Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials

IntroductionChina has the largest number of type 2 diabetes mellitus (T2DM) cases globally and T2DM management has become a critical public health issue in China. Individuals with T2DM have an increased risk of developing mental health disorders, psychological disturbances and functional problems associated with living with their condition. Previous systematic reviews have demonstrated that, generally, psychological interventions are effective in the management of T2DM related outcomes; however these reviews have predominantly included studies conducted within English speaking countries, and have not determined the efficacy of the varying types of psychological interventions. As such, this paper aims to synthesize evidence and quantify the efficacy of psychological therapies for the management of glycemic and psychological outcomes of T2DM in China, relative to control conditions. MethodsA systematic search (MEDLINE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, CNKI, Wangfang Data) for all years to December 2014 identified all available literature. Eligibility criteria included: Peer reviewed journal articles; RCTs assessing the efficacy of a psychological therapy for the management of T2DM; adults diagnosed with T2DM or non-insulin dependent diabetes mellitus; Chinese speaking participants (in mainland China). Outcome measures were glycated hemoglobin, blood glucose concentration, depression, anxiety and quality of life. Effect sizes were pooled using a random effects model. Negative effect sizes corresponded to positive outcomes favoring the intervention. Results45 RCTs were eligible for the meta-analyses. Cognitive behavioral therapy (CBT) and motivational interviewing (MI) were more effective than the control condition in the reduction of glycated hemoglobin (CBT: -0·97 [95% CI -1·37 to -0·57]; MI -0·71 [95% CI -1·00 to -0·43]). CBT and client-centered therapy (CCT) were also associated with reductions in depression and blood glucose concentration, and CBT with reductions in anxiety.ConclusionPsychological interventions, namely, CBT, MI and CCT are effective in improving certain T2DM related outcomes in China. Considerable levels of heterogeneity and unclear risk of bias associated with most included RCTs suggest caution when interpreting results. In China, where the burden of T2DM is increasing, psychological interventions may provide promising approaches to assist in the management of T2DM to delay the progression of T2DM related outcomes. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Anna eChapman [verfasserIn] Shuo eLiu [verfasserIn] Stephanie eMerkouris [verfasserIn] Joanne C Enticott [verfasserIn] Hui eYang [verfasserIn] Colette Joy Browning [verfasserIn] Shane Andrew Thomas [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	China Meta-analysis therapy cognitive behavioral therapy Motivational Interviewing psychological intervention

Übergeordnetes Werk:	In: Frontiers in Public Health - Frontiers Media S.A., 2013, 3(2015)
Übergeordnetes Werk:	volume:3 ; year:2015

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3389/fpubh.2015.00252

Katalog-ID:	DOAJ010268316

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520			\|a IntroductionChina has the largest number of type 2 diabetes mellitus (T2DM) cases globally and T2DM management has become a critical public health issue in China. Individuals with T2DM have an increased risk of developing mental health disorders, psychological disturbances and functional problems associated with living with their condition. Previous systematic reviews have demonstrated that, generally, psychological interventions are effective in the management of T2DM related outcomes; however these reviews have predominantly included studies conducted within English speaking countries, and have not determined the efficacy of the varying types of psychological interventions. As such, this paper aims to synthesize evidence and quantify the efficacy of psychological therapies for the management of glycemic and psychological outcomes of T2DM in China, relative to control conditions. MethodsA systematic search (MEDLINE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, CNKI, Wangfang Data) for all years to December 2014 identified all available literature. Eligibility criteria included: Peer reviewed journal articles; RCTs assessing the efficacy of a psychological therapy for the management of T2DM; adults diagnosed with T2DM or non-insulin dependent diabetes mellitus; Chinese speaking participants (in mainland China). Outcome measures were glycated hemoglobin, blood glucose concentration, depression, anxiety and quality of life. Effect sizes were pooled using a random effects model. Negative effect sizes corresponded to positive outcomes favoring the intervention. Results45 RCTs were eligible for the meta-analyses. Cognitive behavioral therapy (CBT) and motivational interviewing (MI) were more effective than the control condition in the reduction of glycated hemoglobin (CBT: -0·97 [95% CI -1·37 to -0·57]; MI -0·71 [95% CI -1·00 to -0·43]). CBT and client-centered therapy (CCT) were also associated with reductions in depression and blood glucose concentration, and CBT with reductions in anxiety.ConclusionPsychological interventions, namely, CBT, MI and CCT are effective in improving certain T2DM related outcomes in China. Considerable levels of heterogeneity and unclear risk of bias associated with most included RCTs suggest caution when interpreting results. In China, where the burden of T2DM is increasing, psychological interventions may provide promising approaches to assist in the management of T2DM to delay the progression of T2DM related outcomes.
