CBT (Cognitive Behavior Therapy) Psychoeducational Intervention On Reducing Diabetes Distress Levels In Patients With Type 2 Diabetes: A Systematic Review
Main Article Content
Rofi Syahrizal
Anna Juwita Puspita Sari
Vina Amelia Tunnikmah Desya Cournia Sari
Background: Diabetes Mellitus Tpe 2 (T2DM) is a lifelong disease, while suffering from the disease patients will experience diabetes distress (DD) which causes negative emotions: anxiety, stress, depression. Cognitive Behavior Therapy (CBT) intervention helps patients in dealing with DD problems whose implementation does not require drug medication, in its implementation CBT has various sessions and each session has a different topic.
Methods: This study used literature review and PRISMA method from 6 electronic databases (Cochrane Library, Ebsco Host, Proquest, PubMed, Sage Journal, Sciendirect, Scopus, Springer, Web Of Science.) n=4541, the search was conducted to find the effectiveness of CBT in reducing the level of DD in T2DM patients. Risk of bias was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools checklist.
Results: A total of 5 articles met the inclusion criteria of 5 articles with the Randomized Controlled Trial (RCT) method Respondents in the study were T2DM patients who were divided into 2 research groups (intervention and control). The results showed a difference in DD levels between the two groups.
Conclusion: There is a significant effect on reducing the level of DD in patients with T2DM. The advantages of CBT intervention are not using pharmacological drugs, cost-effective, and easy to use. In addition, CBT intervention has the advantage that its flexible use can be adjusted to the needs and needs of the patients.
Abbas, Q., Latif, S., Habib, H. A., Shahzad, S., Sarwar, U., & Washdev, W. (2022). Cognitive Behavior Therapy for Diabetes Distress, Depression, Health Anxiety, Quality of life and Treatment Adherence among patients with Type-II Diabetes Mellitus: A Randomized Control Trial. Research Square, 1–22. Crossref
AlOtaibi, A., Almesned, M., Alahaideb, T., Almasari, S., & Alsuwayt, S. (2021). Assessment of diabetes-related distress among type 2 diabetic patients, Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care, 10(9), 3481. Crossref
Álvarez Palacios, I., González-Orús Álvarez-Morujo, R., Alonso Martínez, C., Ayala Mejías, A., & Arenas Brítez, O. (2017). Postoperative Pain in Adult Tonsillectomy: Is There Any Difference Between the Technique? Indian Journal of Otolaryngology and Head & Neck Surgery, 69(2), 187–193. https://doi.org/10.1007/s12070-017-1058-9 Crossref
Arifin, B., Perwitasari, D. A., Thobari, J. A., Cao, Q., Krabbe, P. F. M., & Postma, M. J. (2017). Translation, Revision, and Validation of the Diabetes Distress Scale for Indonesian Type 2 Diabetic Outpatients with Various Types of Complications. Value in Health Regional Issues, 12, 63–73. Crossref
Batais, M. A., Alfraiji, A. F., Alyahya, A. A., Aloofi, O. A., Almashouq, M. K., Alshehri, K. S., Almizel, A. M., Alotaibi, M. T., & Alosaimi, F. D. (2021). Assessing the Prevalence of Diabetes Distress and Determining Its Psychosocial Predictors Among Saudi Adults With Type 2 Diabetes: A Cross-Sectional Study. Frontiers in Psychology, 12(December), 1–12. Crossref
Beck, J. S. (2021). Cognitive Behavior Therapy Basic And Beyond (J. S. Beck (ed.); 3rd ed., Vol. 1999, Issue December). The Guilford Press. Book
Brooks, A. M. T., Stuart, G. W., & Sundeen, S. J. (2014). Principles and Practice of Psychiatric Nursing. The American Journal of Nursing, 81(12), 2226. Crossref
Burns, R. J., Deschênes, S. S., & Schmitz, N. (2016). Associations between coping strategies and mental health in individuals with type 2 diabetes: Prospective analyses. Health Psychology, 35(1), 78–86. Crossref
Carpenito, L. J. (2016). Handbook Of Nursing Diagnosis (15th ed.). Wolters Kluwer.
