The short- and long-term effects of cognitive behavioral therapy on the glycemic control of diabetic patients: a systematic review and meta-analysis.

IF 2.3 4区医学 Q2 PSYCHIATRY

BioPsychoSocial Medicine Pub Date : 2023-05-08 DOI:10.1186/s13030-023-00274-5

Na Dong, Xiaowei Wang, Liu Yang

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引用次数: 0

Abstract

Background: Glycemic control is an important issue in the treatment of diabetic patients. However, traditional methods, such as medication (the usual treatment), have limitations. Cognitive behavioral therapy (CBT) might be a useful option to help control the glycemic condition. The effects can be revealed by systemic review or meta-analysis of randomized clinical trials (RCT).

Methods: A systematic search and a meta-analysis for the RCT were done of the short- and long-term effects of CBT on the glycemic control of diabetic patients in a comparison with the usual treatment. Nineteen RCT studies and 3,885 diabetic patients were enrolled in this meta-analysis. Subgroup analyses of types 1 and 2 diabetes and individual and group CBT were also performed.

Results: Patients treated with CBT showed no significant difference in HbA1c when compared to the usual treatment within six months. However, CBT was more effective in reducing HbA1c when compared to usual treatment with at least six months of treatment duration [standardized mean difference: -0.44 (95% confidence interval (CI): -0.63 ~ -0.25), Z = 4.49]. Subgroup analysis of type 1 and 2 diabetic patients supported a long-term effect of CBT on glycemic control [standardized mean difference: -0.85 (95% CI: -1.19 ~ -0.10), Z = 2.23, standardized mean difference: -0.33 (95% CI:-0.47 ~ -0.19), Z = 4.52, respectively].

Conclusions: CBT would be a useful option for improving the glycemic control of diabetic patients undergoing long-term treatment. The advantages of the long-term effects of CBT should be considered by clinicians and staff.

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认知行为疗法对糖尿病患者血糖控制的短期和长期影响:一项系统综述和荟萃分析。

背景:血糖控制是糖尿病患者治疗中的一个重要问题。然而，传统的方法，如药物治疗(通常的治疗方法)有局限性。认知行为疗法(CBT)可能是帮助控制血糖状况的有效选择。其效果可以通过随机临床试验(RCT)的系统评价或荟萃分析来揭示。方法:对随机对照试验进行系统检索和荟萃分析，比较CBT与常规治疗对糖尿病患者血糖控制的短期和长期影响。19项RCT研究和3885名糖尿病患者纳入了这项荟萃分析。1型和2型糖尿病的亚组分析以及个体和群体CBT也被执行。结果:CBT治疗患者6个月内的HbA1c与常规治疗相比无显著差异。然而，与常规治疗相比，CBT在降低HbA1c方面更有效，治疗时间至少为6个月[标准化平均差:-0.44(95%可信区间(CI): -0.63 ~ -0.25)， Z = 4.49]。1型和2型糖尿病患者的亚组分析支持CBT对血糖控制的长期影响[标准化平均差值:-0.85 (95% CI: -1.19 ~ -0.10)， Z = 2.23，标准化平均差值:-0.33 (95% CI:-0.47 ~ -0.19)， Z = 4.52]。结论:CBT是改善长期治疗的糖尿病患者血糖控制的有效选择。临床医生和工作人员应该考虑到CBT的长期效果的优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BioPsychoSocial Medicine Multiple-

CiteScore

3.60

自引率

0.00%

发文量

审稿时长

18 weeks

期刊介绍： BioPsychoSocial Medicine is an open access, peer-reviewed online journal that encompasses all aspects of the interrelationships between the biological, psychological, social, and behavioral factors of health and illness. BioPsychoSocial Medicine is the official journal of the Japanese Society of Psychosomatic Medicine, and publishes research on psychosomatic disorders and diseases that are characterized by objective organic changes and/or functional changes that could be induced, progressed, aggravated, or exacerbated by psychological, social, and/or behavioral factors and their associated psychosomatic treatments.