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allfields	10.3389/fpubh.2015.00252 doi (DE-627)DOAJ010268316 (DE-599)DOAJ9fe1d54414154617a67f7a4f71f28208 DE-627 ger DE-627 rakwb eng RA1-1270 Anna eChapman verfasserin aut Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionChina has the largest number of type 2 diabetes mellitus (T2DM) cases globally and T2DM management has become a critical public health issue in China. Individuals with T2DM have an increased risk of developing mental health disorders, psychological disturbances and functional problems associated with living with their condition. Previous systematic reviews have demonstrated that, generally, psychological interventions are effective in the management of T2DM related outcomes; however these reviews have predominantly included studies conducted within English speaking countries, and have not determined the efficacy of the varying types of psychological interventions. As such, this paper aims to synthesize evidence and quantify the efficacy of psychological therapies for the management of glycemic and psychological outcomes of T2DM in China, relative to control conditions. MethodsA systematic search (MEDLINE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, CNKI, Wangfang Data) for all years to December 2014 identified all available literature. Eligibility criteria included: Peer reviewed journal articles; RCTs assessing the efficacy of a psychological therapy for the management of T2DM; adults diagnosed with T2DM or non-insulin dependent diabetes mellitus; Chinese speaking participants (in mainland China). Outcome measures were glycated hemoglobin, blood glucose concentration, depression, anxiety and quality of life. Effect sizes were pooled using a random effects model. Negative effect sizes corresponded to positive outcomes favoring the intervention. Results45 RCTs were eligible for the meta-analyses. Cognitive behavioral therapy (CBT) and motivational interviewing (MI) were more effective than the control condition in the reduction of glycated hemoglobin (CBT: -0·97 [95% CI -1·37 to -0·57]; MI -0·71 [95% CI -1·00 to -0·43]). CBT and client-centered therapy (CCT) were also associated with reductions in depression and blood glucose concentration, and CBT with reductions in anxiety.ConclusionPsychological interventions, namely, CBT, MI and CCT are effective in improving certain T2DM related outcomes in China. Considerable levels of heterogeneity and unclear risk of bias associated with most included RCTs suggest caution when interpreting results. In China, where the burden of T2DM is increasing, psychological interventions may provide promising approaches to assist in the management of T2DM to delay the progression of T2DM related outcomes. China Meta-analysis therapy cognitive behavioral therapy Motivational Interviewing psychological intervention Public aspects of medicine Anna eChapman verfasserin aut Shuo eLiu verfasserin aut Stephanie eMerkouris verfasserin aut Stephanie eMerkouris verfasserin aut Joanne C Enticott verfasserin aut Joanne C Enticott verfasserin aut Hui eYang verfasserin aut Colette Joy Browning verfasserin aut Colette Joy Browning verfasserin aut Shane Andrew Thomas verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 3(2015) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:3 year:2015 https://doi.org/10.3389/fpubh.2015.00252 kostenfrei https://doaj.org/article/9fe1d54414154617a67f7a4f71f28208 kostenfrei http://journal.frontiersin.org/Journal/10.3389/fpubh.2015.00252/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2015
spelling	10.3389/fpubh.2015.00252 doi (DE-627)DOAJ010268316 (DE-599)DOAJ9fe1d54414154617a67f7a4f71f28208 DE-627 ger DE-627 rakwb eng RA1-1270 Anna eChapman verfasserin aut Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionChina has the largest number of type 2 diabetes mellitus (T2DM) cases globally and T2DM management has become a critical public health issue in China. Individuals with T2DM have an increased risk of developing mental health disorders, psychological disturbances and functional problems associated with living with their condition. Previous systematic reviews have demonstrated that, generally, psychological interventions are effective in the management of T2DM related outcomes; however these reviews have predominantly included studies conducted within English speaking countries, and have not determined the efficacy of the varying types of psychological interventions. As such, this paper aims to synthesize evidence and quantify the efficacy of psychological therapies for the management of glycemic and psychological outcomes of T2DM in China, relative to control conditions. MethodsA systematic search (MEDLINE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, CNKI, Wangfang Data) for all years to December 2014 identified all available literature. Eligibility criteria included: Peer reviewed journal articles; RCTs assessing the efficacy of a psychological therapy for the management of T2DM; adults diagnosed with T2DM or non-insulin dependent diabetes mellitus; Chinese