This Article Free Full Text Free Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (10) Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Fisher, E. B. Articles by DeVellis, R. F. Search for Related Content PubMed PubMed Citation Articles by Fisher, E. B. Articles by DeVellis, R. F. Pubmed/NCBI databases Medline Plus Health Information Diabetes Social Bookmarking                         What's this?

Healthy Coping, Negative Emotions, and Diabetes Management

A Systematic Review and Appraisal

From the Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill (Dr Fisher, Dr DeVellis, Dr DeVellis), and the Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, North Carolina (Dr Thorpe).

Correspondence to Edwin B. Fisher, PhD, Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill, Rosenau Hall, CB #7440, Chapel Hill, NC 27599-7440 (fishere{at}email.unc.edu).

Purpose

The purpose of this systematic review is to assess the literature pertinent to healthy coping in diabetes management and to identify effective or promising interventions and areas needing further investigation.

Methods

A PubMed search identified 186 articles in English published between January 1, 1990, and July 31, 2006, addressing diabetes and emotion, quality of life, depression, adjustment, anxiety, coping, family therapy, behavior therapy, psychotherapy, problem solving, couples therapy, or marital therapy.

Results

Connections among psychological variables, behavioral factors, coping, metabolic control, and quality of life are appreciable and multidirectional. Interventions for which well-controlled studies indicate benefits for quality of life and/or metabolic control include general self-management, coping/problem-solving interventions, stress management, support groups, cognitive-behavioral therapy, behavioral family systems therapy, cognitive-analytic therapy, multisystemic therapy, medications for depression, and the Pathways intervention integrating case management, support of medication, and problem-solving counseling.

Conclusions

Psychological, emotional, related behavioral factors, and quality of life are important in diabetes management, are worthy of attention in their own right, and influence metabolic control. A range of interventions that achieve benefits in these areas provide a base for developing versatile programs to promote healthy coping.

The Diabetes Educator, Vol. 33, No. 6, 1080-1103 (2007)
DOI: 10.1177/0145721707309808


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				American Association of Diabetes Educators AADE Guidelines for the Practice of Diabetes Self-Management Education and Training (DSME/T) The Diabetes Educator, November 1, 2009; 35(3_suppl): 85S - 107S. [Full Text] [PDF]

				S. A. Mulvaney Improving Patient Problem Solving to Reduce Barriers to Diabetes Self-Management Clin. Diabetes, June 1, 2009; 27(3): 99 - 104. [Abstract] [Full Text] [PDF]

				E. B Fisher, J. A. Earp, S. Maman, and A. Zolotor Cross-cultural and international adaptation of peer support for diabetes management Fam. Pract., March 10, 2009; (2009) cmp013v1. [Abstract] [Full Text] [PDF]

				L. Jack Jr Exploring Healthy Coping Behaviors in Diabetes Self-management: A Commentary The Diabetes Educator, November 1, 2007; 33(6): 1104 - 1106. [Full Text] [PDF]