Cognitive Behavior Therapy for Depression in Type 2 Diabetes Mellitus

作者: Patrick J. Lustman

DOI: 10.7326/0003-4819-129-8-199810150-00005

关键词: Randomized controlled trialRandomizationCognitive behavioral therapyDepression (differential diagnoses)Diabetes mellitusType 2 diabetesType 2 Diabetes MellitusGlycemicMedicinePsychiatryInternal medicineGeneral Medicine

摘要: Results: The percentage of patients achieving remission depression (Beck Depression Inventory score < 9) was greater in the CBT group than control group: posttreatment 85.0% (17 20) compared with 27.3% controls (6 22) achieved remis­ sion (difference, 57.7 points [95% Cl# 33 to 82 points]) (P 0.001); at follow-up f 70.0% (14 33.3% (7 21) 36.7 [CI, 9 65 = 0.03). Post-treatment glycosylated hemoglobin levels were not different two groups, but mean gly­ cosylated significantly better (9.5% 10.9%; P Conclusions: combination and supportive diabetes education is an effective nonpharmacologic treatment for major type 2 diabetes. It may also be associated improved glycemic control.

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