University of South Florida, College of Nursing, 12901 Bruce B. Downs Blvd, MDC Box 22, Tampa, FL, 33612, USA.
Complement Ther Clin Pract. 2022 Nov;49:101659. doi: 10.1016/j.ctcp.2022.101659. Epub 2022 Aug 13.
Type 1 diabetes (T1D), type 2 diabetes, and prediabetes are increasing in incidence. Adolescents and young adults with diabetes experience psychosocial comorbidities at an increased incidence. As such, exploring interventions that can improve psychosocial and glycemic outcomes are needed. The purpose of this integrative review is to examine and synthesize the literature on mindfulness in adolescents and young adults with type 1 or type 2 diabetes or prediabetes.
Four databases were searched during May 2021. Included studies were published between 2000 and 2021, evaluated adolescents and young adults, diagnosed with type 1 or type 2 diabetes or prediabetes. Studies were excluded if they were not in English; not original research; evaluated complementary/alternative therapies as a group. To assess for risk of bias, the National Institutes of Health quality assessment tools and the Cochrane Collaboration's tool were utilized. Whittemore and Knafl's (2005) method for conducting an integrative review was utilized to synthesize results.
We identified 137 articles in our initial search and 74 articles remained after removing for duplicates. Ten articles were included in the review, with 5 including adolescents and young adults with T1D and 5 including adolescents and young adults with prediabetes. No studies evaluated mindfulness in adolescents and young adults with type 2 diabetes.
Mindfulness is an acceptable intervention in adolescents and young adults with T1D and prediabetes, resulting in positive psychosocial and glycemic outcomes. There were issues with feasibility of the intervention and mobile health technology delivery methods should be evaluated.
1 型糖尿病（T1D）、2 型糖尿病和糖尿病前期的发病率都在增加。患有糖尿病的青少年和年轻人出现心理社会合并症的发生率增加。因此，需要探索可以改善心理社会和血糖结果的干预措施。本综述的目的是检查和综合关于 1 型或 2 型糖尿病或糖尿病前期青少年和年轻人的正念研究文献。
2021 年 5 月在四个数据库中进行搜索。纳入的研究发表于 2000 年至 2021 年之间，评估了青少年和年轻人，被诊断为 1 型或 2 型糖尿病或糖尿病前期。如果研究不是英文的；不是原始研究；将补充/替代疗法作为一组进行评估，则将其排除在外。为了评估偏倚风险，使用了美国国立卫生研究院的质量评估工具和 Cochrane 协作组的工具。采用 Whittemore 和 Knafl（2005 年）的综合综述方法来综合结果。
我们在最初的搜索中发现了 137 篇文章，在去除重复项后，仍有 74 篇文章保留下来。综述纳入了 10 篇文章，其中 5 篇纳入了 1 型糖尿病的青少年和年轻人，5 篇纳入了糖尿病前期的青少年和年轻人。没有研究评估 2 型糖尿病青少年和年轻人的正念。
正念是 1 型糖尿病和糖尿病前期青少年和年轻人可以接受的干预措施，可带来积极的心理社会和血糖结果。该干预措施的可行性存在问题，应评估移动健康技术的传递方法。
