Assessment Of Cognitive Behavioral Therapy On Depression And Glycemic Control In Patients With Type 2 Diabetes Mellitus Attending Family Medicine Clinic, Suez Canal University Hospital: A Double Blinded Randomized Controlled Trial

Abstract

Introduction: Diabetes is a long-term, progressive condition that affects people physically, socially, and psychologically.  Diabetic patients are more likely to experience mental health issues, which can make self-care more challenging.  By altering the way, they think and act, patients with diabetes may benefit from cognitive behavioral therapy (CBT), which has shown successful in treating a range of psychological conditions. Aim: To enhance the quality of life and health outcomes in diabetic patients experiencing depression.  Objectives: To evaluate the impact of CBT on depressive symptoms and glycaemic regulation in individuals with type 2 diabetes mellitus. Methodology: A randomized controlled trial was done in family medicine clinic, Suez Canal university hospital, on diabetic patient with mild depression to examine the impact of CBT on depression as well as glycaemic control. Sample was randomly allocated into 2 equal groups. The intervention group offered CBT for 10 weeks, and the control group offered usual diabetic education. Depression was assessed through Beck inventory scale, while Glycaemic control was measured through measuring HBA1C pre-treatment, 3 months and 6 months post treatment. Results: depression symptoms were significantly reduced in CBT group compared to usual diabetic education group at 3 months and 6 months post treatment (p <0.001). no significant difference was observed among the two groups regarding the glycaemic control at 3 months and 6 months post intervention (p=0.525, 0.504). pre- post treatment in CBT showed significant improvement in glycaemic control (p<0.001). Pre and post diabetic education revealed significant enhancement in glycaemic control (p<0.001). Conclusion: Cognitive behavioural therapy is beneficial in depressed diabetic patient.