{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T05:11:11Z","timestamp":1777957871622,"version":"3.51.4"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the effect of positive psychological intervention of the PERMA model on psychological distress and compliance behavior in patients with type 2 diabetes mellitus (T2DM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study used convenience sampling to enroll 120 patients with type 2 diabetes (T2DM) who were admitted between January and December 2023. Participants were assigned to one of two non-equivalent groups based on their treatment pathways in clinical practice: the intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f60) that received positive psychology interventions based on the PERMA model in addition to standard care, and the control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f60) that received standard care only. After a three-month follow-up period, glycemic control indicators (including Glycosylated Hemoglobin (HbA1c), fasting blood glucose, and 2-h postprandial blood glucose), diabetes-related psychological distress scores, and self-management behavior scale scores were compared between the two cohorts.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>\n                      Compared to the control group, the intervention group demonstrated significantly greater improvements in HbA1c (7.16\u202f\u00b1\u202f0.59), fasting blood glucose (5.53\u202f\u00b1\u202f0.72), and 2-h postprandial blood glucose (8.26\u202f\u00b1\u202f0.94) (all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). Additionally, the intervention group showed significantly lower scores for diabetes-related psychological distress and significantly higher scores across all dimensions of self-management behaviors (all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The PERMA model-based positive psychology intervention effectively alleviates psychological distress, enhances self-management capabilities, and improves glycemic control in patients with T2DM. It represents a valuable adjunctive approach to standard diabetes care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1808234","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T04:17:28Z","timestamp":1777954648000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between exposure to a PERMA model-based positive psychology intervention and levels of psychological distress and compliance behaviors in patients with type 2 diabetes mellitus: a quasi-experimental study"],"prefix":"10.3389","volume":"17","author":[{"given":"Tao","family":"Zeng","sequence":"first","affiliation":[{"name":"Endocrinology Department, Renmin Hospital of Wuhan University","place":["Wuhan, Hubei, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Endocrinology Department, Renmin Hospital of Wuhan University","place":["Wuhan, Hubei, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wanjun","family":"Ding","sequence":"additional","affiliation":[{"name":"Oncology Department, Renmin Hospital of Wuhan University","place":["Wuhan, Hubei, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Wen","sequence":"additional","affiliation":[{"name":"Nursing Department, Renmin Hospital of Wuhan University","place":["Wuhan, Hubei, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1186\/s12888-023-04546-w","article-title":"Cognitive behavior therapy for diabetes distress, depression, health anxiety, quality of life and treatment adherence among patients with type-II diabetes mellitus: a randomized control trial","volume":"23","author":"Abbas","year":"2023","journal-title":"BMC Psychiatry"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e54370","DOI":"10.2196\/54370","article-title":"Implementation of a technology-enabled diabetes self-management peer coaching intervention for patients with poorly controlled diabetes: quasi-experimental case study","volume":"9","author":"Ar\u00e9valo Avalos","year":"2024","journal-title":"JMIR Diabetes"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1037\/hea0000578","article-title":"Cognitive behavior therapy combined with exercise for adults with chronic diseases: systematic review and meta-analysis","volume":"37","author":"Bernard","year":"2018","journal-title":"Health Psychol."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"7504","DOI":"10.1017\/S0033291723002660","article-title":"A revitalized biopsychosocial model: core theory, research paradigms, and clinical implications","volume":"53","author":"Bolton","year":"2023","journal-title":"Psychol. 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