Positive and cognitive behavioral intervention to control HbA1c in type 2 diabetes: a pilot study
DOI:
https://doi.org/10.21615/cesp.7031Keywords:
positive psychology, cognitive behavioral therapy, health psychology, psychological capital, type 2 diabetes mellitusAbstract
Introduction: the prevalence of diabetes mellitus in Mexican population is 12 %. Hemoglobin A1C (HbA1c) is the most important indicator of control of this disease, so it is required to develop psychological interventions to help people to control HbA1c. Objective: develop and evaluate a positive and cognitive behavioral intervention to control HbA1c in people with type 2 diabetes mellitus (T2DM). Method: eleven patients with T2DM were randomly assigned to an experimental group (EG; n = 6) or control group (CG; n = 5). The intervention consisted of 12 weekly sessions. Self-efficacy, hope, resilience, and optimism were measured with the Diabetes Treatment Self-Efficacy Instrument, Adult Hope Scale, Mexican Resilience Scale, and Life Orientation Test, respectively, along with an assessment of HbA1c, after intervention, and at a three-month follow-up. Results: clinically significant improvements on HbA1c after intervention (g = 0.426) and follow-up (g = 0.749), improvements in self-efficacy after intervention (g = 1.168) and follow-up (g = 0.873) were identified in EG. Discussion: clinically favorable, but not statistically significant, effects of the intervention were discussed; in addition, the role of study variables in HbA1c control is discussed. Conclusions: positive and cognitive behavioral intervention is a promising alternative to improve HbA1c and self-efficacy in people with T2DM. Thus, it is advisable to conduct further evaluation with randomized controlled trials.
Downloads
References
Adriaanse, M. A., De Ridder, D. T. D., & Voorneman, I. (2013). Improving diabetes self-management by mental contrasting. Psychology & Health, 28(1), 1-12. https://doi.org/10.1080/08870446.2012.660154
Ali, Z. H. (2017). Effect of Self-Efficacy Enhancing Intervention Training on Clinical Health Status of Diabetic Patients at High-Risk for Leg Problems. Journal of Patient Care, 2(1), 1-9. https://doi.org/10.4172/2573-4598.1000111
Arigo, D., Cornell, M., & Smyth, J. M. (2018). Social comparisons in adults with type 2 diabetes: Patients’ reasons for target selection. Psychology and Health, 33(7), 906-924. https://doi.org/10.1080/08870446.2018.1432759
Bandura, A. (2016). The Power of Observational Learning Through Social Modeling. In R. J. Sternberg, S. T. Fiske, & D. J. Foss (Eds.), Scientists Making a Difference: One Hundred Eminent Behavioral and Brain Scientists Talk About Their Most Important Contributions (pp. 235–239). Cambridge University Press.
Beck, J. S. (2009). El Método Beck para Adelgazar. Gedisa.
Bradshaw, B., Richardson, G., & Kulkarni, K. (2007). Thriving with diabetes. An introduction to the resiliency approach for diabetes educators. The Diabetes Educator, 33(4), 643-649. https://doi.org/10.1177/0145721707303808
Carr, A., Finneran, L., Boyd, C., Shirey, C., Canning, C., Stafford, O., Lyons, J., Cullen, K., Prendergast, C., Corbett, C., Drumm, C., & Burke, T. (2023). The evidence-base for positive psychology interventions: a mega-analysis of meta-analyses. The Journal of Positive Psychology, 18, 1-15. https://doi.org/10.1080/17439760.2023.2168564
Cautela, J. R. (1967). Covert Sensitization. Psychological Reports, 20(2), 459–468. https://doi:10.2466/pr0.1967.20.2.459
Del Castillo, A. (2010). Apoyo social, síntomas depresivos, autoeficacia y bienestar psicológico en pacientes con diabetes tipo 2. [Doctoral dissertation, Universidad Nacional Autónoma de México]. Repositorio Institucional de la UNAM https://hdl.handle.net/20.500.14330/TES01000664217
De Ridder, D., Fournier, M., & Bensing, J. (2004). Does optimism affect symptom report in chronic disease? What are its consequences for self-care behavior and physical functioning? Journal of Psychosomatic Research, 56(3), 341-350. https://doi.org/10.1016/S0022-3999(03)00034-5
García, R., & Sánchez, J. J. (2013). Efectos de la entrevista motivacional en el tratamiento de la diabetes mellitus tipo 2. Psicología y Salud, 23(2), 183-193.
