Carlos Said Páez-Márquez, Elkin Higuera-Dagovett, Jaime Tomás Rojas-Valencia
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The population of interest was defined as any patient diagnosed with diabetes; MBIs were defined as the intervention. Pubmed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials and Lilacs were accessed. A grey literature search was performed using OpenGrey and ClinicalTrials tools. Outcomes included changes in glycosylated haemoglobin percentage (%HbA1c), depression, and stress scores. The risk of bias was assessed using the RoB 2 tool, and publication bias was evaluated through Egger's test. The results were presented with forest plots. The mean difference (MD) for the %HbA1c and the standardised MD for the measurement scale scores were used as effect measures.</p><p><strong>Results: </strong>The initial search retrieved 442 scientific articles, 11 randomised clinical trials were finally selected for the systematic review, which included 987 participants (487 in the intervention groups), and seven articles were included in the meta-analysis. The meta-analysis showed that MBIs had effects at follow-up (between 12 and 20 weeks) in reducing %HbA1c levels (MD = -0.5, CI 95% [-0.67, -0.34]) and depression SMD = -0.84, CI 95% [-1.11, -0.56]).</p><p><strong>Conclusions: </strong>It is proposed that mindfulness significantly enhances mental health and glycaemic control in patients with diabetes. Further research is warranted to confirm these effects and gain a deeper understanding of the contribution of MBIs in comprehensive diabetes treatment.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1790-1813"},"PeriodicalIF":1.9000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of mindfulness-based intervention in patients with diabetes: a meta-analytic review.\",\"authors\":\"Carlos Said Páez-Márquez, Elkin Higuera-Dagovett, Jaime Tomás Rojas-Valencia\",\"doi\":\"10.1080/13548506.2025.2487948\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background/objective: </strong>Traditional management strategies for diabetes primarily focus on behavioural risk factors and pharmacological therapies. Furthermore, mindfulness-based interventions (MBIs) aim to assist patients in recognising and accepting sensations, emotions and cognitions without automatic reactivity. This approach can potentially enhance glycaemic control and mental health in diabetic patients. This systematic review and meta-analysis aim to assess the effects of MBIs among individuals diagnosed with diabetes.</p><p><strong>Methods: </strong>A systematic literature search and meta-analysis were conducted following international quality standards utilised by the Cochrane Collaboration. Randomised controlled trials were included. The population of interest was defined as any patient diagnosed with diabetes; MBIs were defined as the intervention. Pubmed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials and Lilacs were accessed. A grey literature search was performed using OpenGrey and ClinicalTrials tools. 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The meta-analysis showed that MBIs had effects at follow-up (between 12 and 20 weeks) in reducing %HbA1c levels (MD = -0.5, CI 95% [-0.67, -0.34]) and depression SMD = -0.84, CI 95% [-1.11, -0.56]).</p><p><strong>Conclusions: </strong>It is proposed that mindfulness significantly enhances mental health and glycaemic control in patients with diabetes. 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引用次数: 0
摘要
背景/目的：传统的糖尿病管理策略主要关注行为危险因素和药物治疗。此外，正念干预（mbi）旨在帮助患者在没有自动反应的情况下识别和接受感觉、情绪和认知。这种方法可以潜在地改善糖尿病患者的血糖控制和精神健康。本系统综述和荟萃分析旨在评估MBIs对糖尿病患者的影响。方法：按照Cochrane协作网采用的国际质量标准进行系统文献检索和meta分析。纳入随机对照试验。感兴趣的人群定义为任何诊断为糖尿病的患者；mbi被定义为干预。检索了Pubmed、Cochrane系统评价数据库、Cochrane中央对照试验注册库和Lilacs。使用OpenGrey和ClinicalTrials工具进行灰色文献检索。结果包括糖化血红蛋白百分比（%HbA1c）、抑郁和压力评分的变化。偏倚风险采用RoB 2工具评估，发表偏倚采用Egger检验评估。结果以森林样地呈现。采用%HbA1c的平均差值（MD）和测量量表评分的标准化MD作为效果度量。结果：初始检索检索到442篇科学文献，最终选择11项随机临床试验纳入系统评价，共纳入987名受试者（干预组487名），7篇文章纳入meta分析。荟萃分析显示，mbi在随访（12至20周）中具有降低%HbA1c水平（MD = -0.5, CI 95%[-0.67, -0.34]）和抑郁SMD = -0.84, CI 95%[-1.11, -0.56])的效果。结论：正念能显著改善糖尿病患者的心理健康和血糖控制。需要进一步的研究来证实这些效果，并更深入地了解mbi在糖尿病综合治疗中的作用。
Effect of mindfulness-based intervention in patients with diabetes: a meta-analytic review.
Background/objective: Traditional management strategies for diabetes primarily focus on behavioural risk factors and pharmacological therapies. Furthermore, mindfulness-based interventions (MBIs) aim to assist patients in recognising and accepting sensations, emotions and cognitions without automatic reactivity. This approach can potentially enhance glycaemic control and mental health in diabetic patients. This systematic review and meta-analysis aim to assess the effects of MBIs among individuals diagnosed with diabetes.
Methods: A systematic literature search and meta-analysis were conducted following international quality standards utilised by the Cochrane Collaboration. Randomised controlled trials were included. The population of interest was defined as any patient diagnosed with diabetes; MBIs were defined as the intervention. Pubmed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials and Lilacs were accessed. A grey literature search was performed using OpenGrey and ClinicalTrials tools. Outcomes included changes in glycosylated haemoglobin percentage (%HbA1c), depression, and stress scores. The risk of bias was assessed using the RoB 2 tool, and publication bias was evaluated through Egger's test. The results were presented with forest plots. The mean difference (MD) for the %HbA1c and the standardised MD for the measurement scale scores were used as effect measures.
Results: The initial search retrieved 442 scientific articles, 11 randomised clinical trials were finally selected for the systematic review, which included 987 participants (487 in the intervention groups), and seven articles were included in the meta-analysis. The meta-analysis showed that MBIs had effects at follow-up (between 12 and 20 weeks) in reducing %HbA1c levels (MD = -0.5, CI 95% [-0.67, -0.34]) and depression SMD = -0.84, CI 95% [-1.11, -0.56]).
Conclusions: It is proposed that mindfulness significantly enhances mental health and glycaemic control in patients with diabetes. Further research is warranted to confirm these effects and gain a deeper understanding of the contribution of MBIs in comprehensive diabetes treatment.
期刊介绍：
Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management.
For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.
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