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The efficacy of cognitive behavioral therapy-based intervention on patients with diabetes: A meta-analysis

Yanni Li1, Eric A Storch2, Samantha Ferguson1

  • 1School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland Q422, Australia.

Diabetes Research and Clinical Practice
|June 19, 2022
PubMed

Insights

Cognitive Behavioral Therapy (CBT) effectively manages diabetes by reducing HbA1c, fasting blood glucose, and blood pressure. CBT also alleviates depression and anxiety symptoms, improving sleep quality in patients.

Area of Science:

  • Endocrinology
  • Psychiatry
  • Behavioral Science

Background:

  • Diabetes mellitus is a chronic metabolic disorder requiring comprehensive management strategies.
  • Psychological factors significantly impact diabetes control and patient outcomes.
  • Cognitive Behavioral Therapy (CBT) has emerged as a potential intervention for improving diabetes management.

Purpose of the Study:

  • To conduct a meta-analysis of randomized controlled trials (RCTs) to update the evidence on the efficacy of CBT for diabetes.
  • To evaluate the impact of CBT on glycemic control, blood pressure, and psychological well-being in individuals with diabetes.

Main Methods:

  • A systematic literature search was performed across five databases to identify relevant RCTs.
  • Primary outcomes included glycated hemoglobin (HbA1c), fasting blood glucose (FBS), systolic blood pressure (SBP), diastolic blood pressure (DBP), and body mass index (BMI).
  • Secondary outcomes encompassed depression, anxiety, distress symptoms, quality of life, and sleep quality.

Main Results:

  • Thirty-two RCTs were included in this meta-analysis.
  • CBT significantly reduced HbA1c (-0.14%), FBS (-15.48 mg/dl), and DBP (-2.88 mmHg).
  • CBT also led to significant reductions in depression (-0.90) and anxiety (-0.28) symptoms and improved sleep quality (-0.92).

Conclusions:

  • Cognitive Behavioral Therapy is an effective treatment for diabetes patients.
  • CBT demonstrates significant benefits in improving glycemic control, reducing blood pressure, and alleviating psychological distress.
  • The findings support the integration of CBT into comprehensive diabetes care plans.
Abstract

Keywords:
Cognitive behavioral therapyDiabetesPhysiological factorsPsychological factorsQuality of life

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