speaking participants (in mainland China). Outcome measures were glycated hemoglobin, blood glucose concentration, depression, anxiety and quality of life. Effect sizes were pooled using a random effects model. Negative effect sizes corresponded to positive outcomes favoring the intervention. Results45 RCTs were eligible for the meta-analyses. Cognitive behavioral therapy (CBT) and motivational interviewing (MI) were more effective than the control condition in the reduction of glycated hemoglobin (CBT: -0·97 [95% CI -1·37 to -0·57]; MI -0·71 [95% CI -1·00 to -0·43]). CBT and client-centered therapy (CCT) were also associated with reductions in depression and blood glucose concentration, and CBT with reductions in anxiety.ConclusionPsychological interventions, namely, CBT, MI and CCT are effective in improving certain T2DM related outcomes in China. Considerable levels of heterogeneity and unclear risk of bias associated with most included RCTs suggest caution when interpreting results. In China, where the burden of T2DM is increasing, psychological interventions may provide promising approaches to assist in the management of T2DM to delay the progression of T2DM related outcomes. China Meta-analysis therapy cognitive behavioral therapy Motivational Interviewing psychological intervention Public aspects of medicine Anna eChapman verfasserin aut Shuo eLiu verfasserin aut Stephanie eMerkouris verfasserin aut Stephanie eMerkouris verfasserin aut Joanne C Enticott verfasserin aut Joanne C Enticott verfasserin aut Hui eYang verfasserin aut Colette Joy Browning verfasserin aut Colette Joy Browning verfasserin aut Shane Andrew Thomas verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 3(2015) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:3 year:2015 https://doi.org/10.3389/fpubh.2015.00252 kostenfrei https://doaj.org/article/9fe1d54414154617a67f7a4f71f28208 kostenfrei http://journal.frontiersin.org/Journal/10.3389/fpubh.2015.00252/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2015
allfields_unstemmed	10.3389/fpubh.2015.00252 doi (DE-627)DOAJ010268316 (DE-599)DOAJ9fe1d54414154617a67f7a4f71f28208 DE-627 ger DE-627 rakwb eng RA1-1270 Anna eChapman verfasserin aut Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionChina has the largest number of type 2 diabetes mellitus (T2DM) cases globally and T2DM management has become a critical public health issue in China. Individuals with T2DM have an increased risk of developing mental health disorders, psychological disturbances and functional problems associated with living with their condition. Previous systematic reviews have demonstrated that, generally, psychological interventions are effective in the management of T2DM related outcomes; however these reviews have predominantly included studies conducted within English speaking countries, and have not determined the efficacy of the varying types of psychological interventions. As such, this paper aims to synthesize evidence and quantify the efficacy of psychological therapies for the management of glycemic and psychological outcomes of T2DM in China, relative to control conditions. MethodsA systematic search (MEDLINE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, CNKI, Wangfang Data) for all years to December 2014 identified all available literature. Eligibility criteria included: Peer reviewed journal articles; RCTs assessing the efficacy of a psychological therapy for the management of T2DM; adults diagnosed with T2DM or non-insulin dependent diabetes mellitus; Chinese speaking participants (in mainland China). Outcome measures were glycated hemoglobin, blood glucose concentration, depression, anxiety and quality of life. Effect sizes were pooled using a random effects model. Negative effect sizes corresponded to positive outcomes favoring the intervention. Results45 RCTs were eligible for the meta-analyses. Cognitive behavioral therapy (CBT) and motivational interviewing (MI) were more effective than the control condition in the reduction of glycated hemoglobin (CBT: -0·97 [95% CI -1·37 to -0·57]; MI -0·71 [95% CI -1·00 to -0·43]). CBT and client-centered therapy (CCT) were also associated with reductions in depression and blood glucose concentration, and CBT with reductions in anxiety.ConclusionPsychological interventions, namely, CBT, MI and CCT are effective in improving certain T2DM related outcomes in China. Considerable levels of heterogeneity and unclear risk of bias associated with most included RCTs suggest caution when interpreting results. In China, where the burden of T2DM is increasing, psychological interventions may provide promising approaches to assist in the management of T2DM to delay the progression of T2DM related outcomes. China Meta-analysis therapy cognitive behavioral therapy Motivational Interviewing psychological intervention Public aspects of medicine Anna eChapman verfasserin aut Shuo eLiu verfasserin aut Stephanie eMerkouris verfasserin aut Stephanie eMerkouris verfasserin aut Joanne C Enticott verfasserin aut Joanne C Enticott verfasserin aut Hui eYang verfasserin aut Colette Joy Browning verfasserin aut Colette Joy Browning verfasserin aut Shane Andrew Thomas verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 3(2015) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:3 year:2015 https://doi.org/10.3389/fpubh.2015.00252 kostenfrei https://doaj.org/article/9fe1d54414154617a67f7a4f71f28208 kostenfrei http://journal.frontiersin.org/Journal/10.3389/fpubh.2015.00252/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2015
