Feasibility and Acceptability of a Positive Psychological Intervention for Patients With Type 2 Diabetes

DuBois, Christina M.; Millstein, Rachel; Celano, Christopher M.; Wexler, Deborah J.; Huffman, Jeff C.

doi:10.4088/pcc.15m01902

Cited by 31 publications

(59 citation statements)

References 45 publications

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“…Previous research with other populations indicates that interventions can increase optimism [29]. A small pilot study (N=15) of a positive psychological intervention for adults with Type 2 diabetes reported increased optimism, but additional research in larger samples is needed [30]. In addition to the outcomes supported by our findings (i.e.…”

Section: Discussionsupporting

confidence: 68%

Variability in sleep disturbance, physical activity and quality of life by level of depressive symptoms in women with Type 2 diabetes

et al. 2019

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Aims To examine (1) the prevalence of depressive symptoms in women with Type 2 diabetes, (2) the associations between depressive symptoms and the following dependent variables: sleep disturbance; physical activity; physical health‐related; and global quality of life, and (3) the potential moderating effects of antidepressants and optimism on the relationship between depressive symptoms and dependent variables. Methods Participants in the Women's Health Initiative who had Type 2 diabetes and data on depressive symptoms (N=8895) were included in the analyses. In multivariable linear regression models controlling for sociodemographic, medical and psychosocial covariates, we examined the main effect of depressive symptoms, as well as the interactions between depressive symptoms and antidepressant use, and between depressive symptoms and optimism, on sleep disturbance, physical activity, physical health‐related quality of life; and global quality of life. Results In all, 16% of women with Type 2 diabetes reported elevated depressive symptoms. In multivariable analyses, women with depressive symptoms had greater sleep disturbance (P<0.0001) and lower global quality of life (P<.0001). We found evidence of significant statistical interaction in the models for quality‐of‐life outcomes: the increased risk of poor physical health‐related quality of life associated with antidepressant use was stronger in women without vs with depressive symptoms, and the association between greater optimism and higher global quality of life was stronger in women with vs without depressive symptoms. Conclusions To improve health behaviours and quality of life in women with Type 2 diabetes, sociodemographic and medical characteristics may identify at‐risk populations, while psychosocial factors including depression and optimism may be important targets for non‐pharmacological intervention.

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Section: Discussionsupporting

confidence: 68%

Variability in sleep disturbance, physical activity and quality of life by level of depressive symptoms in women with Type 2 diabetes

et al. 2019

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“…Three out of four PP studies measured positive affect, with only one finding significant improvement (with small effect size)[44]. The constructs of optimism and gratitude were also measured in one study (which did not test for significance)[43]. Otherwise, depression was measured in three of four PP studies.…”

Section: Resultsmentioning

confidence: 99%

“…Among the two controlled studies, depression significantly changed in only one that examined the efficacy of an online, self-paced PP intervention [41]. Anxiety was measured in two studies; however, only one used a control group, and it found no statistically significant changes in anxiety [43]. Numerous other psychological outcomes were measured in the PP studies (see Tables 1 and 2) including perceived stress, confidence, and emotion, none of which showed statistically significant changes.…”

Section: Resultsmentioning

confidence: 99%

Well-being interventions for individuals with diabetes: A systematic review

Massey

Feig

Duque-Serrano

et al. 2019

Diabetes Research and Clinical Practice

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In patients with diabetes, psychological well-being constructs (e.g., optimism, positive affect) have been associated with superior medical outcomes, including better glucose control and lower mortality rates. Well-being interventions may be well-suited to individuals with diabetes, as they are simple to deliver, broadly applicable across a range of psychological distress, and may help increase self-efficacy and motivation for diabetes self-care. This systematic review, completed using PRISMA guidelines, examined peer-reviewed studies indexed in PubMed, PsycINFO, and/or Scopus between database inception and October 2017 that investigated the effects of well-being interventions (e.g., positive psychology interventions, mindfulness-based interventions, resilience-based interventions) on psychological and physical health outcomes in individuals with Type 1 or Type 2 diabetes. The search yielded 34 articles (N=1635 participants), with substantial variability in intervention type, measures used, and outcomes studied; the majority found the intervention to provide benefit. Overall, results indicate that a range of well-being interventions appear to have promise in improving health outcomes in this population, but the literature does not yet provide definitive data about which specific interventions are most effective. The variability in interventions and outcomes points to a need for further rigorous, controlled, and well-powered studies of specific interventions, with well-accepted, clinically relevant outcome measures.

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“…Moreover, an increasing number of positive psychology interventions that are aimed specifically at boosting positive emotions, optimism, altruism and overall well-being have now been implemented in medical populations [54][55][56][57][58][59]. These have been very well-accepted by participants and have been found to improve well-being and mental health in patients with HIV [55,57], asthma [60] and Type 2 diabetes [54,61]. In patients with heart disease, these programs have also been linked to greater well-being, less depression and improved health-related quality of life [62,63].…”

Section: Interventions To Promote Positive Psychological Well-beingmentioning

confidence: 99%

Positive Psychological well-being and Health in Patients With Heart Disease: A Brief Review

2017

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Poor psychological health (e.g., depression and anxiety) is prospectively associated with adverse cardiac outcomes. In contrast, there is increasing evidence that positive psychological constructs like happiness, optimism and gratitude are independently and prospectively linked to better health behaviors and superior cardiac prognosis in people with and without heart disease. However, a critical question is whether such positive states and traits are modifiable. Recent studies of systematic positive psychology interventions designed to promote well-being have shown promise in patients with heart disease, and more data are needed to learn whether these interventions are effective and whether they can be broadly applied to impact public health.

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Feasibility and Acceptability of a Positive Psychological Intervention for Patients With Type 2 Diabetes

Abstract: ClinicalTrials.gov identifier: NCT02736084.

Cited by 31 publications

References 45 publications

Variability in sleep disturbance, physical activity and quality of life by level of depressive symptoms in women with Type 2 diabetes

Variability in sleep disturbance, physical activity and quality of life by level of depressive symptoms in women with Type 2 diabetes

Well-being interventions for individuals with diabetes: A systematic review

Positive Psychological well-being and Health in Patients With Heart Disease: A Brief Review

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