Ghazavi, Z., Khaledi-Sardashti, F. Kajbaf, M. B., & Esmaielzadeh, M. (2015). Effect of hope therapy on the hope of diabetic patients. Iranian Journal of Nursing and Midwifery Research, 23(4), 281-286. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325418/
González-Cantero, J. O., & Oropeza-Tena, R. (2016). Intervenciones cognitivo conductuales para diabéticos en México. Salud Mental, 39(2), 99-105. https://psycnet.apa.org/doi/10.17711/SM.0185-3325.2016.006
González-Cantero, J. O., Oropeza-Tena, R., Padrós, F., Colunga, C., Montes, R., & González-Becerra, V. H. (2017). Capital psicológico y su relación con el estilo de vida de universitarios mexicanos. Nutrición Hospitalaria, 34(2), 439-443 https://doi.org/10.20960/nh.172
Hattori, M. (2014). Entrenamiento en competencias de afrontamiento al adulto mayor con diabetes mellitus tipo 2 y su cuidador informal [Doctoral dissertation, Universidad Nacional Autónoma de México]. Repositorio Institucional de la UNAM https://repositorio.unam.mx/contenidos/100332
Hernández, M., Rivera, J., Shamah, T., Cuevas, L., Gómez, L. M., Gaona, E. B., Romero, M., Méndez, I., Saturno, P., Villalpando, S., Gutiérrez, J. P., Ávila, M. A., Mauricio, E. R., Martínez, J., & García, D. E. (2016). Encuesta Nacional de Salud y Nutrición de Medio Camino 2016 (ENSANUT 2016). Instituto Nacional de Salud Pública. https://ensanut.insp.mx/encuestas/ensanut2016/doctos/informes/ENSANUT2016ResultadosNacionales.pdf
Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: a review of meta-analyses. Cognitive Therapy and Research, 36(5), 427–440 https://doi.org/10.1007/s10608-012-9476-1
Johnson, M. D., Anderson, J. R., Wilcox, A., Walker, A., Robbins, D. C., & Lewis, V. L. (2013). Relationship beliefs and illness appraisals are differentially associated with specific ways of coping in spouses of patients with type 2 diabetes. Psychology & health, 28(12), 1442–1459. https://doi.org/10.1080/08870446.2013.822499
Kanapathy, J., & Bogle, V. (2019). The effectiveness of cognitive behavioural therapy for depressed patients with diabetes: A systematic review. Journal of Health Psychology, 24(1), 137–149. https://doi.org/10.1177/1359105317713360
Kazdin, A. E. (1977). The Token Economy: A Review and Evaluation. Plenum Press.
Khaledi-Sardashti, F., Ghazavi, Z., Keshani, F., & Smaeilzadeh, M. (2018). Effect of Hope Therapy on the Mood Status of Patients with Diabetes. Iranian Journal of Nursing and Midwifery Research, 23(4), 281-286. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034523/
King, L. A. (2001). The health benefits of writing about life goals. Personality and Social Psychology Bulletin, 27(7), 798–807. https://doi.org/10.1177/0146167201277003
Luthans, F., Youssef, C. M., & Avolio, B. J. (2007). Psychological capital. Developing the human competitive edge. Oxford University Press.
