Abstract

PEREZ-ORTIZ, Alejandro et al. Cognitive-Behavioral Therapy on therapeutic adherence and eating behavior in elderly: a systematic review. Rev. Mex. de trastor. aliment [online]. 2021, vol.11, n.2, pp.193-206.  Epub June 18, 2024. ISSN 2007-1523.  https://doi.org/10.22201/fesi.20071523e.2021.2.734.

Diabetes mellitus (DM) is one of the primary diseases in the adult population. It is said that in Mexico 47.7% of older adults (OA) live with this condition, which is why it is essential to know psychological research focused on improving health status and adherence to medical treatment in this age group that is increasing due to the demographic transition. The aim of this systematic review was to gather the studies that account for the efficacy of Cognitive-Behavioral Therapy on therapeutic adherence and eating behavior in PAM with type 2 DM. The search was carried out using the PIO strategy in seven databases. data (Pubmed, PsycINFO, Scopus, PsycArticles, SciELO, Dialnet and Redalyc). 4,088 studies were found, of which only 11 met the inclusion criteria. The results reveal that this type of intervention is effective in favoring treatment adherence behaviors, producing significant changes in diet, HbA1C and HDL cholesterol, even though they were not initially designed for PAM and even when the participant samples were heterogeneous. The lack of treatments created exclusively for PAM with DM is evident, in addition to not considering treatment variables such as years since diagnosis, eating behavior, functionality, comorbidities, education, social support and socioeconomic level.

Keywords : Older adults; Type 2 Diabetes Mellitus; Cognitive Behavioral Therapy; Health Psychology; PIO.