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The 6-month effectiveness of Internet-based guided self-help for depression in adults with type 1 and 2 diabetes mellitus
- Source :
- Ebert, D D, Nobis, S, Lehr, D, Baumeister, H, Riper, H, Auerbach, R P, Snoek, F, Cuijpers, P & Berking, M 2017, ' The 6-month effectiveness of Internet-based guided self-help for depression in adults with Type 1 and 2 diabetes mellitus ', Diabetic Medicine, vol. 34, no. 1, pp. 99-107 . https://doi.org/10.1111/dme.13173, Ebert, D D, Nobis, S, Lehr, D, Baumeister, H, Riper, H, Auerbach, R, Snoek, F J, Cuijpers, P & Berking, M 2017, ' The 6-month effectiveness of Internet-based guided self-help for depression in adults with type 1 and 2 diabetes mellitus. ', Diabetic Medicine, vol. 34, no. 1, pp. 99-107 . https://doi.org/10.1111/dme.13173, Diabetic Medicine, 34(1), 99-107. Wiley-Blackwell, Diabetic Medicine, 34(1), 99-107. Wiley-Blackwell Publishing, Ebert, D D, Nobis, S, Lehr, D, Baumeister, H, Riper, H, Auerbach, R P, Snoek, F J, Cuijpers, P & Berking, M 2017, ' The 6-month effectiveness of Internet-based guided self-help for depression in adults with Type 1 and 2 diabetes mellitus ', Diabetic Medicine, vol. 34, no. 1, pp. 99–107 . https://doi.org/10.1111/dme.13173, Diabetic medicine, 34(1), 99-107. Wiley-Blackwell, Ebert, D D, Nobis, S, Lehr, D, Baumeister, H, Riper, H, Auerbach, R P, Snoek, F J, Cuijpers, P & Berking, M 2017, ' The 6-month effectiveness of Internet-based guided self-help for depression in adults with Type 1 and 2 diabetes mellitus ' Diabetic Medicine, vol 34, no. 1, pp. 99–107 . DOI: 10.1111/dme.13173
- Publication Year :
- 2017
- Publisher :
- Wiley-Blackwell Publishing, 2017.
-
Abstract
- Aim: The aim of this research is to examine the 6-month effects of an Internet-based guided self-help intervention for comorbid depressive symptoms in people with diabetes. Methods: Participants (n = 260) with Type 1 or 2 diabetes and elevated depressive symptoms [Center for Epidemiological Studies Depression Scale (CES-D) ≥ 23] were randomly assigned to a guided Internet-based self-help intervention or a control condition (treatment as usual + online psychoeducation about depression). The primary outcome was a change in depressive symptom severity (CES-D) from baseline to 6-month follow-up. The secondary outcomes included numbers of people achieving treatment response (reliable change of depressive symptoms) and remission (CES-D ≤ 16), as well as the effects on glycaemic control, diabetes-related emotional distress and diabetes acceptance. Repeated measures analysis of variance examined between-group differences using intent-to-treat principles. Results: Both conditions showed improvements in depression severity: intervention condition, d = 1.48 [95% confidence interval (95% CI): 1.21 to 1.76]; control condition d = 0.55 (95% CI: 0.30 to 0.80). Changes were significantly greater in the intervention condition with a large between-group effect size (d = 0.83, 95% CI: 0.57 to 1.08). Accordingly, effects on response [relative risk (RR) = 2.60 (95% CI: 2.01 to 3.36), P < 0.001] and remission [RR = 3.36 (95% CI: 2.98 to 5.44), P < 0.001] were in favour of the intervention group, as were differences in change in diabetes emotional distress (d = 0.50, 95% CI: 0.04 to 0.54), and physical and mental functioning [Short Form Health Survey (SF-12) Physical d = 0.27 (95% CI: 0.01 to 0.51) and SF-12 Mental d = 0.68 (95% CI: 0.11 to 0.40)]. The intervention group was not superior with regard to glycaemic control, diabetes self-management and diabetes acceptance. Conclusions: The trial indicates that Internet-based guided self-help treatments for depression in people with diabetes can have sustained effects on depressive symptoms, well-being and emotional distress associated with diabetes.
- Subjects :
- Male
Health Knowledge, Attitudes, Practice
Endocrinology, Diabetes and Metabolism
medicine.medical_treatment
Severity of Illness Index
law.invention
0302 clinical medicine
Endocrinology
Randomized controlled trial
law
Behavior Therapy
Germany
Psychology
030212 general & internal medicine
Depression (differential diagnoses)
Problem Solving
Depression
Middle Aged
Intention to Treat Analysis
Female
medicine.medical_specialty
Patient Dropouts
03 medical and health sciences
Patient Education as Topic
SDG 3 - Good Health and Well-being
Diabetes mellitus
Internal medicine
Severity of illness
Internal Medicine
medicine
Psychoeducation
Humans
Hypoglycemic Agents
Psychiatric Status Rating Scales
Depressive Disorder, Major
Internet
Intention-to-treat analysis
business.industry
Self-Management
Repeated measures design
medicine.disease
Diabetes Mellitus, Type 1
Diabetes Mellitus, Type 2
Relative risk
Lost to Follow-Up
business
030217 neurology & neurosurgery
Stress, Psychological
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 14645491 and 07423071
- Volume :
- 34
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Diabetic Medicine
- Accession number :
- edsair.doi.dedup.....b5de1b0d54ca2e44935925ab5820cdcf