allfieldsGer	10.3389/fpubh.2015.00252 doi (DE-627)DOAJ010268316 (DE-599)DOAJ9fe1d54414154617a67f7a4f71f28208 DE-627 ger DE-627 rakwb eng RA1-1270 Anna eChapman verfasserin aut Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionChina has the largest number of type 2 diabetes mellitus (T2DM) cases globally and T2DM management has become a critical public health issue in China. Individuals with T2DM have an increased risk of developing mental health disorders, psychological disturbances and functional problems associated with living with their condition. Previous systematic reviews have demonstrated that, generally, psychological interventions are effective in the management of T2DM related outcomes; however these reviews have predominantly included studies conducted within English speaking countries, and have not determined the efficacy of the varying types of psychological interventions. As such, this paper aims to synthesize evidence and quantify the efficacy of psychological therapies for the management of glycemic and psychological outcomes of T2DM in China, relative to control conditions. MethodsA systematic search (MEDLINE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, CNKI, Wangfang Data) for all years to December 2014 identified all available literature. Eligibility criteria included: Peer reviewed journal articles; RCTs assessing the efficacy of a psychological therapy for the management of T2DM; adults diagnosed with T2DM or non-insulin dependent diabetes mellitus; Chinese speaking participants (in mainland China). Outcome measures were glycated hemoglobin, blood glucose concentration, depression, anxiety and quality of life. Effect sizes were pooled using a random effects model. Negative effect sizes corresponded to positive outcomes favoring the intervention. Results45 RCTs were eligible for the meta-analyses. Cognitive behavioral therapy (CBT) and motivational interviewing (MI) were more effective than the control condition in the reduction of glycated hemoglobin (CBT: -0·97 [95% CI -1·37 to -0·57]; MI -0·71 [95% CI -1·00 to -0·43]). CBT and client-centered therapy (CCT) were also associated with reductions in depression and blood glucose concentration, and CBT with reductions in anxiety.ConclusionPsychological interventions, namely, CBT, MI and CCT are effective in improving certain T2DM related outcomes in China. Considerable levels of heterogeneity and unclear risk of bias associated with most included RCTs suggest caution when interpreting results. In China, where the burden of T2DM is increasing, psychological interventions may provide promising approaches to assist in the management of T2DM to delay the progression of T2DM related outcomes. China Meta-analysis therapy cognitive behavioral therapy Motivational Interviewing psychological intervention Public aspects of medicine Anna eChapman verfasserin aut Shuo eLiu verfasserin aut Stephanie eMerkouris verfasserin aut Stephanie eMerkouris verfasserin aut Joanne C Enticott verfasserin aut Joanne C Enticott verfasserin aut Hui eYang verfasserin aut Colette Joy Browning verfasserin aut Colette Joy Browning verfasserin aut Shane Andrew Thomas verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 3(2015) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:3 year:2015 https://doi.org/10.3389/fpubh.2015.00252 kostenfrei https://doaj.org/article/9fe1d54414154617a67f7a4f71f28208 kostenfrei http://journal.frontiersin.org/Journal/10.3389/fpubh.2015.00252/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2015
allfieldsSound	10.3389/fpubh.2015.00252 doi (DE-627)DOAJ010268316 (DE-599)DOAJ9fe1d54414154617a67f7a4f71f28208 DE-627 ger DE-627 rakwb eng RA1-1270 Anna eChapman verfasserin aut Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionChina has the largest number of type 2 diabetes mellitus (T2DM) cases globally and T2DM management has become a critical public health issue in China. Individuals with T2DM have an increased risk of developing mental health disorders, psychological disturbances and functional problems associated with living with their condition. Previous systematic reviews have demonstrated that, generally, psychological interventions are effective in the management of T2DM related outcomes; however these reviews have predominantly included studies conducted within English speaking countries, and have not determined the efficacy of the varying types of psychological interventions. As such, this paper aims to synthesize evidence and quantify the efficacy of psychological therapies for the management of glycemic and psychological outcomes of T2DM in China, relative to