Naomi S Kane1, Lindsey E Bloor1, Jamie Michaels1. 1. is a Clinical Psychology Postdoctoral Fellow in behavioral medicine and postdeployment health at the New Jersey VA War Related Illness and Injury Study Center in East Orange. Naomi Kane was previously a Psychology Intern; is a Clinical Health Psychologist and the Health Behavior Coordinator; is a Registered Dietician and Certified Diabetes Educator; all at the VA Ann Arbor Healthcare System in Michigan. Lindsey Bloor is a Clinical Assistant Professor in Psychiatry at the University of Michigan Medical School in Ann Arbor.
Abstract
BACKGROUND: Veterans experience a higher prevalence of type 2 diabetes mellitus (T2DM) compared with the rate of their civilian counterparts. Veterans may experience vulnerability to chronic stress, in particular comorbid mental health conditions, and may not benefit from traditional diabetes education. METHODS: This study evaluated clinical and psychological measures among veterans engaged in health psychology services. Individualized motivational interviewing and cognitive behavioral interventions were provided to address T2DM distress and promote veterans' diabetes self-management. Pre-/postobjective and self-report measures were evaluated for clinical relevancy and statistically significant changes. RESULTS: The sample consisted of 13 older adults: mean age 62.8 years; 12 were male and 9 were prescribed insulin. More than half had comorbid hypertension, hyperlipidemia, and/or a diagnosis of chronic pain. Eleven participants were diagnosed with a mental health disorder. Baseline measures indicated mild depressive symptoms, mild anxiety symptoms, and moderate levels of T2DM distress. Postintervention reductions were shown for T2DM distress; emotional burden, and regimen-related distress, depressive symptoms, and enhanced diabetes empowerment. CONCLUSIONS: Veterans with comorbid conditions may benefit from individualized psychology services that offer cognitive behavioral strategies for self-management of T2DM-related distress, integrated with traditional primary care and diabetes education.
BACKGROUND: Veterans experience a higher prevalence of type 2 diabetes mellitus (T2DM) compared with the rate of their civilian counterparts. Veterans may experience vulnerability to chronic stress, in particular comorbid mental health conditions, and may not benefit from traditional diabetes education. METHODS: This study evaluated clinical and psychological measures among veterans engaged in health psychology services. Individualized motivational interviewing and cognitive behavioral interventions were provided to address T2DM distress and promote veterans' diabetes self-management. Pre-/postobjective and self-report measures were evaluated for clinical relevancy and statistically significant changes. RESULTS: The sample consisted of 13 older adults: mean age 62.8 years; 12 were male and 9 were prescribed insulin. More than half had comorbid hypertension, hyperlipidemia, and/or a diagnosis of chronic pain. Eleven participants were diagnosed with a mental health disorder. Baseline measures indicated mild depressive symptoms, mild anxiety symptoms, and moderate levels of T2DM distress. Postintervention reductions were shown for T2DM distress; emotional burden, and regimen-related distress, depressive symptoms, and enhanced diabetes empowerment. CONCLUSIONS: Veterans with comorbid conditions may benefit from individualized psychology services that offer cognitive behavioral strategies for self-management of T2DM-related distress, integrated with traditional primary care and diabetes education.
Authors: Robert M Anderson; James T Fitzgerald; Larry D Gruppen; Martha M Funnell; Mary S Oh Journal: Diabetes Care Date: 2003-05 Impact factor: 19.112
Authors: Wei Yu; Arliene Ravelo; Todd H Wagner; Ciaran S Phibbs; Aman Bhandari; Shuo Chen; Paul G Barnett Journal: Med Care Res Rev Date: 2003-09 Impact factor: 3.929
Authors: James A Blumenthal; Michael A Babyak; Robert M Carney; Marc Huber; Patrice G Saab; Matthew M Burg; David Sheps; Lynda Powell; C Barr Taylor; Peter G Kaufmann Journal: Med Sci Sports Exerc Date: 2004-05 Impact factor: 5.411
Authors: Deborah Young-Hyman; Mary de Groot; Felicia Hill-Briggs; Jeffrey S Gonzalez; Korey Hood; Mark Peyrot Journal: Diabetes Care Date: 2016-12 Impact factor: 19.112
Authors: Michele Heisler; Jennifer Burgess; Jeffrey Cass; John F Chardos; Alexander B Guirguis; Sean M Jeffery; Lorrie A Strohecker; Adam S Tremblay; Wen-Chih Wu; Donna M Zulman Journal: Trials Date: 2017-05-26 Impact factor: 2.279
Authors: Lawrence Fisher; Joseph T Mullan; Patricia Arean; Russell E Glasgow; Danielle Hessler; Umesh Masharani Journal: Diabetes Care Date: 2009-10-16 Impact factor: 19.112