Marks, D. F. (2009). Editorial: How should psychology interventions be reported? Journal of Health Psychology, 14(4), 475–489. https://doi.org/10.1177/1359105309103567
Marks, D. F. (2010). Publication guidelines for intervention studies in the Journal of Health Psychology. Journal of Health Psychology, 15(1), 5–7. https://doi.org/10.1177/1359105309350975
Martinez, K., Lockhart, S., Davies, M., Lindsay, J. R., & Dempster, M. (2017). Diabetes distress, illness perceptions and glycaemic control in adults with type 2 diabetes. Psychology, Health & Medicine, 23(2), 171-177. https://doi.org/10.1080/13548506.2017.1339892
Miller, W. R., & Rose, G. S. (2013). Motivational interviewing and decisional balance: contrasting responses to client ambivalence. Behavioural and Cognitive Psychotherapy, 43(2), 129–141. https://doi.org/10.1017/S1352465813000878
Mohebi, S., Azadbakht, L., Feizi, A., Sharifirad, G., & Kargar, M. (2013). Review the key role of self-efficacy in diabetes care. Journal of Education and Health Promotion, 2, 36, 1-7. https://doi.org/10.4103/2277-9531.115827
Montes, R., Oropeza, R., Pedroza, F. J., Verdugo, J. C., & Enríquez, J. F. (2013). Manejo del estrés para el control metabólico de personas con diabetes mellitus tipo 2. En-claves del Pensamiento, 7(13), 67-87.
Palomar, J., & Gómez, N. E. (2010). Desarrollo de una escala de medición de la resiliencia con mexicanos (RESI-M). Interdisciplinaria, 27(1), 7-22.
Palomar, J., Victorio, A., & Matus, G. L. (2011). Sentido del humor y optimismo. Un estudio de validación. Revista Interamericana de Psicología, 45(2), 123-132.
Pantoja-Magallón, C. E., Domínguez-Guedea, M. T., Moncada, E., Reguera, M. E., Pérez, M. S., & Mandujano, M. F. (2011). Programa de entrenamiento en habilidades de autocontrol alimenticio en personas diabéticas e hipertensas. Revista Electrónica de Psicología Iztacala, 14(1), 98-115.
Pennebaker, J. W., & Evans, J. F. (2014). Expressive Writing. Words that Heal. Idyll Arbor.
Pereira, O. L., Palay, M. S., Rodríguez, A., Neyra R. M., & Chia M. A. (2015). Hemoglobina glucosilada en pacientes con diabetes mellitus. MEDISAN, 19(4), 555-561.
Premack, D. (1959). Toward empirical behavior laws: I. Positive reinforcement. Psychological Review, 66(4), 219–233. https://doi.org/10.1037/h0040891
Quiroga, A. (2012). Intervención telefónica para promover la adherencia terapéutica en pacientes diabéticos con síntomas de ansiedad y depresión. Enseñanza e Investigación en Psicología, 17(2), 387-403.
Rashid, T. (2009). Positive interventions in clinical practice. Journal of Clinical Psychology in Session, 65(5), 461-466. https://doi.org/10.1002/jclp.20588
Rich, A. R., & Schroeder, H. E. (1976). Research Issues in Assertiveness Training. Psychological Bulletin, 83(6), 1081–1096. https://doi.org/10.1037/h0078049
Riveros, A., Cortazar-Palapa, J., Alcazar, F., & Sánchez-Sosa, J. J. (2005). Efectos de una intervención cognitivo-conductual en la calidad de vida, ansiedad, depresión y condición médica de pacientes diabéticos e hipertensos esenciales. International Journal of Clinical and Health Psychology, 5(3), 445-462.
Rodríguez, M. L., Renteria, A., & García, J. C. (2013). Adherencia a la dieta en pacientes diabéticos: efectos de una intervención. Summa Psicológica UST, 10(1), 91-101. https://doi.org/10.18774/448x.2013.10.40
Romero-Martínez, M., Shamah-Levy, T., Vielma-Orozco, E., Heredia-Hernández, O., Mojica-Cuevas, J., Cuevas-Nasu, L., & Rivera-Dommarco, J. (2019). Encuesta Nacional de Salud y Nutrición 2018-19: metodología y perspectivas. Salud Pública de México, 61(6), 917-923. https://doi.org/10.21149/11095
Ryan, A. K., Pakenham, K. I., & Burton, N. W. (2019). A pilot evaluation of a group acceptance and commitment therapy-informed resilience training program for people with diabetes. Australian Psychologist, 55(3), 1–12. https://doi.org/10.1111/ap.12429
Safren, S. A., Gonzalez, J. S., Wexler, D. J., Psaros, C., Delahanty, L. M., Blashill, A. J., Margolina, A.I., & Cagliero, E. (2014). A Randomized Controlled Trial of Cognitive Behavioral Therapy for Adherence and Depression (CBTAD) in patients with uncontrolled type 2 diabetes. Diabetes Care, 37(3), 625-633. https://doi.org/10.2337/dc13-0816
Seligman, M. E. P. (2014). Aprenda optimismo. Haga de la vida una experiencia maravillosa. Penguin Random House.
