The evaluation of cognitive-behavioral therapy-based intervention on type 2 diabetes patients with comorbid metabolic syndrome: a randomized controlled trial

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Abstract

Background

Cognitive behavior therapy (CBT) has been applied in intervention research in diabetes patients with satisfying results. However, there was no research on type 2 diabetes (T2DM) patients with comorbidities. This study aimed to investigate the effectiveness of CBT on psychological variables, behavior variables, quality of life, sleep quality, and physical variables among adult T2DM patients with comorbid metabolic syndrome (MS).

Methods

281 patients aged 18–75 years were recruited from Ningbo First Hospital in China from October 2021 to March 2022. Patients were randomized to the intervention group (IG, N = 148) or control group (CG, N = 133). Patients in the IG received 12 CBT-based sessions during a six-month intervention time. Patients in the CG received the usual care only. Univariate General Linear Model was used to analyze the effect of CBT-based interventions. The analysis was conducted by SPSS Version 28.

Results

Results indicated that CBT-based intervention was superior in the following aspects: relieving depression symptoms: IG (4.11 ± 4.35 vs. 1.99 ± 2.12), CG (3.40 ± 3.26 vs. 2.32 ± 1.88), interaction effect (F = 4.074, P = 0.044); enhancing diabetes self-care behaviors: IG (26.79 ± 12.18 vs. 37.49 ± 10.83), CG (25.82 ± 13.71 vs. 31.96 ± 11.72), interaction effect (F = 5.242, P = 0.022); promoting the efficacy of CBT: IG (47.45 ± 6.83 vs. 50.76 ± 4.98), CG (46.74 ± 6.94 vs. 47.87 ± 5.11), interaction effect (F = 5.198, P = 0.023); improving subjective sleep quality: IG (0.93 ± 0.68 vs. 0.69 ± 0.63), CG (1.03 ± 0.72 vs. 1.01 ± 0.68), interaction effect (F = 3.927, P = 0.048).

Conclusions

The CBT-based intervention was beneficial in improving depression symptoms, diabetes self-care behaviors, the efficacy of CBT, and sleep quality in T2DM patients with comorbid MS. The downtrend of body mass index, systolic blood pressure, diastolic pressure, and glycated hemoglobin was larger in the intervention group but not to a significant level.

Trial registration: This study has been prospectively registered at Australia New Zealand Clinical Trials Registry (Registration ID: ACTRN12621001348842 website: https://www.anzctr.org.au/trial/MyTrial.aspx).

Supplementary Information

The online version contains supplementary material available at 10.1186/s13098-023-01100-2.

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Author and article information

Contributors

Li Li: lilyningbo@163.com

Jing Sun: j.sun@griffith.edu.au

Journal

Journal ID (nlm-ta): Diabetol Metab Syndr

Journal ID (iso-abbrev): Diabetol Metab Syndr

Title: Diabetology & Metabolic Syndrome

Publisher: BioMed Central (London )

ISSN (Electronic): 1758-5996

Publication date (Electronic): 17 July 2023

Publication date PMC-release: 17 July 2023

Publication date Collection: 2023

Volume: 15

Electronic Location Identifier: 158

Affiliations

[1 ]GRID grid.416271.7, ISNI 0000 0004 0639 0580, Department of Endocrinology and Metabolism, , Ningbo First Hospital, ; Ningbo, 315010 Zhejiang Province China

[2 ]GRID grid.1022.1, ISNI 0000 0004 0437 5432, School of Medicine and Dentistry, , Griffith University, ; Gold Coast, QLD Q4222 Australia

[3 ]GRID grid.1022.1, ISNI 0000 0004 0437 5432, Griffith Health, Griffith University, ; Gold Coast, QLD Australia

[4 ]GRID grid.1022.1, ISNI 0000 0004 0437 5432, Institute for Integrated Intelligence and Systems, , Griffith University, ; Gold Coast, QLD Australia

[5 ]GRID grid.1024.7, ISNI 0000000089150953, School of Mechanical, Medical & Process Engineering, , Queensland University of Technology, ; Brisbane, QLD Australia

[6 ]GRID grid.415306.5, ISNI 0000 0000 9983 6924, Neuroendocrinology Group, Garvan Institute of Medical Research, Faculty of Medicine and Health, , University of New South Wales, ; 384 Victoria St, Darlinghurst, Australia

[7 ]GRID grid.1022.1, ISNI 0000 0004 0437 5432, Menzies Health Institute Queensland, Griffith University, ; Gold Coast, Australia

Article

Publisher ID: 1100

DOI: 10.1186/s13098-023-01100-2

PMC ID: 10351126

PubMed ID: 37461057

SO-VID: ae844e51-8a98-4d89-8a70-fcaec90bc10b

License:

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 1 March 2023

Date accepted : 27 May 2023

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ScienceOpen disciplines: Nutrition & Dietetics

Keywords: type 2 diabetes,metabolic syndrome,cognitive behavior therapy,health outcomes

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ScienceOpen disciplines: Nutrition & Dietetics

Keywords: type 2 diabetes, metabolic syndrome, cognitive behavior therapy, health outcomes

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The Effectiveness of Cognitive Behavioral Therapy-Based Intervention on Improving Sleep-Related Outcomes for People with Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Authors: Hongjuan Wang, Rongzhi Li, Lin Ge …

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The evaluation of cognitive-behavioral therapy-based intervention on type 2 diabetes patients with comorbid metabolic syndrome: a randomized controlled trial

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Abstract

Background

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Supplementary Information

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Karger: Nutrition and Dietetics

Most cited references 60

A brief measure for assessing generalized anxiety disorder: the GAD-7.

The PHQ-9: validity of a brief depression severity measure.

The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research

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