Comparative Efficacy of Interventions for Depression in Diabetic Patients: Assessing Effects on Depressive Symptoms and Diabetes Management
Keywords:
diabetes, depression, interventions, efficacy, comparative analysis, managementAbstract
This study aims to assess and evaluate the efficacy of three number one interventions—cognitive therapy, remedy, and preferred diabetes care—focused on coexisting despair amongst individuals with diabetes. Focusing on key goals, the studies assesses their effect on depressive signs and diabetes control parameters on this population. Through a randomized managed trial regarding diabetic patients experiencing concurrent depression, the observe examines the relative effectiveness of cognitive remedy, medicinal drug, and widespread diabetes care in decreasing depressive signs and symptoms. Additionally, it investigates how these interventions have an impact on important elements of diabetes control, which include glycemic control, medication adherence, and way of life adjustments. The consequences will provide valuable insights into the comparative efficacy of these interventions, shedding mild on their respective abilties to alleviate depressive symptoms even as concurrently improving diabetes control. This research holds the capacity to inform clinicians and healthcare vendors approximately the most effective strategies for enhancing average nicely-being and treatment effects among diabetic sufferers grappling with depression.
References
Alcubierre, N., Rubinat, E., Traveset, A., Martinez-Alonso, M., Hernandez, M., Jurjo, C., & Mauricio, D. (2014). A prospective cross-sectional study on quality of life and treatment satisfaction in type 2 diabetic patients with retinopathy without other major late diabetic complications. Health and Quality of Life Outcomes, 12(1). https://doi.org/10.1186/s12955-014-0131-2
American Diabetes Association. (2013). Standards of medical care in diabetes--2014. Diabetes Care, 37(Supplement_1), S14–S80. https://doi.org/10.2337/dc14-s014
Egede, L. E., & Ellis, C. (2010). Diabetes and depression: Global perspectives. Diabetes Research and Clinical Practice, 87(3), 302–312. https://doi.org/10.1016/j.diabres.2010.01.024
Kowalski, A. J., Poongothai, S., Chwastiak, L., Hutcheson, M., Tandon, N., Khadgawat, R., Sridhar, G. R., Aravind, S. R., Sosale, B., Anjana, R. M., Rao, D., Sagar, R., Mehta, N., Narayan, K. M. V., Unutzer, J., Katon, W., Mohan, V., & Ali, M. K. (2017). The INtegrating DEPrEssioN and Diabetes treatmENT (INDEPENDENT) study: Design and methods to address mental healthcare gaps in India. Contemporary Clinical Trials, 60, 113–124. https://doi.org/10.1016/j.cct.2017.06.013
Li, C., Xu, D., Hu, M., Tan, Y., Zhang, P., Li, G., & Chen, L. (2017). A systematic review and meta-analysis of randomized controlled trials of cognitive behavior therapy for patients with diabetes and depression. Journal of Psychosomatic Research, 95, 44–54. https://doi.org/10.1016/j.jpsychores.2017.02.006
Longo, M., Bellastella, G., Maiorino, M. I., Meier, J. J., Esposito, K., & Giugliano, D. (2019). Diabetes and Aging: From Treatment Goals to Pharmacologic Therapy. Frontiers in Endocrinology, 10. https://doi.org/10.3389/fendo.2019.00045
Petrak, F., Baumeister, H., Skinner, T. C., Brown, A., & Holt, R. I. G. (2015). Depression and diabetes: treatment and health-care delivery. The Lancet Diabetes & Endocrinology, 3(6), 472–485. https://doi.org/10.1016/s2213-8587(15)00045-5
Petrak, F., Herpertz, S., Albus, C., Hermanns, N., Hiemke, C., Hiller, W., Kronfeld, K., Kruse, J., Kulzer, B., Ruckes, C., & Müller, M. J. (2013). Study protocol of the Diabetes and Depression Study (DAD): a multi-center randomized controlled trial to compare the efficacy of a diabetes-specific cognitive behavioral group therapy versus sertraline in patients with major depression and poorly controlled diabetes mellitus. BMC Psychiatry, 13(1). https://doi.org/10.1186/1471-244x-13-206
Pouwer, F., Schram, M. T., Iversen, M. M., Nouwen, A., & Holt, R. I. G. (2020). How 25 years of psychosocial research has contributed to a better understanding of the links between depression and diabetes. Diabetic Medicine. https://doi.org/10.1111/dme.14227
Rustad, J. K., Musselman, D. L., & Nemeroff, C. B. (2011). The relationship of depression and diabetes: Pathophysiological and treatment implications. Psychoneuroendocrinology, 36(9), 1276–1286. https://doi.org/10.1016/j.psyneuen.2011.03.005
Tareen, R. S., & Tareen, K. (2017). Psychosocial aspects of diabetes management: dilemma of diabetes distress. Translational Pediatrics, 6(4), 383–396. https://doi.org/10.21037/tp.2017.10.04
Tovote, K. A., Fleer, J., Snippe, E., Peeters, A. C. T. M., Emmelkamp, P. M. G., Sanderman, R., Links, T. P., & Schroevers, M. J. (2014). Individual Mindfulness-Based Cognitive Therapy and Cognitive Behavior Therapy for Treating Depressive Symptoms in Patients With Diabetes: Results of a Randomized Controlled Trial. Diabetes Care, 37(9), 2427–2434. https://doi.org/10.2337/dc13-2918
van der Feltz-Cornelis, C. M., Nuyen, J., Stoop, C., Chan, J., Jacobson, A. M., Katon, W., Snoek, F., & Sartorius, N. (2010). Effect of interventions for major depressive disorder and significant depressive symptoms in patients with diabetes mellitus: a systematic review and meta-analysis. General Hospital Psychiatry, 32(4), 380–395. https://doi.org/10.1016/j.genhosppsych.2010.03.011
Young, R. K., Mooppil, N., Khoo, E. Y., Newman, S. P., Lee, V. Y., Kang, A. W., & Griva, K. (2017). Prevalence and determinants of anxiety and depression in end stage renal disease (ESRD). A comparison between ESRD patients with and without coexisting diabetes mellitus. Journal of Psychosomatic Research, 94, 68–72. https://doi.org/10.1016/j.jpsychores.2017.01.009
Zabell, V., Rønne, S. T., Høgsgaard, D., Jørgensen, R., Gæde, P. H., & Arnfred, S. M. (2021). Interventions involving own treatment choice for people living with coexisting severe mental illness and type 1 or 2 diabetes: A scoping review. Diabetic Medicine, 38(9). https://doi.org/10.1111/dme.14626
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