What is the clinical evidence from this study?

Study design: RCT. Population: Type 2 diabetes mellitus with mild to moderate depression and/or anxiety (n=140). Intervention: Diabetes-specific psychological intervention vs. Standard psychological intervention. Primary outcome: Mood (95% CI 0.25-5.06, p=<0.05).

August 29, 2017Behavioural and Cognitive Psychotherapy

Is Cognitive Behavioural Therapy focusing on Depression and Anxiety Effective for People with Long-Term Physical Health Conditions? A Controlled Trial in the Context of Type 2 Diabetes Mellitus

Q: What are the key findings of this study?

A diabetes-specific psychological intervention improved mood and adjustment (95% CI 0.25-5.06; P<0.05), and significantly improved self-management and glycaemic control compared to standard care.

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Key result

A diabetes-specific psychological intervention improved mood and adjustment (95% CI 0.25-5.06; P<0.05), and significantly improved self-management and glycaemic control compared to standard care.

Why the study?

Does a diabetes-specific psychological intervention improve mood and diabetes management in patients with T2DM and depression/anxiety?

Population

140 clients with mild to moderate depression and/or anxiety and a diagnosis of Type 2 Diabetes Mellitus

Comparison

Diabetes-specific psychological group… vs Standard psychological group intervention for…

Authors

AWAbigail L. WroeKing's College London EREdward W. RennieBerkshire Healthcare NHS Foundation Trust SSSarah SollesseBerkshire Healthcare NHS Foundation Trust

Discussion

Member takes

Implication

Integrating disease-specific psychological care yields dual mental and metabolic benefits in T2DM; extends standard.

Study Design

Type

RCT (n=140)

Structured PICO

Does a diabetes-specific psychological intervention improve mood and diabetes management in patients with T2DM and depression/anxiety?

Population

140 clients with type 2 diabetes mellitus and mild to moderate depression and/or anxiety allocated to a diabetes-specific or standard psychological intervention.

Intervention

Diabetes-specific psychological group intervention focusing on depression and anxiety, helping patients link mood with management of T2DM

Comparator

Standard psychological group intervention for depression and anxiety

Outcome

Moodpatient reported

Main Result

p-value: p=<0.05

A modified psychological intervention tailored for diabetes may offer additional benefits in diabetic self-management and glycaemic control compared to standard therapy.

Cite This Study

Wroe et al. (2017) conducted an RCT in Type 2 diabetes mellitus with mild to moderate depression and/or anxiety (n=140). Diabetes-specific psychological intervention vs. Standard psychological intervention was evaluated on Mood (95% CI 0.25-5.06, p=<0.05). A diabetes-specific psychological intervention improved mood and adjustment (95% CI 0.25-5.06; P<0.05), and significantly improved self-management and glycaemic control compared to standard care.

synapsesocial.com/papers/6a81d469b7134f4e3dee2f28 https://doi.org/10.1017/s1352465817000492

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Is Cognitive Behavioural Therapy focusing on Depression and Anxiety Effective for People with Long-Term Physical Health Conditions? A Controlled Trial in the Context of Type 2 Diabetes Mellitus

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Cite This Study

Is Cognitive Behavioural Therapy focusing on Depression and Anxiety Effective for People with Long-Term Physical Health Conditions? A Controlled Trial in the Context of Type 2 Diabetes Mellitus

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Cite This Study

Also Consider

Also Consider