Effect of group cognitive behavioural therapy on psychological stress and blood glucose in people with type 2 diabetes mellitus: A community‐based cluster randomized controlled trial in China

Objective To assess whether group cognitive behavioural therapy (GCBT) delivered by general practitioners reduces anxiety and depression and improves glycaemic levels in adults with type 2 diabetes mellitus. Methods We conducted a community‐based cluster randomized controlled trial in adults with ty...

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Bibliographic Details
Published in:Diabetic medicine 2021-02, Vol.38 (2), p.e14491-n/a
Main Authors: Xu, Chunrong, Dong, Zongmei, Zhang, Pan, Chang, Guiqiu, Xiang, Quanyong, Zhang, Ming, Zhou, Jinyi, Qiao, Cheng, Yang, Qing, Qin, Yu, Lou, Peian
Format: Article
Language:English
Subjects:
Aged
Anxiety
Anxiety - psychology
Anxiety - therapy
Anxiety disorders
Behavior modification
China
Clinical trials
cluster randomized controlled trial
Cognitive ability
Cognitive behavioral therapy
Cognitive Behavioral Therapy - methods
cognitive behavioural therapy
Cognitive therapy
depression
Depression - psychology
Depression - therapy
Diabetes
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - metabolism
Diabetes Mellitus, Type 2 - psychology
Female
general practitioner
General Practitioners
Glycated Hemoglobin A - metabolism
Hemoglobin
Humans
Intervention
Linear Models
Male
Mental depression
Middle Aged
Patient Health Questionnaire
Psychotherapy, Group - methods
Questionnaires
Stress, Psychological - psychology
Stress, Psychological - therapy
Treatment Outcome
type 2 diabetes
usual care
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Summary:Objective To assess whether group cognitive behavioural therapy (GCBT) delivered by general practitioners reduces anxiety and depression and improves glycaemic levels in adults with type 2 diabetes mellitus. Methods We conducted a community‐based cluster randomized controlled trial in adults with type 2 diabetes mellitus from 48 communities in China. Participants received either GCBT plus usual care (UC) or UC only. General practitioners were trained in GCBT before intervention in the intervention group. The primary outcome was glycated haemoglobin (HbA1c) concentration. Outcome data were collected from all participants at baseline, 2 months, 6 months and 1 year. The secondary outcomes were depression (Patient Health Questionnaire‐9; PHQ‐9) and anxiety (General Anxiety Disorder questionnaire; GAD‐7). Results The GCBT group showed greater improvement in GAD‐7 and PHQ‐9 scores, respectively, than the UC group after 2 months post‐baseline (T = −6.46, p 
ISSN:0742-3071
1464-5491
DOI:10.1111/dme.14491