Seligman, M. E. P., & Csikszentmihalyi, M. (2000). Positive Psychology [Special issue]. An introduction. American Psychologist, 55(1), 5-14. https://doi.org/10.1037//0003-066X.55.1.5
Scheier, M. F., Carver, C. S., & Bridges, M. W. (2001). Optimism, pessimism, and psychological well-being. In E. C. Chang (Ed.), Optimism & pessimism: Implications for theory, research, and practice (p. 189–216). American Psychological Association. https://doi.org/10.1037/10385-009
Schueller, S. M. (2010). Preferences for positive psychology exercises. The Journal of Positive Psychology, 5(3), 192–203. https://doi.org/10.1080/17439761003790948
Sidman M. (2008). Reflections on stimulus control. The Behavior Analyst, 31(2), 127–135. https://doi.org/10.1007/BF03392166
Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology intervention: A practice-friendly meta-analysis. Journal of Clinical Psychology, 65(5), 467–487. https://doi.org/10.1002/jclp.20593
Sniehotta, F. F., Schwarzer, R., Scholz, U., & Schüz, B. (2005). Action Planning and Coping Planning for Long-Term Lifestyle Change: Theory and Assessment. European Journal of Social Psychology, 35(4), 565–576. https://doi.org/10.1002/ejsp.258
Snyder, C. R. (1994). The Psychology of Hope. You Can Get There from Here. The Free Press.
Snyder, C. R. (1995). Conceptualizing, measuring, and nurturing hope. Journal of Counseling & Development, 73(3), 355-360. https://doi.org/10.1002/j.1556-6676.1995.tb01764.x
Snyder, C. R. (2002). Hope theory: rainbows in the mind. Psychological Inquiry, 13(4), 249-275. https://doi.org/10.1207/S15327965PLI1304_01
Steed, L., Barnard, M., Hurel, S., Jenkins, C., & Newman, S. (2014). How does change occur following a theoretically based self-management intervention for type 2 diabetes. Psychology, Health & Medicine, 19(5), 536-546. https://doi.org/10.1080/13548506.2013.845301
Suzuki, Si., & Tanoue, A. (2013). Psychoeducation. In Gellman, M.D., Turner, J.R. (eds) Encyclopedia of Behavioral Medicine. Springer. https://doi.org/10.1007/978-1-4419-1005-9_1242
Taylor, S. E. (2007). Psicología de la salud. McGraw-Hill.
Weinger, K., Beverly, E. A., Lee, Y., Sitnokov, L., Ganda, O. P., & Caballero, E. (2011). The effect of a structured behavioral intervention on poorly controlled diabetes. Archives of Internal Medicine, 171(22), 1990-1999. https://doi.org/10.1001/archinternmed.2011.502
Wilson, A. L., McNaughton, D., Meyer, S. B., & Ward, P. R. (2017). Understanding the links between resilience and type-2 diabetes self-management: a qualitative study in South Australia. Archives of Public Health, 75(56), 1-13. https://doi.org/10.1186/s13690-017-0222-8
Ybarra, J. L., Orozco, L. A., León, A. E., & Vargas, A. C. (2012). Intervención cognitivo-conductual para la mejora del autocuidado y la calidad de vida en adolescentes con diabetes Tipo 1 y sus familias. Revista Latinoamericana de Medicina Conductual, 2(2), 96-102.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Joel Omar González Cantero, Roberto Oropeza-Tena, Reyna Jazmín Martínez-Arriaga
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Each manuscript is accompanied by a statement specifyingThat the materials are unpublished, that have not been previously published in printed formatElectronic and that they will not be presented to any other means before knowing the decision of the magazine. ThroughoutIn case, any previous publication, sea in printed or electronic form, must be made known to the editorial staffWriting The authors attach a signed statement stating that, and the manuscript is acceptedFor publication, the rights of reproduction are the exclusive property of the Journal CES Psychology.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
