„Psychopathology and psychotherapeutic intervention in diabetes: particularities, challenges, and limits”, Journal of Medicine and Life, 2016, 9 (4): 328-333.

Abstract: Diabetes is a problem of great public health importance, creating a considerable burden to the affected individuals and society. The psychological approach  of  this  disease  implies  the  early acknowledging  of  behavioral  symptoms  and  the  construction  of effective  psychotherapeutic interventions. Regarding  the  psychological symptoms,  cognitive  malfunctions  in  diabetes  include  a  slowing  of information  processing,  attention,  memory,  and  concentration,  which, in turn,  can  significantly  diminish  motivation  for  therapy,  compliance,  and ability  for  self-care. Restrictions  pertaining  to  daily  activities,  risks  of treatment  itself  and  the  perceived  inability  to  control  the disease  can furthermore  reduce  the  perceived  quality  of  life  of  these patients. Depression  can  complicate  the  picture,  by  a  supplementary decrease in compliance and an increase of care expenses. A  proper management of  diabetes  involves  a  joint  action  of  the  patient, physician,  and  the psychologist.  A  better  self-care  can  include commuting  from  passive to  active  coping,  getting  informed, maintaining  realistic  hopes,  and long-term  thinking.  Physicians  can express  more  consistent  empathy, thereby  increasing  confidence.  A substantial  gain  can  be  brought  by considering  variables  involved in modulating compliance (e.g. the patient’s representations of gains and losses, group norms, ability vs. desire of control). Psychotherapeutic interventions  include techniques such  as  counseling,  cognitive-behavioral  therapy,  relaxation,  hypnosis, and  family therapy. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5141389/pdf/JMedLife-09-328.pdf