کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5046076 1475900 2017 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A systematic review and meta-analysis of randomized controlled trials of cognitive behavior therapy for patients with diabetes and depression
ترجمه فارسی عنوان
یک بررسی سیستماتیک و متاآنالیز آزمایشهای کنترل شده تصادفی درمان رفتاری شناختی در بیماران مبتلا به دیابت و افسردگی
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی روانپزشکی بیولوژیکی
چکیده انگلیسی


- A meta-analysis about the effectiveness of cognitive behavior therapy (CBT) for diabetes patients with comorbid depression.
- The beneficial effects of CBT were observed on depression, fasting glucose, quality of life and anxiety.
- No effects of CBT were observed on glycemic control and diabetes-related distress.
- Future studies are needed to analyze additional aspects that may be associated with more favorable treatment responses.

ObjectiveThe aim of this meta-analysis was to systematically examine the efficacy of cognitive behavior therapy (CBT) for diabetic patients who have comorbid depression and to identify which aspects can be improved through intervention.MethodsA systematic literature review was performed using multiple databases. The inclusion criteria included randomized controlled trials (RCTs) of CBT that were conducted with diabetes patients with clinically relevant depression. Review Manager version 5.3 was used to obtain pooled results.ResultsTen RCTs, with a total sample size of 998 participants, met the inclusion criteria. Compared with control groups, the CBT groups had statistically significant, long-term improvements in depression (standardized mean differences [SMD] = − 0.65, 95% confidence interval [CI] (− 0.98 to − 0.31), P = 0.0002), quality of life (SMD = 0.29, 95%CI (0.08 to 0.51), P = 0.007), fasting glucose (SMD = 0.21, 95%CI (0.04 to 0.37), P = 0.01) and anxiety (SMD = − 0.49, 95%CI (− 0.88 to − 0.10), P = 0.01). No improvements were found in glycemic control or in diabetes-related distress.ConclusionsThe results of this meta-analysis showed that CBT can be effective in reducing depression symptoms and fasting glucose in diabetes patients with comorbid depression as well as in improving quality of life and anxiety in the long-term. The results showed that CBT can serve as a promising treatment alternative for diabetes patients with comorbid depression.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Psychosomatic Research - Volume 95, April 2017, Pages 44-54
نویسندگان
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