TY - JOUR
T1 - A psychoeducational intervention (SWEEP) for depressed women with diabetes
AU - Penckofer, Sue M.
AU - Ferrans, Carol
AU - Mumby, Patricia
AU - Byrn, Mary
AU - Emanuele, Mary Ann
AU - Harrison, Patrick R.
AU - Durazo-Arvizu, Ramon A.
AU - Lustman, Patrick
N1 - Funding Information:
Acknowledgments This study was funded by the National Institutes of Health, National Institutes of Health (K-23: NR009420) and Loyola University School of Nursing
PY - 2012/10
Y1 - 2012/10
N2 - Background Clinically significant depression is present in 25 % of individuals with type 2 diabetes, its risk being doubled in women. Purpose To examine the effectiveness of the Study of Women's Emotions and Evaluation of a Psychoeducational (SWEEP), a group therapy for depression treatment based on cognitive behavioral therapy principles that was developed for women with type 2 diabetes was conducted. Methods Women with significantly elevated depression symptoms (Center for Epidemiologic Studies Depression Scale ≥16) were randomized to SWEEP (n038) or usual care (UC, n036). Results Multilevel modeling indicated that SWEEP was more effective than UC in reducing depression (mean difference of -15 vs. -7, p<.01), decreasing trait anxiety (mean difference of -15 vs. -5, p<.01), and improving anger expression (mean difference of -12 vs. -5, p<.05). Although SWEEP and UC had improvements in fasting glucose (mean difference of -24 vs. -1 mg/dl) and HbA1c (mean difference of -0.4 vs. -0.1 %), there were no statistically significant differences between groups. Conclusions SWEEP was more effective than UC for treating depressed women with type 2 diabetes. Addition of group therapy for depression meaningfully expands the armamentarium of evidence-based treatment options for women with diabetes.
AB - Background Clinically significant depression is present in 25 % of individuals with type 2 diabetes, its risk being doubled in women. Purpose To examine the effectiveness of the Study of Women's Emotions and Evaluation of a Psychoeducational (SWEEP), a group therapy for depression treatment based on cognitive behavioral therapy principles that was developed for women with type 2 diabetes was conducted. Methods Women with significantly elevated depression symptoms (Center for Epidemiologic Studies Depression Scale ≥16) were randomized to SWEEP (n038) or usual care (UC, n036). Results Multilevel modeling indicated that SWEEP was more effective than UC in reducing depression (mean difference of -15 vs. -7, p<.01), decreasing trait anxiety (mean difference of -15 vs. -5, p<.01), and improving anger expression (mean difference of -12 vs. -5, p<.05). Although SWEEP and UC had improvements in fasting glucose (mean difference of -24 vs. -1 mg/dl) and HbA1c (mean difference of -0.4 vs. -0.1 %), there were no statistically significant differences between groups. Conclusions SWEEP was more effective than UC for treating depressed women with type 2 diabetes. Addition of group therapy for depression meaningfully expands the armamentarium of evidence-based treatment options for women with diabetes.
KW - Depression
KW - Diabetes
KW - Women
UR - http://www.scopus.com/inward/record.url?scp=84866740107&partnerID=8YFLogxK
U2 - 10.1007/s12160-012-9377-2
DO - 10.1007/s12160-012-9377-2
M3 - Article
C2 - 22777878
AN - SCOPUS:84866740107
SN - 0883-6612
VL - 44
SP - 192
EP - 206
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 2
ER -