Acceptance-based therapy: the potential to augment behavioral interventions in the treatment of type 2 diabetes

被引：10

作者：

Cardel, Michelle, I ^{[1
]}

Ross, Kathryn M. ^{[2
]}

Butryn, Meghan ^{[3
]}

Donahoo, W. Troy ^{[4
]}

Eastman, Abraham ^{[2
]}

Dillard, Jackson R. ^{[5
]}

Grummon, Anna ^{[6
]}

Hopkins, Patrick ^{[7
]}

Whigham, Leah D. ^{[8
]}

Janicke, David ^{[2
]}

机构：

[1] Univ Florida, Dept Hlth Outcomes & Biomed Informat, Gainesville, FL 32611 USA

[2] Univ Florida, Dept Clin & Hlth Psychol, Gainesville, FL 32611 USA

[3] Drexel Univ, Dept Psychol, Gainesville, PA 19104 USA

[4] Univ Florida, Dept Med, Gainesville, FL 32611 USA

[5] Univ Florida, Dept Food Sci & Human Nutr, Gainesville, FL 32611 USA

[6] Harvard TH Chan Sch Publ Hlth, Ctr Populat & Dev Studies, Gainesville, MA 02115 USA

[7] Univ Texas El Paso, Houston, TX 79968 USA

[8] Univ Texas Hlth Sci Ctr Houston, Sch Publ Hlth, Houston, TX 77030 USA

来源：

NUTRITION & DIABETES | 2020年 / 10卷 / 01期

基金：

美国国家卫生研究院;

关键词：

RANDOMIZED CONTROLLED-TRIAL; LONG-TERM MAINTENANCE; COMMITMENT THERAPY; WEIGHT-LOSS; HEALTH PROJECT; OBESITY; MIND; MANAGEMENT; LIFE;

D O I：

10.1038/s41387-020-0106-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Diabetes is a complex and multifactorial disease affecting more than 415 million people worldwide. Excess adiposity and modifiable lifestyle factors, such as unhealthy dietary patterns and physical inactivity, can play a significant role in the development of type 2 diabetes. Interventions that implement changes to lifestyle behaviors, in addition to pharmacological treatment, may attenuate the development and worsening of diabetes. This narrative review delineates how standard behavioral interventions (SBTs), based in "first wave" behavioral therapies and "second wave" cognitive behavioral therapies, serve as the foundation of diabetes treatment by supporting effective lifestyle changes, including improving adherence to healthful behaviors, medication, and self-monitoring regimens. Moreover, "third wave" "acceptance-based therapies" (ABTs), which integrate techniques from acceptance and commitment therapy, are proposed as a potential novel treatment option for diabetes management. Further research and long-term, randomized controlled trials will clarify the feasibility, acceptability, and effectiveness of ABT for improving glucose control via enhancing medication adherence and promoting effective lifestyle changes in people with diabetes.

引用

页数：6

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