| Abstrakt: |
While the benefits of intensive therapy and the importance of self-management in diabetes treatment are well established, adherence is hard for most patients. There is growing interest in the role of cognitive and motivational factors as determinants of self-management behaviour. Patients' beliefs about their disease, their expectancies of the treatment regimen and self-efficacy strongly influence their intention to engage in self-management activities. Cognitive evaluations are important starting points in altering coping behaviour. Cognitive-behavioural therapy is based on the assumption that behaviour and emotions are in constant interaction with cognitions, some of which may be inaccurate leading to failure to cope effectively. The aim is to help patients identify their dysfunctional cognitions, test them against reality and alter them, thereby modifying emotional disturbances and improving coping behaviour. Cognitive-behavioural group training, which is delivered in an outpatient setting, and its outcomes, both psychological and in terms of glycaemic control, are described. [ABSTRACT FROM PUBLISHER] |
