Gratitude Interventions in Individuals With Diabetes: An Integrative Review.

Rebecca Koerner, Olivia Valente, Alison Tao, Kaitlyn Rechenberg
Author Information
  1. Rebecca Koerner: Author Affiliation: College of Nursing, University of South Florida, Tampa, Florida.

Abstract

diabetes is a chronic, complex condition, which requires intensive daily management for adequate glycemic control. The burden of daily tasks necessary for diabetes self-management can negatively impact psychosocial outcomes. The practice of gratitude in patients with chronic conditions has demonstrated improvement in poor psychosocial outcomes. The purpose of this review is to examine the effect of gratitude interventions on glycemic and psychosocial outcomes in individuals with diabetes. We searched 5 databases in September 2024 to identify research articles that met inclusion criteria. Six studies met inclusion criteria. Interventions included gratitude journaling, gratitude therapy, writing a gratitude letter, and gratitude reflection. Results indicate gratitude is a feasible intervention and may improve anxiety and depressive symptoms, quality of life, and coping with diabetes. There was heterogeneity in intervention delivery and results. Further research is required to ascertain the extent of correlation between gratitude, and glycemic and psychosocial outcomes.

References

  1. Centers for Disease Control and Prevention [CDC]. Diabetes basics. CDC. Published 2024..https://www.cdc.gov/diabetes/about/?CDC_AAref_Val=https://www.cdc.gov/diabetes/basics/index.html Accessed September 7, 2024.
  2. DiMeglio LA, Evans-Molina C, Oram RA. Type 1 diabetes. Lancet. 2018;391(10138):2449-2462. doi:10.1016/s0140-6736(18)31320-5. [DOI: 10.1016/s0140-6736(18)31320-5]
  3. National Institute of Diabetes and Digestive and Kidney Diseases [NIDDK]. Managing diabetes. NIDDK. Published 2024. https://www.niddk.nih.gov/health-information/diabetes/overview/managing-diabetes. Accessed September 7, 2024.
  4. Reed J, Bain S, Kanamarlapudi V. A review of current trends with type 2 diabetes epidemiology, aetiology, pathogenesis, treatments and future perspectives. Diabetes Metab Syndr Obes. 2021;14:3567-3602. doi:10.2147/dmso.s319895. [DOI: 10.2147/dmso.s319895]
  5. Centers for Disease Control and Prevention. About insulin resistance and type 2 diabetes. CDC. Published 2024. https://www.cdc.gov/diabetes/about/insulin-resistance-type-2-diabetes.html. Accessed September 7, 2024.
  6. Ahmad J, Joshi SH. Self-care practices and their role in the control of diabetes: a narrative review. Cureus. 2023;15(7):e41409. doi:10.7759/cureus.41409. [DOI: 10.7759/cureus.41409]
  7. Robinson DJ, Hanson K, et al. Diabetes Canada Clinical Practice Guidelines Expert Working Group. Diabetes and mental health. Can J Diabetes. 2023;47(4):308-344. doi:10.1016/j.jcjd.2023.04.009. [DOI: 10.1016/j.jcjd.2023.04.009]
  8. Habteyohans BD, Hailu BS, Meseret F, et al. Poor glycemic control and its associated factors among children with type 1 diabetes mellitus in Harar, eastern Ethiopia: a cross-sectional study. BMC Endocr Disord. 2023;23(1):208. doi:10.1186/s12902-023-01453-9. [DOI: 10.1186/s12902-023-01453-9]
  9. American Diabetes Association Professional Practice Committee. 5. Facilitating positive health behaviors and well-being to improve health outcomes: standards of care in diabetes—2024. Diabetes Care. 2024;47:(Supplement_1). S77-S110. doi:10.2337/dc24-s005. [DOI: 10.2337/dc24-s005]
