Purpose of Review

Depression is prevalent and common among individuals living with diabetes. The aim of this review is to systematically assess and meta-analyze the treatment effect of cognitive-behavioral therapy for depression (and other affective outcomes) among patients with diabetes.

Recent Findings

Earlier investigations found both psychosocial and pharmacological interventions, including cognitive-behavioral therapy, were promising in managing depression in patients with diabetes, though these findings remain inclusive due to poor study designs and a small number of trials included, which calls for a comprehensive systematic review and meta-analysis.

Summary

A total of 33 studies (89 effect sizes) reported a moderate and statistically significant treatment effect of cognitive-behavioral therapy for depressive symptoms among individuals with diabetes (d = 0.301, 95% CI 0.115–0.487, p < 0.001). On average, cognitive-behavioral therapy was effective for psychological stress/distress outcomes but not for anxiety or physiological outcomes. The findings of the study confirmed CBT as an effective treatment option for depression among diabetes patients and identified important areas for future research.

中文翻译：

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认知行为疗法对糖尿病患者抑郁症的有效性：系统评价和荟萃分析

审查目的

抑郁症在糖尿病患者中普遍存在。本综述的目的是系统评估和荟萃分析认知行为疗法对糖尿病患者抑郁症（和其他情感结果）的治疗效果。

最近的发现

早期的研究发现，心理社会和药物干预，包括认知行为治疗，在治疗糖尿病患者抑郁症方面都有希望，但由于研究设计不佳和纳入的试验数量较少，这些发现仍然具有包容性，需要进行全面的系统评价和荟萃分析。

概括

共有 33 项研究（89 个效应量）报告了认知行为疗法对糖尿病患者抑郁症状的中等且具有统计学意义的治疗效果（d = 0.301，95 % CI 0.115–0.487，p < 0.001）。平均而言，认知行为疗法对心理压力/苦恼结果有效，但对焦虑或生理结果无效。研究结果证实 CBT 是糖尿病患者抑郁症的有效治疗选择，并确定了未来研究的重要领域。