Diabetes and depression Diabetes and marital quality Psychological predictors of surgical outcome
My research focuses on the psychosocial issues that affect patients with diabetes and those at risk for diabetes. In my work, we are developing and testing effective and practical interventions for patients with diabetes, those at risk, and their partners, to help them achieve better physical health (e.g., control of blood sugar, weight) and quality of life. We are also seeking to understand how depression and anxiety may interfere with the health of diabetes patients.
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Marital quality has been identified as a predictor of adaptation to type 2 diabetes. This study involves developing and testing a psychosocial intervention that can be used with couples in which one partner has type 2 diabetes, and assessing it’s feasibility, acceptability and efficacy.
Expressive writing interventions have been shown to have beneficial emotional and health-related effects on healthy and ill adults. This study seeks to extend this line of research to individuals with type 2 diabetes, to evaluate whether an expressive writing intervention will affect blood glucose control, adaptation to diabetes, or emotional status.
This is a multi-site trial of treatment alternatives for youth who have type 2 diabetes, to identify whether medications alone, or in combination with an intensive lifestyle intervention to promote weight loss, is more effective at managing the youth’s diabetes.
The goal of this project is to evaluate the feasibility, acceptability, effectiveness and cost effectiveness of telemedicine in the management of Medicare patients who live in medically underserved areas. Dr. Trief is investigating depression as predictor and as outcome, and qualitative data concerning study involvement.