An Update on Psychological Interventions in patients With Diabetes Distress: What›s New in 2020?

  • Wafa Abdelghaffar, * Assistant Professor of Psychiatry in Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia https://orcid.org/0000-0002-0448-5573
  • Wael Ncibi Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia
  • Haithem Amiri Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia
Keywords: Diabetes, Psychological Distress, Psychotherapy, Therapeutic Interventions

Abstract

Introduction: Diabetes distress (DD) is a recent concept referring to the negative emotional experience resulting from the burden of living with diabetes and performing selfcare activities. Many studies showed a clear association between high levels of DD and poor glycemic control⁠. Thus, it is crucial to develop effective psychological interventions to reduce this distress. The study of diabetes dis-tress has gained a growing interest in the scientific literature, especially this last year. Moreover, the COVID-19 pandemic represents a new stress factor for patients with diabetes since those pa-tients are considered a risk group. This paper aimed to systematically review data published from 2020 on psycho-social interventions of DD.
Methods: We searched the Medline database for 2020 publications. We included articles assessing psycho-social interventions of DD in type 1 and 2 diabetes, with English abstract.
Results: The search yielded 47 articles. Reviewers screening allowed to select 11 articles fulfilling the in-clusion criteria. Five reviews and six clinical trials were included. Several interventions are des-cribed such as educational strategies, cognitive-behavioral techniques, mindfulness, motivational interviewing, peer support and social support, and technology-based interventions. Most studies reported encouraging results.
Conclusions: Various psychological interventions can be efficacious in DD if they are well performed. There is still no consensus on a specific strategy. Further trials are needed, with rigorous methodologies, to better understand which interventions work best specifically for DD.

Author Biography

Wafa Abdelghaffar, *, Assistant Professor of Psychiatry in Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia

wafa.abdelghaffar@fmt.utm.tn

Published
2021-04-26
Section
Review Article