Lancet Diabetes Endo：认知行为疗法可以减轻I型糖尿病引起的疲劳

2017-04-25 zhangfan MedSci原创

认知行为疗法可以有效的减轻I型糖尿病患者的疲劳程度和功能障碍

易疲劳是I型糖尿病患者的普遍现象，但到目前为止，还没有有效的循证治疗手段。近日，研究人员验证了认知行为疗法(CBT)对减少I型糖尿病导致的疲劳的效果。

研究在荷兰进行，招募的参与者是年龄18070岁的，至少1年以上I型糖尿病史伴有6个月以上慢性疲劳史患者，随机1:1接受CBT疗法或对照。CBT干预(Dia-Fit)为期5个月，包括面对面和网络会话形式。主要终点是5个月后疲劳严重程度评估，次要终点是功能障碍评估、血糖控制及波动变化。

研究于2014年至2016年进行，共120人参与。相比于对照组，5个月后CBT组的疲劳程度评估得分显着下降(平均差异 13.8，95% CI 10.0-17.5；p<0.001)，功能障碍评估显着下降(平均差异 513， 95% CI 340-686；p<0.001)；二组的HbA1c以及血糖变化无差异；没有与治疗相关的不良事件。

研究认为，认知行为疗法可以有效的减轻I型糖尿病患者的疲劳程度和功能障碍，其结果还需要大规模长期实验的验证。

原文出处：

Juliane Menting et al. Web-based cognitive behavioural therapy blended with face-to-face sessions for chronic fatigue in type 1 diabetes： a multicentre randomised controlled trial. Lancet Diabetes Endo. April 24， 2017

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2017-05-16 jjjiang0199

#行为疗法#

57 0
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2018-01-18 木头人513

#Diabetes#

56 0
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2018-03-19 howi

#Lancet#

61 0
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2017-04-27 tamgche

#疲劳#

58 0
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2017-04-27 12498adam40暂无昵称

#认知行为疗法#

76 0

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