Effects of lifestyle intervention using patient-centered cognitive behavioral therapy among patients with cardio-metabolic syndrome: a randomized, controlled trial

Abstract

BackgroundCardio-metabolic syndrome (CMS) is a highly prevalent condition. There is an urgent need to identify effective and integrated multi-disciplinary approaches that can reduce risk factors for CMS.MethodsSixty-two patients with a history of CMS were randomized 1:1 into two groups: a standard information -only group (control), or a self-regulated lifestyle waist circumference (patient-centered cognitive behavioral therapy) intervention group. A pretest and posttest, controlled, experimental design was used. Outcomes were measured at the baseline (week 0) and at the end of intervention (week 12). Comparisons were drawn between groups and over time.ResultsThe mean (standard deviation) age of the subjects was 48.6 (5.8) years ranging from 32 to 63, and 56.9% of the participants were female. Both groups showed no significant differences in Demographic variables and the metabolic syndrome indicators at baseline. While the control group only showed modest improvement after 12 weeks, compared to baseline, the intervention group demonstrated significant improvement from baseline. This study controlled for patients’ demographics and baseline characteristics when assessing the effects of intervention. After adjusting for age, education and baseline level, the experimental group and the control group were statistically significant different in the following post-treatment outcomes: WC (F = 35.96, P < 0.001), TG (F = 18.93, P < 0.001), RSBP (F = 33.89, P < 0.001) and SF-36(F = 157.93, P < 0.001). The results showed patients’ age and education were not strong predictors of patients’ outcome (including WC, TG, RSBP and SF-36).ConclusionsLifestyle intervention on patient-centered cognitive behavioral therapy can improve the physical and mental health conditions among individuals reporting a history of cardio-metabolic syndrome, and possibly provided preliminary benefits for the treatment of CMS.Trial registrationChinese Clinical Trial Register #, ChiCTR15006148.

Szorongás, depresszió és egészségkontrollhit kapcsolata a metabolikus szindrómával

“…A társuló pszichés zavarok, mint a szorongás, depreszszió azonban rontják az önkezelés minőségét, ezért fontos korai felismerésük és kezelésük. Mivel a depresszió kezelésére használt antidepresszívumok közül több is testsúlygyarapodást okozhat (elsősorban a triciklikus antidepresszívumok), ezáltal bizonyítottan hozzájárulhatnak a metabolikus szindróma kialakulásához, ezért a komorbid depresszió kezelése során a mellékhatások tekintetében fokozott figyelemmel kell alkalmazni a farmakoterápiát, és lehetőség szerint pszichoterápiával például kognitív viselkedésterápiával, kombinálni a kezelést (31,49,50). A kognitív viselkedésterápia célzott megoldást nyújthat a betegséggel kapcsolatos aktuális problémákra, a diszfunkcionális gondolkodás és viselkedés megváltoztatásával.…”

“…A kognitív viselkedésterápia célzott megoldást nyújthat a betegséggel kapcsolatos aktuális problémákra, a diszfunkcionális gondolkodás és viselkedés megváltoztatásával. Ezzel a módszerrel a maladaptív viselkedésformák kedvező irányú befolyásolása és a hiányzó viselkedések kialakítása a cél (50). Az életmódváltás során a beteg egészségkontrollhitének is jelentős szerepe van.…”

Nutritional Therapy for Asian Patients at Risk for Atherosclerotic Cardiovascular Disease

“…In China, a study of patient-centered cognitive behavioral therapy led to improved waist circumference, serum triglycerides (TG), and systolic BP. 28 Through cognitive behavior therapy, subjects were encouraged to try new recipes to increase intake of high-quality food rich in protein, potassium, and calcium; reduce fat intake; increase consumption of fruit and vegetables; and alter night-time snack habits.…”

A nurse—led lifestyle intervention using mobile application versus booklet for adults with metabolic syndrome—Protocol for a randomized controlled trial

“…Lifestyle modification includes diet and exercise regulations, especially staying physically active and performing regular exercise is always recommended as important to lose weight and calorie intake (Bassi et al, ; Gallo‐Villegas et al, ; Gomez‐Huelgas et al, ; Ranasinghe et al, ; Seligman et al, ). Previous studies have reported various modalities of lifestyle intervention on MetS management including educational programme with educational sessions and counselling, on‐site educational intervention and exercise supervision (Chang, Chen, Chien, & Lin, ; Kim, Kim, & Park, ; Nanri et al, ; Oh et al, ; Zhang et al, ), and home‐based lifestyle interventional programme (LIP) for MetS patients (Wang, Chair, & Wong, ; Wu et al, ). In these programme, nurses played an important role in education and encourage patients to participate in lifestyle modification, reducing the risk factors of MetS (Harris & Smith, ; Wang et al, ).…”

“…For example, a recent research have demonstrated that an LIP consisting of one educational session supplemented by a LIP booklet was effective on body weight reduction, decreasing depression, and improving quality of life (Wang et al, ). However, most previous studies are limited by high labour resource and thus are transferrable to limited numbers of patients only (Chang et al, ; Kim et al, ; Nanri et al, ; Wang et al, ; Wu et al, ; Zhang et al, ).…”