Cognitive behavioural therapy for adherence and sub-clinical depression in type 2 diabetes: a randomised controlled trial (abridged secondary publication)
A Au1, H Nan2, R Sum3, F Ng4, A Kwong5, S Wong6
1 Department of Applied Social Sciences, The Hong Kong Polytechnic University
2 Department of Endocrinology, Longhua District Maternal and Child Healthcare Hospital, Shenzhen
3 School of Optometry, The Hong Kong Polytechnic University
4 Richmond Fellowship of Hong Kong
5 Department of Family Medicine and Primary Healthcare, Hong Kong West Cluster, Hospital Authority
6 JC School of Public Health and Primary Care, The Chinese University of Hong Kong
Cognitive-behavioural intervention for both adherence and depression significantly reduced depressed symptoms and diabetes mellitus (DM)–related distress as well as significantly increased glycaemic control and self-care. Higher effect sizes were observed for DM-specific measures with reference to glycaemic control, adherence, and DMrelated distress. The significance of distress and the possibility of reducing it highlighted the importance of managing emotions in diabetes care.