control conditions. MethodsA systematic search (MEDLINE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, CNKI, Wangfang Data) for all years to December 2014 identified all available literature. Eligibility criteria included: Peer reviewed journal articles; RCTs assessing the efficacy of a psychological therapy for the management of T2DM; adults diagnosed with T2DM or non-insulin dependent diabetes mellitus; Chinese speaking participants (in mainland China). Outcome measures were glycated hemoglobin, blood glucose concentration, depression, anxiety and quality of life. Effect sizes were pooled using a random effects model. Negative effect sizes corresponded to positive outcomes favoring the intervention. Results45 RCTs were eligible for the meta-analyses. Cognitive behavioral therapy (CBT) and motivational interviewing (MI) were more effective than the control condition in the reduction of glycated hemoglobin (CBT: -0·97 [95% CI -1·37 to -0·57]; MI -0·71 [95% CI -1·00 to -0·43]). CBT and client-centered therapy (CCT) were also associated with reductions in depression and blood glucose concentration, and CBT with reductions in anxiety.ConclusionPsychological interventions, namely, CBT, MI and CCT are effective in improving certain T2DM related outcomes in China. Considerable levels of heterogeneity and unclear risk of bias associated with most included RCTs suggest caution when interpreting results. In China, where the burden of T2DM is increasing, psychological interventions may provide promising approaches to assist in the management of T2DM to delay the progression of T2DM related outcomes. China Meta-analysis therapy cognitive behavioral therapy Motivational Interviewing psychological intervention Public aspects of medicine Anna eChapman verfasserin aut Shuo eLiu verfasserin aut Stephanie eMerkouris verfasserin aut Stephanie eMerkouris verfasserin aut Joanne C Enticott verfasserin aut Joanne C Enticott verfasserin aut Hui eYang verfasserin aut Colette Joy Browning verfasserin aut Colette Joy Browning verfasserin aut Shane Andrew Thomas verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 3(2015) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:3 year:2015 https://doi.org/10.3389/fpubh.2015.00252 kostenfrei https://doaj.org/article/9fe1d54414154617a67f7a4f71f28208 kostenfrei http://journal.frontiersin.org/Journal/10.3389/fpubh.2015.00252/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2015
language	English
source	In Frontiers in Public Health 3(2015) volume:3 year:2015
sourceStr	In Frontiers in Public Health 3(2015) volume:3 year:2015
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	China Meta-analysis therapy cognitive behavioral therapy Motivational Interviewing psychological intervention Public aspects of medicine
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container_title	Frontiers in Public Health
authorswithroles_txt_mv	Anna eChapman @@aut@@ Shuo eLiu @@aut@@ Stephanie eMerkouris @@aut@@ Joanne C Enticott @@aut@@ Hui eYang @@aut@@ Colette Joy Browning @@aut@@ Shane Andrew Thomas @@aut@@
publishDateDaySort_date	2015-01-01T00:00:00Z
hierarchy_top_id	742224589
id	DOAJ010268316
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ010268316</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230310024504.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230225s2015 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.3389/fpubh.2015.00252</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ010268316</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ9fe1d54414154617a67f7a4f71f28208</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RA1-1270</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Anna eChapman</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2015</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">IntroductionChina has the largest number of type 2 diabetes mellitus (T2DM) cases globally and T2DM management has become a critical public health issue in China. Individuals with T2DM have an increased risk of developing mental health disorders, psychological disturbances and functional problems associated with living with their condition. Previous systematic reviews have demonstrated that, generally, psychological interventions are effective in the management of T2DM related outcomes; however these reviews have predominantly included studies conducted within English speaking countries, and have not determined the efficacy of the varying types of psychological interventions. As such, this paper aims to synthesize evidence and quantify the efficacy of psychological therapies for the management of glycemic and psychological outcomes of T2DM in China, relative to control conditions. MethodsA systematic search (MEDLINE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, CNKI, Wangfang Data) for all years to December 2014 identified all available literature. Eligibility criteria included: Peer reviewed journal articles; RCTs assessing the efficacy of a psychological therapy for the management of T2DM; adults diagnosed with T2DM or non-insulin dependent diabetes