naa a22 4500 51077931X CHVBK 20180411083241.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s11892-013-0430-8 doi (NATIONALLICENCE)springer-10.1007/s11892-013-0430-8 Positive Psychological Characteristics in Diabetes: A Review [Elektronische Daten] [Christopher Celano, Eleanor Beale, Shannon Moore, Deborah Wexler, Jeff Huffman] 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. Springer Science+Business Media New York, 2013 Diabetes nationallicence Positive affect nationallicence Well-being nationallicence Self-efficacy nationallicence Optimism nationallicence Resilience nationallicence Positive psychological characteristics nationallicence Celano Christopher Harvard Medical School, Boston, MA, USA aut Beale Eleanor Department of Psychiatry, Massachusetts General Hospital / Blake 11, 55 Fruit Street, 02114, Boston, MA, USA aut Moore Shannon Department of Psychiatry, Massachusetts General Hospital / Blake 11, 55 Fruit Street, 02114, Boston, MA, USA aut Wexler Deborah Harvard Medical School, Boston, MA, USA aut Huffman Jeff Harvard Medical School, Boston, MA, USA aut Current Diabetes Reports Springer US; http://www.springer-ny.com 13/6(2013-12-01), 917-929 1534-4827 13:6<917 2013 13 11892 https://doi.org/10.1007/s11892-013-0430-8 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11892-013-0430-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Celano Christopher Harvard Medical School, Boston, MA, USA aut NATIONALLICENCE 700 1- Beale Eleanor Department of Psychiatry, Massachusetts General Hospital / Blake 11, 55 Fruit Street, 02114, Boston, MA, USA aut NATIONALLICENCE 700 1- Moore Shannon Department of Psychiatry, Massachusetts General Hospital / Blake 11, 55 Fruit Street, 02114, Boston, MA, USA aut NATIONALLICENCE 700 1- Wexler Deborah Harvard Medical School, Boston, MA, USA aut NATIONALLICENCE 700 1- Huffman Jeff Harvard Medical School, Boston, MA, USA aut NATIONALLICENCE 773 0- Current Diabetes Reports Springer US; http://www.springer-ny.com 13/6(2013-12-01), 917-929 1534-4827 13:6<917 2013 13 11892 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer