4.3 Review

The effectiveness of cognitive behavioural therapy and third-wave cognitive behavioural interventions on diabetes-related distress: A systematic review and meta-analysis

Journal

DIABETIC MEDICINE
Volume 39, Issue 11, Pages -

Publisher

WILEY
DOI: 10.1111/dme.14948

Keywords

acceptance and commitment therapy; cognitive behavioural therapy; diabetes mellitus; type 1; diabetes mellitus; type 2; mindfulness; psychological distress

Funding

  1. King's College London Department of Psychology

Ask authors/readers for more resources

Diabetes-related distress is common among diabetes patients, and cognitive behavioral therapy (CBT) and third-wave CBT show promise in alleviating this distress and depression, with third-wave CBT also reducing anxiety.
Aim Diabetes-related distress is common in diabetes and has implications for well-being. Cognitive behavioural therapy (CBT) and third-wave CBT hold promise as treatments for diabetes-related distress, although previous findings are inconclusive. We aimed to conduct a systematic review with meta-analysis to understand the efficacy of these interventions in treating diabetes-related distress, while also assessing the associative benefits of these interventions on depression, anxiety and glycaemic control. We also aimed to conduct a narrative synthesis, and subgroup analyses to identify intervention components most useful in treating diabetes-related distress. Method We searched seven electronic databases from inception to April 2021. Data extraction was independently performed by two reviewers. Methodological quality was assessed. The protocol was registered with the Prospective Register Of Systematic Reviews (PROSPERO): CRD42021240628. Results We included 22 randomised controlled trials investigating the efficacy of CBT and third-wave CBT interventions on diabetes-related distress. CBT for diabetes-related distress significantly reduced distress (SMD = -0.278, p = 0.010) and depression (SMD = -0.604, p = 0.016). Third-wave CBT for diabetes-related distress significantly reduced anxiety (SMD = -0.451, p = 0.034). No significant effect of either intervention on glycated haemoglobin was observed. CBT interventions that included a digital component, were delivered by a psychological practitioner, and included behavioural activation bolstered the effects on diabetes-related distress. Conclusions CBT aiming to target diabetes-related distress is beneficial for distress and depression. Third-wave CBT for diabetes-related distress is beneficial for anxiety. More work is needed to optimise interventions to improve both mental and physical health outcomes in people with diabetes.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Oncology

A systematic review of behavioural and exercise interventions for the prevention and management of chemotherapy-induced peripheral neuropathy symptoms

Mary Anne Lagmay Tanay, Jo Armes, Rona Moss-Morris, Anne Marie Rafferty, Glenn Robert

Summary: This study aimed to evaluate the effects of behavioral and exercise interventions on preventing or managing CIPN symptoms. The results showed that exercise interventions have beneficial effects on CIPN symptoms, although higher quality research is needed to confirm this. Behavioral interventions that increase patient's CIPN knowledge and improve self-management capacity can also reduce symptoms.

JOURNAL OF CANCER SURVIVORSHIP (2023)

Letter Psychology, Clinical

PRINCE Secondary: transdiagnostic cognitive behaviour therapy for persistent physical symptoms

Trudie Chalder, Meenal Patel, Kirsty James, Matthew Hotopf, Rona Moss-Morris, Mark Ashworth, Katie Watts, Anthony S. David, Mujtaba Husain

PSYCHOLOGICAL MEDICINE (2023)

Article Nursing

Experiences of a cognitive behavioural therapy (CBT) intervention for fatigue in patients receiving haemodialysis

Frances Waite, Joseph Chilcot, Rona Moss-Morris, Ken Farrington, Federica Picariello

Summary: This study highlights the importance of understanding fatigue and accepting the treatment model for the acceptability and engagement with a cognitive-behavioural therapy-based intervention for fatigue. Overall, there is an indication that such an intervention is acceptable to patients and the mechanisms of change align with the proposed biopsychosocial model of fatigue. However, it needs to be delivered in a way that is appealing and practical to patients, while acknowledging the burdens of illness and treatment.