mellitus; Chinese speaking participants (in mainland China). Outcome measures were glycated hemoglobin, blood glucose concentration, depression, anxiety and quality of life. Effect sizes were pooled using a random effects model. Negative effect sizes corresponded to positive outcomes favoring the intervention. Results45 RCTs were eligible for the meta-analyses. Cognitive behavioral therapy (CBT) and motivational interviewing (MI) were more effective than the control condition in the reduction of glycated hemoglobin (CBT: -0·97 [95% CI -1·37 to -0·57]; MI -0·71 [95% CI -1·00 to -0·43]). CBT and client-centered therapy (CCT) were also associated with reductions in depression and blood glucose concentration, and CBT with reductions in anxiety.ConclusionPsychological interventions, namely, CBT, MI and CCT are effective in improving certain T2DM related outcomes in China. Considerable levels of heterogeneity and unclear risk of bias associated with most included RCTs suggest caution when interpreting results. 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callnumber-first	R - Medicine
author	Anna eChapman
spellingShingle	Anna eChapman misc RA1-1270 misc China misc Meta-analysis misc therapy misc cognitive behavioral therapy misc Motivational Interviewing misc psychological intervention misc Public aspects of medicine Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials
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topic_title	RA1-1270 Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials China Meta-analysis therapy cognitive behavioral therapy Motivational Interviewing psychological intervention
topic	misc RA1-1270 misc China misc Meta-analysis misc therapy misc cognitive behavioral therapy misc Motivational Interviewing misc psychological intervention misc Public aspects of medicine
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title	Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials
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title_full	Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials
author_sort	Anna eChapman
journal	Frontiers in Public Health
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author_browse	Anna eChapman Shuo eLiu Stephanie eMerkouris Joanne C Enticott Hui eYang Colette Joy Browning Shane Andrew Thomas
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title_sort	psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in china: a systematic review and meta-analyses of randomized controlled trials
callnumber	RA1-1270
title_auth	Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials
abstract	IntroductionChina has the largest number of type 2 diabetes mellitus (T2DM) cases globally and T2DM management has become a critical public health issue in China. Individuals with T2DM have an increased risk of developing mental health disorders, psychological disturbances and functional problems associated with living with their condition. Previous systematic reviews have demonstrated that, generally, psychological interventions are effective in the management of T2DM related outcomes; however these reviews have predominantly included studies conducted within English speaking countries, and have not determined the efficacy of the varying types of psychological interventions. As such, this paper aims to synthesize evidence and quantify the efficacy of psychological therapies for the management of glycemic and psychological outcomes of T2DM in China, relative to control conditions. MethodsA systematic search (MEDLINE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, CNKI, Wangfang Data) for all years to December 2014 identified all available literature. Eligibility criteria included: Peer reviewed journal articles; RCTs assessing the efficacy of a psychological therapy for the management of T2DM; adults diagnosed with T2DM or non-insulin dependent diabetes mellitus; Chinese speaking participants (in mainland China). Outcome measures were glycated hemoglobin, blood glucose concentration, depression, anxiety and quality of life. Effect sizes were pooled using a random effects model. Negative effect sizes corresponded to positive outcomes favoring the intervention. Results45 RCTs were eligible for the meta-analyses. Cognitive behavioral therapy (CBT) and motivational interviewing (MI) were more effective than the control condition in the reduction of glycated hemoglobin (CBT: -0·97 [95% CI -1·37 to -0·57]; MI -0·71 [95% CI -1·00 to -0·43]). CBT and client-centered therapy (CCT) were also associated with reductions in depression and blood glucose concentration, and CBT with reductions in anxiety.ConclusionPsychological interventions, namely, CBT, MI and CCT are effective in improving certain T2DM related outcomes in China. Considerable levels of heterogeneity and unclear risk of bias associated with most included RCTs suggest caution when interpreting results. In China, where the burden of T2DM is increasing, psychological interventions may provide promising approaches to assist in the management of T2DM to delay the progression of T2DM related outcomes.
