A psychoeducational intervention (SWEEP) for depressed women with diabetes.
A psychoeducational intervention (SWEEP) for depressed women with diabetes.
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DOI：
10.1007/s12160-012-9377-2
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发表时间：
2012-10
影响因子：
3.8
通讯作者：
Lustman, Patrick
中科院分区：
文献类型：
--
作者：
Penckofer, Sue M.;Ferrans, Carol;Mumby, Patricia;Byrn, Mary;Emanuele, Mary Ann;Harrison, Patrick R.;Durazo-Arvizu, Ramon A.;Lustman, Patrick
临床上有显著抑郁症状的2型糖尿病患者占25%，女性患抑郁症的风险翻倍。为了检验女性情绪和心理教育评估研究（SWEEP）的有效性，基于认知行为治疗原则对女性2型糖尿病患者进行了抑郁症治疗的团体治疗。抑郁症状明显升高的女性（流行病学研究中心抑郁量表≥16）被随机分配到SWEEP组（n=38）或常规治疗组（n= 36）。多水平模型显示，SWEEP在减少抑郁（平均差值为-15比-7，p< 0.01）、减少特质焦虑（平均差值为-15比-5，p< 0.01）和改善愤怒表达（平均差值为-12比-5，p< 0.05）方面比UC更有效。虽然SWEEP和UC在空腹血糖（平均差值为-24 vs -1 mg/dl）和HbA1c（平均差值为-0.4 vs - 0.1%）方面有改善，但两组之间没有统计学上的显著差异。在治疗2型糖尿病女性抑郁症方面，SWEEP比UC更有效。抑郁症团体治疗的加入，有意义地扩展了女性糖尿病患者循证治疗选择的范围。
Clinically significant depression is present in 25 % of individuals with type 2 diabetes, its risk being doubled in women. To examine the effectiveness of the Study of Women's Emotions and Evaluation of a Psychoeducational (SWEEP), a group therapy for depression treatment based on cognitive behavioral therapy principles that was developed for women with type 2 diabetes was conducted. Women with significantly elevated depression symptoms (Center for Epidemiologic Studies Depression Scale ≥16) were randomized to SWEEP (n=38) or usual care (UC, n=36). Multilevel modeling indicated that SWEEP was more effective than UC in reducing depression (mean difference of –15 vs. –7, p<.01), decreasing trait anxiety (mean difference of –15 vs. –5, p<.01), and improving anger expression (mean difference of –12 vs. –5, p<.05). Although SWEEP and UC had improvements in fasting glucose (mean difference of –24 vs. –1 mg/dl) and HbA1c (mean difference of –0.4 vs. –0.1 %), there were no statistically significant differences between groups. SWEEP was more effective than UC for treating depressed women with type 2 diabetes. Addition of group therapy for depression meaningfully expands the armamentarium of evidence-based treatment options for women with diabetes.
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影响因子：
5.7
作者：
Epstein, Ronald M.;Duberstein, Paul R.;Paterniti, Debora A.
通讯作者：
Paterniti, Debora A.
影响因子：
7
作者：
Egede, Leonard E.
通讯作者：
Egede, Leonard E.
DOI：
10.2190/klgd-4h8d-4ryl-twq8
发表时间：
2002-01-01
影响因子：
2
作者：
Anderson, RJ;Grigsby, AB;Lustman, PJ
通讯作者：
Lustman, PJ
影响因子：
4.2
作者：
Abraham, Charles;Michie, Susan
通讯作者：
Michie, Susan
影响因子：
22.8
作者：
Cowan, Marie J.;Freedland, Kenneth E.;Czajkowski, Susan M.
通讯作者：
Czajkowski, Susan M.