JOURNAL OF RENAL CARE (2023)

Review Neurosciences

Self-reported symptom burden in postural orthostatic tachycardia syndrome (POTS): A narrative review of observational and interventional studies

Iris Knoop, Federica Picariello, Emma Jenkinson, Nicholas Gall, Claudia Chisari, Rona Moss-Morris

Summary: Postural Orthostatic Tachycardia Syndrome (POTS) is a chronic condition that predominantly affects women of childbearing age and significantly impacts their health and quality of life. This systematic review aimed to understand the symptom burden of POTS and identify factors associated with it for future treatment guidance. The review found that the symptom burden of POTS is higher compared to other long term conditions. Factors such as adrenergic alpha 1 receptor activity, physical functioning, depression, catastrophizing, cognitive stress, and anxiety were significantly associated with symptom burden. Preliminary evidence suggested that compression garments, propranolol, pyridostigmine, desmopressin, and bisoprolol may be promising interventions to reduce symptom burden.

AUTONOMIC NEUROSCIENCE-BASIC & CLINICAL (2023)

Article Psychology, Clinical

The relation between cognitive-behavioural responses to symptoms in patients with long term medical conditions and the outcome of cognitive behavioural therapy for fatigue-A secondary analysis of four RCTs

M. de Gier, F. Picariello, M. Slot, A. Janse, S. Keijmel, J. Menting, M. Worm-Smeitink, H. Beckerman, V. de Groot, R. Moss-Morris, H. Knoop

Summary: This study examined the differences in cognitive and behavioral responses to symptoms between different long-term conditions (LTCs), and the potential moderating and mediating effects of these responses on the effectiveness of cognitive behavioral therapy (CBT) in reducing fatigue. The results showed small to moderate differences in these responses between LTCs, and individuals with certain responses at baseline showed less improvement following CBT, regardless of the specific diagnosis. Additionally, reduction in specific responses mediated the positive effect of CBT on fatigue across different diagnostic groups.

BEHAVIOUR RESEARCH AND THERAPY (2023)

Article Psychology, Clinical

'I don't know which is the chicken and which is the egg': A qualitative study of weight loss-related beliefs and behaviours among adults with psoriasis and comorbid obesity

Neli T. Pavlova, Celeny Ramasawmy, Federica Picariello, Catherine Smith, Rona Moss-Morris

Summary: Most psoriasis patients do not believe there is a connection between obesity and psoriasis. They tend to engage in weight loss programs in order to control the severity of psoriasis and improve symptoms. Emotional discomfort can lead patients to comfort eat as a coping mechanism. Patients are unsatisfied with current generic weight loss recommendations and desire a program that includes emotional and behavioral support.

BRITISH JOURNAL OF HEALTH PSYCHOLOGY (2023)

Article Psychology, Clinical

The Cognitive and Behavioural Responses to Symptoms Questionnaire (CBRQ): Development, reliability and validity across several long-term conditions

Federica Picariello, Joseph Chilcot, Trudie Chalder, David Herdman, Rona Moss-Morris

Summary: This study evaluated the psychometric properties of the Cognitive and Behavioural Responses Questionnaire (CBRQ) and its shortened version in different long-term conditions. The results showed that the CBRQ and the shortened version were reliable and valid at assessing cognitive and behavioral responses to symptoms, highlighting the questionnaire's multi-symptom, transdiagnostic properties. Further research is needed to determine the test-retest reliability, sensitivity to change, and content validity of the items.

BRITISH JOURNAL OF HEALTH PSYCHOLOGY (2023)

Article Psychiatry

The bidirectional effect of stress and functionality in multiple sclerosis and the interaction role of anxiety, coping and social support

Laia Briones-Buixassa, Brenda Montanes-Masias, Raimon Mila-Villaroel, Francesc X. Arrufat, Josep M. Aragones, Sam Norton, Judit Bort-Roig, Rona Moss-Morris

Summary: The present study aimed to analyze the bidirectional hypothesis between stress and multiple sclerosis, considering the interaction role of stress-related psychosocial factors. A one-year follow-up was conducted with 26 participants, and the results confirmed the bidirectional hypothesis with perceived stress and self-reported functionality. Different types of psychological therapies may benefit people with multiple sclerosis in dealing with stress and improving their quality of life.

JOURNAL OF PSYCHOSOMATIC RESEARCH (2023)

Review Psychology, Clinical

Does the effect of cognitive behavior therapy for chronic fatigue syndrome (ME/CFS) vary by patient characteristics? A systematic review and individual patient data meta-analysis

T. A. Kuut, L. M. Buffart, A. M. J. Braamse, I. Csorba, G. Bleijenberg, P. Nieuwkerk, R. Moss-Morris, F. Muller, H. Knoop

Summary: This study examined the effectiveness of cognitive behavior therapy (CBT) for myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS) and found that CBT can significantly reduce fatigue, functional impairment, and physical limitations in patients with ME/CFS. The effectiveness of CBT varied depending on patient characteristics such as age, functional impairment, physical activity pattern, and self-efficacy.

