A psychoeducational intervention (SWEEP) for depressed women with diabetes.
BACKGROUND
Clinically significant depression is present in 25 % of individuals with type 2 diabetes, its risk being doubled in women.


OBJECTIVE
To examine the effectiveness of the Study of Women's Emotions and Evaluation of a Psychoeducational (SWEEP), a group therapy for depression treatment based on cognitive behavioral therapy principles that was developed for women with type 2 diabetes was conducted.


METHODS
Women with significantly elevated depression symptoms (Center for Epidemiologic Studies Depression Scale ≥16) were randomized to SWEEP (n = 38) or usual care (UC, n = 36).


RESULTS
Multilevel modeling indicated that SWEEP was more effective than UC in reducing depression (mean difference of -15 vs. -7, p < .01), decreasing trait anxiety (mean difference of -15 vs. -5, p < .01), and improving anger expression (mean difference of -12 vs. -5, p < .05). Although SWEEP and UC had improvements in fasting glucose (mean difference of -24 vs. -1 mg/dl) and HbA1c (mean difference of -0.4 vs. -0.1 %), there were no statistically significant differences between groups.


CONCLUSIONS
SWEEP was more effective than UC for treating depressed women with type 2 diabetes. Addition of group therapy for depression meaningfully expands the armamentarium of evidence-based treatment options for women with diabetes.
School of Nursing, Loyola University Chicago, Maywood, IL, USA. spencko@luc.edu
Sue M
SM
Penckofer
Carol
C
Ferrans
Patricia
P
Mumby
Mary
M
Byrn
Mary Ann
MA
Emanuele
Patrick R
PR
Harrison
Ramon A
RA
Durazo-Arvizu
Patrick
P
Lustman
D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000150:complications / Q000523:psychology / Q000628:therapy*; D003866:Depressive Disorder / Q000150:complications / Q000523:psychology / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008875:Middle Aged; D011615:Psychotherapy, Group / Q000379:methods*; D011788:Quality of Life / Q000523:psychology; D016896:Treatment Outcome