abstractGer	IntroductionChina has the largest number of type 2 diabetes mellitus (T2DM) cases globally and T2DM management has become a critical public health issue in China. Individuals with T2DM have an increased risk of developing mental health disorders, psychological disturbances and functional problems associated with living with their condition. Previous systematic reviews have demonstrated that, generally, psychological interventions are effective in the management of T2DM related outcomes; however these reviews have predominantly included studies conducted within English speaking countries, and have not determined the efficacy of the varying types of psychological interventions. As such, this paper aims to synthesize evidence and quantify the efficacy of psychological therapies for the management of glycemic and psychological outcomes of T2DM in China, relative to control conditions. MethodsA systematic search (MEDLINE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, CNKI, Wangfang Data) for all years to December 2014 identified all available literature. Eligibility criteria included: Peer reviewed journal articles; RCTs assessing the efficacy of a psychological therapy for the management of T2DM; adults diagnosed with T2DM or non-insulin dependent diabetes mellitus; Chinese speaking participants (in mainland China). Outcome measures were glycated hemoglobin, blood glucose concentration, depression, anxiety and quality of life. Effect sizes were pooled using a random effects model. Negative effect sizes corresponded to positive outcomes favoring the intervention. Results45 RCTs were eligible for the meta-analyses. Cognitive behavioral therapy (CBT) and motivational interviewing (MI) were more effective than the control condition in the reduction of glycated hemoglobin (CBT: -0·97 [95% CI -1·37 to -0·57]; MI -0·71 [95% CI -1·00 to -0·43]). CBT and client-centered therapy (CCT) were also associated with reductions in depression and blood glucose concentration, and CBT with reductions in anxiety.ConclusionPsychological interventions, namely, CBT, MI and CCT are effective in improving certain T2DM related outcomes in China. Considerable levels of heterogeneity and unclear risk of bias associated with most included RCTs suggest caution when interpreting results. In China, where the burden of T2DM is increasing, psychological interventions may provide promising approaches to assist in the management of T2DM to delay the progression of T2DM related outcomes.
abstract_unstemmed	IntroductionChina has the largest number of type 2 diabetes mellitus (T2DM) cases globally and T2DM management has become a critical public health issue in China. Individuals with T2DM have an increased risk of developing mental health disorders, psychological disturbances and functional problems associated with living with their condition. Previous systematic reviews have demonstrated that, generally, psychological interventions are effective in the management of T2DM related outcomes; however these reviews have predominantly included studies conducted within English speaking countries, and have not determined the efficacy of the varying types of psychological interventions. As such, this paper aims to synthesize evidence and quantify the efficacy of psychological therapies for the management of glycemic and psychological outcomes of T2DM in China, relative to control conditions. MethodsA systematic search (MEDLINE, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, CNKI, Wangfang Data) for all years to December 2014 identified all available literature. Eligibility criteria included: Peer reviewed journal articles; RCTs assessing the efficacy of a psychological therapy for the management of T2DM; adults diagnosed with T2DM or non-insulin dependent diabetes mellitus; Chinese speaking participants (in mainland China). Outcome measures were glycated hemoglobin, blood glucose concentration, depression, anxiety and quality of life. Effect sizes were pooled using a random effects model. Negative effect sizes corresponded to positive outcomes favoring the intervention. Results45 RCTs were eligible for the meta-analyses. Cognitive behavioral therapy (CBT) and motivational interviewing (MI) were more effective than the control condition in the reduction of glycated hemoglobin (CBT: -0·97 [95% CI -1·37 to -0·57]; MI -0·71 [95% CI -1·00 to -0·43]). CBT and client-centered therapy (CCT) were also associated with reductions in depression and blood glucose concentration, and CBT with reductions in anxiety.ConclusionPsychological interventions, namely, CBT, MI and CCT are effective in improving certain T2DM related outcomes in China. Considerable levels of heterogeneity and unclear risk of bias associated with most included RCTs suggest caution when interpreting results. In China, where the burden of T2DM is increasing, psychological interventions may provide promising approaches to assist in the management of T2DM to delay the progression of T2DM related outcomes.
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title_short	Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials
url	https://doi.org/10.3389/fpubh.2015.00252 https://doaj.org/article/9fe1d54414154617a67f7a4f71f28208 http://journal.frontiersin.org/Journal/10.3389/fpubh.2015.00252/full https://doaj.org/toc/2296-2565
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Psychological interventions for the management of glycemic and psychological outcomes of type 2 diabetes mellitus in China: A systematic review and meta-analyses of randomized controlled trials

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