Psychopathology and psychotherapeutic intervention in diabetes: particularities, challenges, and limits
Identifieur interne : 000354 ( Pmc/Curation ); précédent : 000353; suivant : 000355Psychopathology and psychotherapeutic intervention in diabetes: particularities, challenges, and limits
Auteurs : Popa-Velea O [Roumanie] ; Bubulac L [Roumanie] ; Petrescu L [Roumanie] ; Purcarea Rm [Roumanie]Source :
- Journal of Medicine and Life [ 1844-122X ] ; 2016.
Abstract
Diabetes is a problem of great public health importance, creating a considerable burden to the affected individuals and society. The psychological approach of this disease implies the early acknowledging of behavioral symptoms and the construction of effective psychotherapeutic interventions.
Regarding the psychological symptoms, cognitive malfunctions in diabetes include a slowing of information processing, attention, memory, and concentration, which, in turn, can significantly diminish motivation for therapy, compliance, and ability for self-care. Restrictions pertaining to daily activities, risks of treatment itself and the perceived inability to control the disease can furthermore reduce the perceived quality of life of these patients. Depression can complicate the picture, by a supplementary decrease in compliance and an increase of care expenses.
A proper management of diabetes involves a joint action of the patient, physician, and the psychologist. A better self-care can include commuting from passive to active coping, getting informed, maintaining realistic hopes, and long-term thinking. Physicians can express more consistent empathy, thereby increasing confidence. A substantial gain can be brought by considering variables involved in modulating compliance (e.g. the patient’s representations of gains and losses, group norms, ability vs. desire of control). Psychotherapeutic interventions include techniques such as counseling, cognitive-behavioral therapy, relaxation, hypnosis, and family therapy.
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PubMed: 27928433
PubMed Central: 5141389
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<front><div type="abstract" xml:lang="en"><p>Diabetes is a problem of great public health importance, creating a considerable burden to the affected individuals and society. The psychological approach of this disease implies the early acknowledging of behavioral symptoms and the construction of effective psychotherapeutic interventions.</p>
<p>Regarding the psychological symptoms, cognitive malfunctions in diabetes include a slowing of information processing, attention, memory, and concentration, which, in turn, can significantly diminish motivation for therapy, compliance, and ability for self-care. Restrictions pertaining to daily activities, risks of treatment itself and the perceived inability to control the disease can furthermore reduce the perceived quality of life of these patients. Depression can complicate the picture, by a supplementary decrease in compliance and an increase of care expenses. </p>
<p>A proper management of diabetes involves a joint action of the patient, physician, and the psychologist. A better self-care can include commuting from passive to active coping, getting informed, maintaining realistic hopes, and long-term thinking. Physicians can express more consistent empathy, thereby increasing confidence. A substantial gain can be brought by considering variables involved in modulating compliance (e.g. the patient’s representations of gains and losses, group norms, ability vs. desire of control). Psychotherapeutic interventions include techniques such as counseling, cognitive-behavioral therapy, relaxation, hypnosis, and family therapy. </p>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Med Life</journal-id>
<journal-id journal-id-type="iso-abbrev">J Med Life</journal-id>
<journal-id journal-id-type="publisher-id">JMedLife</journal-id>
<journal-title-group><journal-title>Journal of Medicine and Life</journal-title>
</journal-title-group>
<issn pub-type="ppub">1844-122X</issn>
<issn pub-type="epub">1844-3117</issn>
<publisher><publisher-name>Carol Davila University Press</publisher-name>
<publisher-loc>Romania</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27928433</article-id>
<article-id pub-id-type="pmc">5141389</article-id>
<article-id pub-id-type="publisher-id">JMedLife-09-328</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Reviews</subject>
</subj-group>
</article-categories>
<title-group><article-title>Psychopathology and psychotherapeutic intervention in
diabetes: particularities, challenges, and limits
</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>O</surname>
<given-names>Popa-Velea</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>L</surname>
<given-names>Bubulac</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>L</surname>
<given-names>Petrescu</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>RM</surname>
<given-names>Purcarea</given-names>
</name>
<xref ref-type="aff" rid="A2">**</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>*</label>
Department of Medical Psychology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania</aff>
<aff id="A2"><label>**</label>
Department of Internal Medicine, “Dr. Carol Davila” Clinical Nephrology Hospital, Bucharest, Romania</aff>
<author-notes><corresp><bold>Correspondence to:</bold>
Ovidiu Popa-Velea, MD, PhD,
Department of Medical Psychology, “Carol Davila” University of Medicine and Pharmacy, Bucharest,
8 Eroii Sanitari Blvd., Code 050474, District 5, Bucharest, Romania,
Mobile phone: +40722 846 877, E-mail: opopavelea@hotmail.com, ovidiu.popa-velea@umf.ro
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Oct-Dec</season>
<year>2016</year>
</pub-date>
<volume>9</volume>
<issue>4</issue>
<fpage>328</fpage>
<lpage>333</lpage>
<history><date date-type="received"><day>28</day>
<month>6</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>19</day>
<month>9</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>©Carol Davila University Press
</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p>This is
an open-access article distributed under the terms of the Creative
Commons Attribution License, which permits unrestricted use,
distribution, and reproduction in any medium, provided the original work
is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Diabetes is a problem of great public health importance, creating a considerable burden to the affected individuals and society. The psychological approach of this disease implies the early acknowledging of behavioral symptoms and the construction of effective psychotherapeutic interventions.</p>
<p>Regarding the psychological symptoms, cognitive malfunctions in diabetes include a slowing of information processing, attention, memory, and concentration, which, in turn, can significantly diminish motivation for therapy, compliance, and ability for self-care. Restrictions pertaining to daily activities, risks of treatment itself and the perceived inability to control the disease can furthermore reduce the perceived quality of life of these patients. Depression can complicate the picture, by a supplementary decrease in compliance and an increase of care expenses. </p>
<p>A proper management of diabetes involves a joint action of the patient, physician, and the psychologist. A better self-care can include commuting from passive to active coping, getting informed, maintaining realistic hopes, and long-term thinking. Physicians can express more consistent empathy, thereby increasing confidence. A substantial gain can be brought by considering variables involved in modulating compliance (e.g. the patient’s representations of gains and losses, group norms, ability vs. desire of control). Psychotherapeutic interventions include techniques such as counseling, cognitive-behavioral therapy, relaxation, hypnosis, and family therapy. </p>
</abstract>
<kwd-group><kwd>diabetes</kwd>
<kwd>psychological</kwd>
<kwd>psychotherapy</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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