Cognitive Behavioral Therapy for Adherence and Depression (CBT-AD) in Type 2 Diabetes
Gonzalez, J. S., Dutra, L. M., Wexler D, D. D., Cagliero, E., Delahanty, L., Soper, T. D., Goldman, V., Knauz, R., & Safren, S. A. (2010). Cognitive Behavioral Therapy for Adherence and Depression (CBT-AD) in Type 2 Diabetes. Journal of Cognitive Psychotherapy: An International Quarterly, 24(4), 329-343. https://doi.org/10.1891/0889-83184.108.40.2069
Depression is one of the most common psychological problems among individuals diabetes, and it 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. Post-treatment, 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.