RT Journal Article
T1 Internet-based cognitive-behavioral therapy is effective in reducing depressive symptomatology in type 1 diabetes: results of a randomized controlled trial
A1 Carreira-Soler, Mónica
A1 Ruiz de Adana Navas, María Soledad
A1 Pinzon-Martín, José Luis
A1 Anarte-Ortiz, María Teresa
A2 Hermanns, Norbert
K1 Diabéticos - Aspectos psicológicos
K1 Depresión mental
AB Objective: Depression in people with diabetes is associated with poorer health outcomes. Although web programs integrating cognitive-behavioral therapy with diabetes education have shown good results, no similar approach has been implemented in Spain. This aim of this study was to administer an Internet-based cognitive-behavioral therapy program (CBT) for the treatment of mild-moderate depressive symptomatology in individuals with type 1 diabetes (WEB_TDDI1 study) and evaluate the efficacy of this program.Research design and methods: A pre-post randomized controlled study was conducted. The sample comprised 65 people with type 1 diabetes and mild-moderate depressive symptoms: 35 treatment group (TG) and 30 control group (CG). The following effects of the nine-session program were analyzed: depression (Beck Depression Inventory Fast Screen, BDI-FS), metabolic variables (glycosilated hemoglobin, HbA1c), and other psychological variables including anxiety (State Trait Anxiety Inventory, STAI), fear of hypoglycemia (Fear of Hypoglycemia Questionnaire, FH-15), distress (Diabetes Distress Questionnaire (DDS), quality of life (Diabetes Quality of Life Questionnaire, DQOL),and treatment adherence (Diabetes Self-Care Inventory-Revised questionnaire, SCI-R).Results: At the end of the treatment program, only 28 people were evaluated (TG=8; CG=20). However, a significant reduction was found in both groups in BDI-FS and STAI-T scores, which was significantly greater in the TG. Significant improvements were also found in the TG in DQOL, FH-15, DDS and SCI-R scores. The percentage change in these variables was also statistically significant in the TG versus the CG. However, no significant results were found in HbA1c.
PB Frontiers Media
YR 2023
FD 2023
LK https://hdl.handle.net/10630/37258
UL https://hdl.handle.net/10630/37258
LA eng
NO Carreira M, Ruiz de Adana MS, Pinzón JL and Anarte-Ortiz MT (2023) Internet-based cognitive-behavioral therapy is effective in reducing depressive symptomatology in type 1 diabetes: results of a randomized controlled trial. Front. Clin. Diabetes Healthc. 4:1209236. doi: 10.3389/fcdhc.2023.1209236
NO The University of Málaga contributed to the financing of this study through its Own Plan with two projects, providing material means for the design of the new treatment website for depression in people with type 1 diabetes (Proyecto Puente of the University of Málaga: Development of a telematic application for the treatment of depression in type 1 diabetes) and development of the same (Proyecto Puente B.5 of the University of Málaga: Evaluation of the effectiveness of a new telematic program for the treatment of depression in patients with type 1 diabetes) as well as personnel (postdoctoral contract). This study was also financed within the framework of the FEDER Andalusia Program 2014-2020 (Reference: UMA20-FEDERJA008).
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 20 ene 2026