23 research outputs found
Improved Treatment Satisfaction and Self-reported Health Status after Introduction of Basal-Supported Oral Therapy Using Insulin Glargine in Patients with Type 2 Diabetes: Sub-Analysis of ALOHA2 Study
Nothing Lasts Forever: Environmental Discourses on the Collapse of Past Societies
The study of the collapse of past societies raises many questions for the theory and practice of archaeology. Interest in collapse extends as well into the natural sciences and environmental and sustainability policy. Despite a range of approaches to collapse, the predominant paradigm is environmental collapse, which I argue obscures recognition of the dynamic role of social processes that lie at the heart of human communities. These environmental discourses, together with confusion over terminology and the concepts of collapse, have created widespread aporia about collapse and resulted in the creation of mixed messages about complex historical and social processes
Physical activity, depressed mood and pregnancy worries in European obese pregnant women: results from the DALI study
Quality of life in patients with type 2 diabetes after switching to insulin degludec: results from a cross-sectional survey
Psychologisch welzijn van diabetespatiënten met chronische complicaties en hun zorgbehoeftes – een patiëntperspectief
When insulin degludec enhances quality of life in patients with type 2 diabetes: a qualitative investigation
Differential involvement of serotonin and dopamine systems in cost-benefit decisions about delay or effort
Individual-level intervention approaches
In caring for persons with diabetes (PWD), healthcare professionals (HCP) have an important role to play when it comes to offering psychosocial support as integral part of ongoing diabetes care. Inquiring about and discussing emotional health with PWD is appreciated by them and can help to identify problem areas that require further assessment. For this purpose practical, validated self-report measures of well-being and diabetes distress are available for use in routine care. Based on a needs assessment, PWD may be offered psychosocial support by one of the team members (physician, nurse educator, dietitian) or a referral to a specialized mental health professional, preferably as part of team care. There is convincing evidence that cognitive behavioral therapy (CBT) is effective in reducing emotional distress and enhancing coping skills in PWD, with subsequent improvements of self-care and glycemic control, at least on the short term. Next to diabetes distress and depression, chronic fatigue has shown to be prevalent among PWD. Here too, CBT has been shown to be effective. Internet-based CBT is increasingly used, which allows for economic and patient-friendly delivery of psychotherapy while reaching a large audience. Further research is warranted to develop effective strategies for successful implementation of integral psychological support for PWD with psychological comorbidity, addressing the medical and the psychological needs of PWD