  10. Basile VT, Newton‐John T, Wootton BM. Treatment histories, barriers, and preferences for individuals with symptoms of generalized anxiety disorder. J Clin Psychol. 2024;80(6):1286-1305. doi:10.1002/jclp.23665. [DOI: 10.1002/jclp.23665]
  11. Braun P, Atik E, Guthardt L, Apolinário-Hagen J, Schückes M. Barriers to and facilitators of a blended cognitive behavioral therapy program for depression and anxiety based on experiences of university students: qualitative interview study. JMIR Form Res. 2023;7(1):e45970. doi:10.2196/45970. [DOI: 10.2196/45970]
  12. Koerner R, Rechenberg K. Mindfulness in adolescents and young adults with diabetes: an integrative review. Complement Ther Clin Pract. 2022;49:101659. doi:10.1016/j.ctcp.2022.101659. [DOI: 10.1016/j.ctcp.2022.101659]
  13. Rechenberg K, Koerner R. Cognitive behavioral therapy in adolescents with type 1 diabetes: an integrative review. J Pediatr Nurs. 2021;60:190-197. doi:10.1016/j.pedn.2021.06.019. [DOI: 10.1016/j.pedn.2021.06.019]
  14. Wolitzky-Taylor K, Fenwick K, Lengnick-Hall R, et al. A preliminary exploration of the barriers to delivering (and receiving) exposure-based cognitive behavioral therapy for anxiety disorders in adult community mental health settings. Community Ment Health J. 2018;54(7):899-911. doi:10.1007/s10597-018-0252-x. [DOI: 10.1007/s10597-018-0252-x]
  15. Boggiss AL, Consedine NS, Brenton-Peters JM, Hofman PL, Serlachius AS. A systematic review of gratitude interventions: effects on physical health and health behaviors. J Psychosom Res. 2020;135:110165. doi:10.1016/j.jpsychores.2020.110165. [DOI: 10.1016/j.jpsychores.2020.110165]
  16. Sansone RA, Sansone LA. Gratitude and well being: the benefits of appreciation. Psychiatry (Edgmont). 2010;7(11):18-22. https://pubmed.ncbi.nlm.nih.gov/21191529.
  17. Diniz G, Korkes L, Tristão LS, Pelegrini R, Bellodi PL, Bernardo WM. The effects of gratitude interventions: a systematic review and meta-analysis. Einstein (Sao Paulo). 2023. 21:eRW0371. doi:10.31744/einstein_journal/2023rw0371. [DOI: 10.31744/einstein_journal/2023rw0371]
  18. Makhmur S, Rath S. Effectiveness of gratitude therapy in diabetes management: a qualitative study. Health Psychol Res. 2023;11:88400. doi:10.52965/001c.88400. [DOI: 10.52965/001c.88400]
  19. Fekete EM, Deichert NT. A brief gratitude writing intervention decreased stress and negative affect during the COVID-19 pandemic. J Happiness Stud. 2022;23(6):2427-2448. doi:10.1007/s10902-022-00505-6. [DOI: 10.1007/s10902-022-00505-6]
  20. Sztachańska J, Krejtz I, Nezlek JB. Using a gratitude intervention to improve the lives of women with breast cancer: a daily diary study. Front Psychol. 2019;10:1365. doi:10.3389/fpsyg.2019.01365. [DOI: 10.3389/fpsyg.2019.01365]
  21. Tan TT, Tan MP, Lam CL, et al. Mindful gratitude journaling: psychological distress, quality of life and suffering in advanced cancer: a randomised controlled trial. BMJ Support Palliat Care. 2021;13(e2):e389-e396. doi:10.1136/bmjspcare-2021-003068. [DOI: 10.1136/bmjspcare-2021-003068]
  22. Wang X, Song C. The impact of gratitude interventions on patients with cardiovascular disease: a systematic review. Front Psychol. 2023;14:1243598. doi:10.3389/fpsyg.2023.1243598. [DOI: 10.3389/fpsyg.2023.1243598]
  23. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-553. doi:10.1111/j.1365-2648.2005.03621.x. [DOI: 10.1111/j.1365-2648.2005.03621.x]
