title: Cognitive Behavioral Therapy for Adherence and Depression (CBT-AD) in Type 2 Diabetes.
abstract: Depression is one of the most common psychological problems among individuals diabetes, and it is associated with worse treatment adherence and clinical outcomes. As part of a program of treatment research aimed at integrating interventions for depression and treatment nonadherence, five depressed patients with suboptimally controlled type 2 diabetes were treated with 10-12 sessions of individual cognitive behavioral therapy for adherence and depression (CBT-AD) in a case-series design. The intervention was delivered in a hospital setting by a collaborative team consisting of a psychologist, a nurse educator, and a dietitian. Post-treatment, all participants demonstrated a decrease in depression severity and demonstrated improvements in diabetes self-care. Four of the five demonstrated improved glycemic control. These preliminary results provide evidence for the acceptability, feasibility, and potential utility of CBT-AD for patients with type 2 diabetes and depression.
authors.affiliation: Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY ; Diabetes Research Center, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY.
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Gonzalez
authors.forename: Lauren A
authors.initials: LA
authors.lastname: McCarl
authors.forename: Deborah D
authors.initials: DD
authors.lastname: Wexler D
authors.forename: Enrico
authors.initials: E
authors.lastname: Cagliero
authors.forename: Linda
authors.initials: L
authors.lastname: Delahanty
authors.forename: Tiffany D
authors.initials: TD
authors.lastname: Soper
authors.forename: Valerie
authors.initials: V
authors.lastname: Goldman
authors.forename: Robert
authors.initials: R
authors.lastname: Knauz
authors.forename: Steven A
authors.initials: SA
authors.lastname: Safren
keywords: Adherence; CBT; Compliance; Depression; Diabetes