The Effect of Cognitive Behavioral Therapy on Diabetes Distress Score and Glycemic Control in Patients with Type-II Diabetes Mellitus: A Prospective Case-Control Study
CBT Impact on Diabetes Distress and Glycemic Control
DOI:
https://doi.org/10.61919/jhrr.v4i3.1565Keywords:
Type-II Diabetes Mellitus, Cognitive Behavioural Therapy, Diabetes Distress, Glycemic Control, HbA1c, Chronic Illness Management.Abstract
Background: Type-II Diabetes Mellitus (T2DM) is a chronic metabolic disorder associated with insulin resistance and hyperglycemia, leading to significant complications. Diabetes Distress, a psychological stressor, negatively impacts self-management and glycemic control in T2DM patients. Cognitive Behavioral Therapy (CBT) has been recognized for its effectiveness in managing psychological issues but its impact on Diabetes Distress and glycemic control remains under-researched.
Objective: To evaluate the effect of CBT on Diabetes Distress Score and glycemic control (HbA1c) in patients with T2DM.
Methods: This prospective case-control study included 82 patients with T2DM (CBT group = 40, Control group = 42). The CBT group underwent a 10-session structured CBT intervention, while the control group received standard care. Outcomes were assessed at baseline, post-intervention, and 3-month follow-up using Diabetes Distress Scale (DDS) and HbA1c levels. Data were analyzed using repeated measures ANOVA and t-tests.
Results: The CBT group showed a significant reduction in DDS (-0.8 ± 0.4, p < 0.001) compared to the control group (-0.2 ± 0.3, p = 0.078). HbA1c levels decreased significantly in the CBT group (-0.7 ± 0.3, p < 0.01) versus the control group (-0.2 ± 0.2, p = 0.083).
Conclusion: CBT effectively reduces Diabetes Distress and improves glycemic control in T2DM patients, supporting its integration into routine diabetes management.
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Copyright (c) 2024 Maria Younis, Ammar Ahmed butt, Mishal Saleem, Hafsa Ansar, Maham Tariq, Sidra Fazal, Muhammad Farrukh Habib
This work is licensed under a Creative Commons Attribution 4.0 International License.
