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Cognitive Behavioral Therapy for Adherence and Depression (CBT-AD) in Type 2 Diabetes
Jeffrey S Gonzalez1, Lauren A McCarl, Deborah D Wexler D
1Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY ; Diabetes Research Center, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY.
None:
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.
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