PSYCHOLOGICAL MEDICINE (2023)

Article Psychology, Multidisciplinary

Association Between Optimism and Incident Stroke Among Stroke Survivors: Findings From the English Longitudinal Study of Ageing

Joseph Chilcot, Ruth A. Hackett

Summary: This study found that higher levels of optimism were associated with a reduced risk of stroke. Individuals with more conscientious and open personality types also had a lower risk of stroke. However, the strongest effect was seen for optimism, where optimistic individuals had a lower stroke risk regardless of their clinical risk or health behaviors. It is still unclear why optimism may help reduce the risk of stroke, but the study suggests that optimism may be related to higher levels of physical activity, which in turn helps reduce the risk of stroke. Further research is needed to understand the relationship between personality, health behaviors, and stroke risk reduction.

ANNALS OF BEHAVIORAL MEDICINE (2023)

Article Psychology, Clinical

Exploring the complexities of illness identity and symptom management in seeking a diagnostic label of postural orthostatic tachycardia syndrome (POTS): An inductive approach

Iris Knoop, Stephanie Gu, Shamim Fareghzadeh, Annie S. K. Jones, Nicholas Gall, Rona Moss-Morris

Summary: This study applied Leventhal's Common-Sense Model of Illness Representations to explore the journey to a diagnosis of POTS and to understand its relevance to poorly understood conditions which have common comorbidities. Participants' stories highlighted the urgent need for better recognition of POTS so that the self-regulatory process can be initiated from the early stages of symptom detection.

BRITISH JOURNAL OF HEALTH PSYCHOLOGY (2023)

Review Psychology, Clinical

Acceptance and commitment therapy processes and their association with distress in cancer: a systematic review and meta-analysis

Sophie Fawson, Zoe Moon, Katherine Novogrudsky, Faye Moxham, Katie Forster, Insun Tribe, Rona Moss-Morris, Caroline Johnson, Lyndsay D. Hughes

Summary: This review study found that flexible processes (such as acceptance, present moment awareness, self-compassion) in cancer patients using acceptance and commitment therapy (ACT) were associated with lower distress, while inflexible processes (such as experiential avoidance, cognitive fusion) were associated with higher distress. These findings support ACT theory and provide directions for future intervention development.

HEALTH PSYCHOLOGY REVIEW (2023)

Article Neurosciences

Validation of symptom measures in patients under investigation for postural orthostatic tachycardia syndrome (POTS): The Orthostatic Grading Scale (OGS) and the Symptom Screen for Small-fiber Polyneuropathy (SSS)

Iris Knoop, Annie S. K. Jones, Nicholas Gall, Joseph Chilcot, William Pascoe, Rona Moss-Morris

Summary: This study aims to evaluate the psychometric properties of the OGS and SSS as effective measurement instruments for patients with suspected and confirmed POTS.

AUTONOMIC NEUROSCIENCE-BASIC & CLINICAL (2023)

Article Public, Environmental & Occupational Health

The combined effect of socioeconomic position and C-reactive protein for predicting incident cardiometabolic disease: Findings from a 14-year follow-up study of the English Longitudinal Study of Ageing (ELSA)

Lydia Poole, Antonio I. Lazzarino, Kimberley J. Smith, Ruth A. Hackett

Summary: Cardiovascular disease and diabetes are leading causes of morbidity and mortality worldwide. The combination of low socioeconomic position and elevated C-reactive protein (CRP) has been found to increase the risk of future incident cardiometabolic diseases.

SSM-POPULATION HEALTH (2023)

Article Health Care Sciences & Services

A Novel Digital Self-management Intervention for Symptoms of Fatigue, Pain, and Urgency in Inflammatory Bowel Disease: Describing the Process of Development

Louise Sweeney, Sula Windgassen, Micol Artom, Christine Norton, Sophie Fawson, Rona Moss-Morris

Summary: This paper describes the development process of a supported digital self-management intervention for fatigue, pain, and urgency in inflammatory bowel disease (IBD). The intervention was developed using theory and evidence-based approaches, as well as input from stakeholders. The intervention includes tailored digital pathways for individuals with IBD, as well as website content and functionalities that were refined through patient feedback and qualitative interviews. The final intervention comprises web-based sessions and therapist facilitator support. Feasibility testing showed high acceptability ratings for the intervention.

JMIR FORMATIVE RESEARCH (2022)

No Data Available