  24. Page MJ, Moher D, Bossuyt PM, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021;372:n160. doi:10.1136/bmj.n160. [DOI: 10.1136/bmj.n160]
  25. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210. doi:10.1186/s13643-016-0384-4. [DOI: 10.1186/s13643-016-0384-4]
  26. Cohn MA, Pietrucha ME, Saslow LR, Hult JR, Moskowitz JT. An online positive affect skills intervention reduces depression in adults with type 2 diabetes. J Posit Psychol. 2014;9(6):523-534. doi:10.1080/17439760.2014.920410. [DOI: 10.1080/17439760.2014.920410]
  27. Jaser SS, Patel N, Rothman RL, Choi L, Whittemore R. Check it! A randomized pilot of a positive psychology intervention to improve adherence in adolescents with type 1 diabetes. Diabetes Educ. 2014;40(5):659-667. doi:10.1177/0145721714535990. [DOI: 10.1177/0145721714535990]
  28. Jaser SS, Whittemore R, Choi L, Nwosu S, Russell WE. Randomized trial of a positive psychology intervention for adolescents with type 1 diabetes. J Pediatr Psychol. 2019;44(5):620-629. doi:10.1093/jpepsy/jsz006. [DOI: 10.1093/jpepsy/jsz006]
  29. Schache KR, Hofman PL, Serlachius AS. A pilot randomized controlled trial of a gratitude intervention for adolescents with type 1 diabetes. Diabet Med. 2020;37(8):1352-1356. doi:10.1111/dme.14078. [DOI: 10.1111/dme.14078]
  30. DuBois CM, Millstein RA, Celano CM, Wexler DJ, Huffman JC. Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes. Prim Care Companion CNS Disord. 2016;18(3):27111. doi:10.4088/pcc.15m01902. [DOI: 10.4088/pcc.15m01902]
  31. DuBois CM, Beach SR, Kashdan TB, et al. Positive psychological attributes and cardiac outcomes: associations, mechanisms, and interventions. Psychosomatics. 2012;53(4):303-318. doi:10.1016/j.psym.2012.04.004. [DOI: 10.1016/j.psym.2012.04.004]
  32. Centers for Disease Control and Prevention. Diabetes and mental health. CDC. Published 2024. https://www.cdc.gov/diabetes/living-with/mental-health.html. Accessed September 7, 2024.
  33. Ralston AL, Andrews AR, Hope DA. Fulfilling the promise of mental health technology to reduce public health disparities: review and research agenda. Clin Psychol (New York). 2019;26(1):e12277. doi:10.1111/cpsp.12277. [DOI: 10.1111/cpsp.12277]
  34. Amagai S, Pila S, Kaat AJ, Nowinski CJ, Gershon RC. Challenges in participant engagement and retention using mobile health apps: literature review. J Med Internet Res. 2022;24(4):e35120. doi:10.2196/35120. [DOI: 10.2196/35120]
  35. Rechenberg K, Koerner R, Geiss C, Menon U. “I’m staring at the screen all the time”: technology use and mindfulness in adolescents with type 1 diabetes. Compr Child Adolesc Nurs. 2024;47(2):98-114. doi:10.1080/24694193.2024.2351909. [DOI: 10.1080/24694193.2024.2351909]

Word Cloud

Created with Highcharts 10.0.0gratitudepsychosocialoutcomesglycemicdiabeteschronicdailyresearchmetinclusioncriteriaInterventionsinterventionDiabetescomplexconditionrequiresintensivemanagementadequatecontrolburdentasksnecessaryself-managementcannegativelyimpactpracticepatientsconditionsdemonstratedimprovementpoorpurposereviewexamineeffectinterventionsindividualssearched5databasesSeptember2024identifyarticlesSixstudiesincludedjournalingtherapywritingletterreflectionResultsindicatefeasiblemayimproveanxietydepressivesymptomsqualitylifecopingheterogeneitydeliveryresultsrequiredascertainextentcorrelationGratitudeIndividualsDiabetes:IntegrativeReview

Similar Articles

Cited By

No available data.