Improving diabetes self-management through acceptance, mindfulness, and values: A randomized controlled trial
Improving diabetes self-management through acceptance, mindfulness, and values: A randomized controlled trial
复制标题
DOI：
10.1037/0022-006x.75.2.336
复制
发表时间：
2007-04-01
影响因子：
5.9
通讯作者：
Glenn-Lawson, June L.
中科院分区：
文献类型：
--
作者：
Gregg, Jennifer A.;Callaghan, Glenn A.;Glenn-Lawson, June L.
81名低收入社区卫生中心的2型糖尿病患者参加了为期一天的教育研讨会，作为其糖尿病医疗管理的一部分，随机分配到单独教育或教育与接受和承诺治疗（ACT）相结合的组。两组人都被教导如何控制他们的糖尿病，但ACT组的人也学会了接受和正念技能，以处理与糖尿病有关的困难想法和感受。与单独接受教育的患者相比，3个月后，ACT组患者更有可能使用这些应对策略，报告更好的糖尿病自我护理，并且糖化血红蛋白（HbA(1C)）值在目标范围内。中介分析表明，接受、应对和自我管理行为的改变介导了治疗对HbA（1C）变化的影响。
Patients in a low-income community health center with Type 2 diabetes (N = 81) taking a one-day education workshop as part of their diabetes medical management were randomly assigned either to education alone or to a combination of education and acceptance and commitment therapy (ACT). Both groups were taught how to manage their diabetes, but those in the ACT condition also learned to apply acceptance and mindfulness skills to difficult diabetes-related thoughts and feelings. Compared with patients who received education alone, after 3 months those in the ACT condition were more likely to use these coping strategies, to report better diabetes self-care, and to have glycated hemoglobin (HbA(1C)) values in the target range. Mediational analyses indicated that changes in acceptance coping and self-management behavior mediated the impact of treatment on changes in HbA(1C).