Huprich Steven K, Roelk Brandi C, Poppe Theresa
University of Detroit Mercy and Michigan State University College of Human Medicine, 4001 West McNichols Road, Detroit, MI, 48221, USA.
VAMC St. Louis, 1424 Dale Drive, Troy, IL, 62294, USA.
J Clin Psychol Med Settings. 2025 Mar;32(1):87-95. doi: 10.1007/s10880-024-10002-y. Epub 2024 Mar 13.
The aims of this study were to evaluate the utility of therapeutic assessment (therapeutic assessment) as a brief intervention to target reduction in A1C levels and to assess the levels of personality functioning and broad trait domains described in the DSM-5 Alternative Model for Personality Disorders in a sample of patients with Type 2 diabetes and their relationship to A1C levels at baseline and follow-up. Participants (n = 99) were recruited from a primary care office and provided feedback on how their personality functioning and pathological personality traits might influence their diabetes management. Results indicated that 66.25% of participants receiving TA feedback decreased their A1C levels below 7. Those who improved reported less difficulty with intimacy and trends toward higher levels of personality functioning and lower levels of interpersonal detachment. Results suggest that providing TA feedback is worthy of further investigation for considering its therapeutic effects in helping patients to manage Type 2 diabetes.
本研究的目的是评估治疗性评估作为一种旨在降低糖化血红蛋白(A1C)水平的简短干预措施的效用,并在2型糖尿病患者样本中评估《精神疾病诊断与统计手册》第五版(DSM-5)人格障碍替代模型中描述的人格功能水平和广泛特质领域,以及它们在基线和随访时与A1C水平的关系。参与者(n = 99)从初级保健办公室招募,并就其人格功能和病理性人格特质如何可能影响其糖尿病管理获得反馈。结果表明,接受治疗性评估反馈的参与者中有66.25%将其A1C水平降至7以下。病情改善的参与者报告在亲密关系方面困难较少,且人格功能水平有升高趋势,人际疏离水平有降低趋势。结果表明,考虑到治疗性评估反馈在帮助患者管理2型糖尿病方面的治疗效果,值得进一步研究。