with substantial variability in intervention type, measures used, and outcomes studied; the majority found the intervention to provide benefit. Overall, results indicate that a range of well-being interventions appear to have promise in improving health outcomes in this population, but the literature does not yet provide definitive data about which specific interventions are most effective. The variability in interventions and outcomes points to a need for further rigorous, controlled, and well-powered studies of specific interventions, with well-accepted, clinically relevant outcome measures.
在糖尿病患者中，心理健康结构（例如乐观、积极情绪）与更好的医疗结果相关，包括更好的血糖控制和更低的死亡率。幸福感干预措施可能非常适合糖尿病患者，因为它们易于实施，广泛适用于各种心理困扰，并且可能有助于提高自我效能和促进糖尿病自我护理的动力。本系统评价使用 PRISMA 指南，检索了从数据库建立到 2017 年 10 月期间在 PubMed、PsycINFO 和/或 Scopus 中索引的同行评议研究，这些研究调查了幸福感干预措施（例如积极心理学干预、正念干预、韧性干预）对 1 型或 2 型糖尿病患者心理和身体健康结果的影响。检索结果得到 34 篇文章（N=1635 名参与者），干预类型、使用的测量方法和研究的结果存在很大差异；大多数研究发现干预措施有益。总体而言，结果表明，一系列幸福感干预措施似乎有希望改善该人群的健康结果，但文献尚未提供关于哪些特定干预措施最有效的明确数据。干预措施和结果的变异性表明，需要进一步进行严格、对照和有力的特定干预措施研究，并采用公认的、具有临床相关性的结果测量方法。
