Lifestyle intervention using the psychoeducational approach is associated with greater cardiometabolic benefits and retention of individuals with worse health status

Abstract

Objective: This study aimed to compare the effects of two lifestyle intervention programs for type 2 diabetes mellitus (T2DM) prevention -traditional or interdisciplinary psychoeducationbased intervention -in daily habits and cardiometabolic risk factors and investigate the role of the psychoeducational approach for the retention of individuals in the program. Subjects and methods: Between 2008 and 2010, in a public health service, 183 pre-diabetic individuals were allocated to two 18-month interventions involving diet and physical activity. Physical activity, diet, quality of life (QOL) and depression and biochemical measurements were obtained. Linear mixed-effect models were used to assess the effect of the interventions. A student t test was used to compare dropouts versus non-dropouts. Results: Improvements in energy intake and physical activity were greater in the interdisciplinary than the traditional intervention. A decrease in fat mass and blood pressure was more pronounced with interdisciplinary intervention. Dropouts from the traditional intervention only had higher BMI and lower fiber intake and QOL than non-dropouts. Conclusion: The interdisciplinary psychoeducation-based intervention revealed useful for reducing cardiometabolic risk and retaining individuals with worse health profiles. This approach represents a feasible strategy for motivating high-risk individuals to adopt a long-term healthy lifestyle. Arch Endocrinol Metab. 2017;61(1):36-44

Is There Limited Utility for Lifestyle Recommendations for Diabetes Prevention Among Overweight or Obese Depressed Patients?

“…The results of this study are consistent with some past research which showed that adherence to an intense lifestyle intervention is lower for patients with depression (18). Previous research has shown the effectiveness of pharmacotherapy (i.e., metformin) for diabetes prevention (19).…”

Effects of Long-Term Multimodal Psychosocial Treatment on Antipsychotic-Induced Metabolic Changes in Patients With First Episode Psychosis

“…Unfortunately, this is in line with other studies which found that different interventions (lifestyle, psychoeducation, exercise) are of limited effectiveness when it comes to antipsychotic-induced weight gain or metabolic changes over a longer time period (e.g., 18-months of antipsychotic-treatment) ( 19 , 20 ). This is also in line with the results of our previous study performed at the ZUHC, where we found no effects of the PsyLOG m-health intervention compared to TAUin preventing antipsychotic-induced weight gain and metabolic changes over 6 months follow-up ( 22 ).…”

“…However, acknowledging the effect of metabolic abnormalities on morbidity, more focused strategies to counteract these side effects are needed. While several interventions involving exercise proved to be efficient over a shorter period, this effect is lost over a longer period ( 19 , 20 ). As the negative effects of metabolic abnormalities became apparent over time, it is crucial to sustain the effects of these interventions, possibly with a combination with psychosocial or behavioral interventions focused on sustaining motivation to exercise or regular supervision of exercise over a longer period ( 25 ).…”

G-CBT for Reducing Depression Symptoms in Individuals from Dysfunctional Family

“…In addition to these sessions, other sessions implemented in the G-CBT, such as the homework assignment "daily life events" and psychoeducation also help participants to be more aware of themselves and their everyday experiences in life, and broaden their perspectives to be able to feel gratitude (Peterson & Seligman, 2004). This is consistent with research conducted by Cezaretto et al (2017)) which states that psychoeducation can sustain efforts to manage psychiatric disorders with a reduced number of relapses and higher levels of function. Psychoeducation is also known to improve the quality of life of individuals.…”

“…A dysfunctional family is a condition where a family does not function correctly. This condition makes family members unable to meet their basic needs and can cause many unpleasant experiences (Chang et al, 2019;Guo et al, 2018;Jamiolkowski, 1998;Nie et al, 2019;Pagani et al, 2008). Adult individuals who were raised in dysfunctional families grew in fear due to pain and recurring trauma as a result of the actions, behavior, or words of their parents (Ubaidi, 2017).…”