Current Diabetes Reports

, Volume 13, Issue 6, pp 917–929

Positive Psychological Characteristics in Diabetes: A Review

Authors

    • Harvard Medical School
    • Department of PsychiatryMassachusetts General Hospital / Blake 11
  • Eleanor E. Beale
    • Department of PsychiatryMassachusetts General Hospital / Blake 11
  • Shannon V. Moore
    • Department of PsychiatryMassachusetts General Hospital / Blake 11
  • Deborah J. Wexler
    • Harvard Medical School
    • Department of Medicine, Diabetes UnitMassachusetts General Hospital
  • Jeff C. Huffman
    • Harvard Medical School
    • Department of PsychiatryMassachusetts General Hospital / Blake 11
Psychosocial Aspects (KK Hood, Section Editor)

DOI: 10.1007/s11892-013-0430-8

Cite this article as:
Celano, C.M., Beale, E.E., Moore, S.V. et al. Curr Diab Rep (2013) 13: 917. doi:10.1007/s11892-013-0430-8

Abstract

Positive psychological characteristics, such as optimism, self-efficacy, and resilience, have been increasingly associated with improved outcomes in medically ill individuals. However, there has been minimal systematic review of these characteristics and their associations with outcomes in people with diabetes. We aim to review these associations, their potential mediating mechanisms, and the evidence supporting interventions targeting these qualities. In people with diabetes, positive psychological characteristics are significantly associated with improved glycemic control, fewer complications, and reduced rates of mortality. Potential mechanisms mediating these associations include behavioral factors (e.g., improved treatment adherence), reduced inflammation, and improved neuroendocrine and autonomic functioning. Most psychosocial treatments in this population have focused on improving self-efficacy and resilience; such interventions may improve quality of life, well-being, and diabetes self-care. While untested in diabetes, interventions to boost other positive characteristics have been effective in other medically ill patients and may warrant further study in this cohort.

Keywords

DiabetesPositive affectWell-beingSelf-efficacyOptimismResiliencePositive psychological characteristics

Copyright information

© Springer Science+Business Media New York 2013