Cognitive-Behavioral Therapy for Adherence and Depression (CBT-AD) in Type 2 Diabetes
Cognitive-Behavioral Therapy for Adherence and Depression (CBT-AD) in Type 2 Diabetes
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DOI：
10.1891/0889-8391.24.4.329
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发表时间：
2010-01-01
影响因子：
0.7
通讯作者：
Safren, Steven
中科院分区：
文献类型：
--
作者：
Gonzalez, Jeffrey;McCarl, Lauren;Safren, Steven
抑郁症是糖尿病患者最常见的心理问题之一，与治疗依从性和临床结果较差有关。作为一项旨在整合抑郁症和治疗不依从性干预措施的治疗研究计划的一部分，5名控制不佳的2型糖尿病抑郁症患者接受了10-12次个体认知行为治疗依从性和抑郁症（CBT-AD）的病例系列设计。干预是由一个由心理学家、护士教育家和营养师组成的协作小组在医院环境中进行的。治疗后，所有参与者都表现出抑郁症严重程度的降低，并表现出糖尿病自我护理的改善。5例患者中有4例显示血糖控制改善。这些初步结果为CBT-AD治疗2型糖尿病和抑郁症患者的可接受性、可行性和潜在效用提供了证据。
Depression is one of the most common psychological problems among individuals with diabetes, and is associated with worse treatment adherence and clinical outcomes. As part of a program of treatment research aimed at integrating interventions for depression and treatment nonadherence, five depressed patients with suboptimally controlled type 2 diabetes were treated with 10-12 sessions of individual cognitive-behavioral therapy for adherence and depression (CBT-AD) in a case-series design. The intervention was delivered in a hospital setting by a collaborative team consisting of a psychologist, a nurse educator, and a dietitian. Posttreatment, all participants demonstrated a decrease in depression severity and demonstrated improvements in diabetes self-care. Four of the five demonstrated improved glycemic control. These preliminary results provide evidence for the acceptability, feasibility, and potential utility of CBT-AD for patients with type 2 diabetes and depression.