Psychosocial factors in medication adherence and diabetes self-management: Implications for research and practice.
Psychosocial factors in medication adherence and diabetes self-management: Implications for research and practice.
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DOI：
10.1037/a0040388
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发表时间：
2016-10
期刊：
影响因子：
--
通讯作者：
Commissariat PV
中科院分区：
文献类型：
--
作者：
Gonzalez JS;Tanenbaum ML;Commissariat PV
糖尿病是一种慢性疾病，给受影响的个人和家庭带来了重大的自我管理负担。考虑到健康行为的重要性——如坚持服药、饮食、体育活动、血糖自我监测——在实现糖尿病患者最佳血糖控制方面，心理学家设计和提供的干预措施有望帮助患有糖尿病的儿童、青少年和成人改善他们的健康状况，降低他们患严重并发症的风险。本文首先概述了糖尿病自我管理及其相关的挑战和负担。简要强调可能影响糖尿病管理和结果的社会经济地位因素。然后，我们回顾了可能与糖尿病自我管理有关的社会心理因素的证据基础。心理干预的可修改目标跨越三个主要领域：1)知识、信念和相关认知构念；2)情绪困扰与幸福感；3)行为技巧和应对。讨论了未来研究面临的重要方法论问题，以及心理学家在改善糖尿病患者个人和家庭的护理和治疗结果方面的机会。总之，我们主张继续研究重点放在改善糖尿病患者的社会心理方面，更多地关注自我管理发生的自我调节过程的情境背景。心理学家在减少情绪困扰、提高患者知识、提供行为技能培训以促进成功的自我管理和支持以患者为中心的糖尿病护理方面发挥着重要作用。
Diabetes is a chronic illness that places a significant self-management burden on affected individuals and families. Given the importance of health behaviors – such as medication adherence, diet, physical activity, blood glucose self-monitoring – in achieving optimal glycemic control in diabetes, interventions designed and delivered by psychologists hold promise in assisting children, adolescents and adults with diabetes in improving their health status and lowering their risk of serious complications. This paper first provides an overview of diabetes self-management and associated challenges and burdens. Socioeconomic status factors that may influence diabetes management and outcomes are briefly highlighted. We then review the evidence base for select psychosocial factors that may be implicated in diabetes self-management. Modifiable targets of psychological intervention are presented across three overarching domains: 1) knowledge, beliefs and related cognitive constructs; 2) emotional distress and wellbeing; and 3) behavioral skills and coping. Important methodological issues facing future research are discussed, along with opportunities for psychologists in improving the care and treatment outcomes of individuals and families living with diabetes. In conclusion, we advocate for continued research emphasis on improving psychosocial aspects of living with diabetes, with greater attention to the situational context in which the self-regulatory processes underlying self-management occur. Psychologists have important roles to play in reducing emotional distress, improving patient knowledge, and providing training in behavioral skills to promote successful self-management and to support patient-centered diabetes care.
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影响因子：
7.6
作者：
BANDURA, A;WOOD, R
通讯作者：
WOOD, R
影响因子：
3.8
作者：
Baek, Rachel N.;Tanenbaum, Molly L.;Gonzalez, Jeffrey S.
通讯作者：
Gonzalez, Jeffrey S.
DOI：
10.1146/annurev-clinpsy-032511-143108
发表时间：
2012-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 8
影响因子：
--
作者：
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通讯作者：
Rodriguez, Erin M.
影响因子：
16.2
作者：
Casagrande, Sarah Stark;Burrows, Nilka Rios;Cowie, Catherine C.
通讯作者：
Cowie, Catherine C.
影响因子：
0.9
作者：
Berg, Cynthia A.;Hughes, Amy E.;Wiebe, Deborah J.
通讯作者：
Wiebe, Deborah J.