Chew, B.-H., Vos, R., Mohd-Sidik, S., & Rutten, G. E. H. M. (2016). Diabetes-Related Distress, Depression and Distress-Depression among Adults with Type 2 Diabetes Mellitus in Malaysia. PloS One, 11(3), e0152095. Crossref
Ciharova, M., Furukawa, T. A., Efthimiou, O., Karyotaki, E., Miguel, C., Noma, H., Cipriani, A., Riper, H., & Cuijpers, P. (2021). Cognitive restructuring, behavioral activation and cognitive-behavioral therapy in the treatment of adult depression: A network meta-analysis. Journal of Consulting and Clinical Psychology, 89(6), 563–574. Crossref
Cummings, D. M., Lutes, L. D., Littlewood, K., Solar, C., Carraway, M., Kirian, K., Patil, S., Adams, A., Ciszewski, S., Edwards, S., Gatlin, P., & Hambidge, B. (2019). Randomized trial of a tailored cognitive behavioral intervention in type 2 diabetes with comorbid depressive and/or regimen-related distress symptoms: 12-month outcomes from COMRADE. Diabetes Care, 42(5), 841–848. Crossref
Fisher, E. B., Chan, J. C. N., Nan, H., Sartorius, N., & Oldenburg, B. (2012). Co-occurrence of diabetes and depression: Conceptual considerations for an emerging global health challenge. Journal of Affective Disorders, 142, S56–S66. Crossref
Gautam, M., Tripathi, A., Deshmukh, D., & Gaur, M. (2020). Cognitive Behavioral Therapy for Depression. Indian Journal of Psychiatry, 62(Suppl 2), S223–S229. Crossref
Gonzalez, J. S., Delahanty, L. M., Safren, S. A., Meigs, J. B., & Grant, R. W. (2008). Differentiating symptoms of depression from diabetes-specific distress: Relationships with self-care in type 2 diabetes. Diabetologia, 51(10), 1822–1825. Crossref
Gonzalez, J. S., Safren, S. A., Cagliero, E., Wexler, D. J., Delahanty, L., Wittenberg, E., Blais, M. A., Meigs, J. B., & Grant, R. W. (2007). Depression, self-care, and medication adherence in type 2 diabetes: relationships across the full range of symptom severity. Diabetes Care, 30(9), 2222–2227. Crossref
Gonzalez, J. S., Shreck, E., Psaros, C., & Safren, S. A. (2015). Distress and type 2 diabetes-treatment adherence: A mediating role for perceived control. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 34(5), 505–513. Crossref
Gulley, L. D., Shomaker, L. B., Kelly, N. R., Chen, K. Y., Olsen, C. H., Tanofsky-Kraff, M., & Yanovski, J. A. (2022). Examining cognitive-behavioral therapy change mechanisms for decreasing depression, weight, and insulin resistance in adolescent girls at risk for type 2 diabetes. Journal of Psychosomatic Research, 157(March), 110781. Crossref
Hapunda, G. (2022). Coping Strategies and their Association with Diabetes Emotional Distress, Depression and Diabetes Self-Care among People living with Diabetes in Zambia. BMC endocrine disorders, 22(1), 215. Crossref
Hayashino, Y., Okamura, S., Tsujii, S., & Ishii, H. (2018). Association between diabetes distress and all-cause mortality in Japanese individuals with type 2 diabetes: a prospective cohort study (Diabetes Distress and Care Registry in Tenri [DDCRT 18]). Diabetologia, 61(9), 1978–1984. Crossref
Hemavathi, P., Satyavani, K., Smina, T. P., & Vijay, V. (2019). Assessment of diabetes related distress among subjects with type 2 diabetes in South India. International Journal of Psychology and Counselling, 11(1), 1–5. Crossref
Hermanns, N., Schmitt, A., Gahr, A., Herder, C., Nowotny, B., Roden, M., Ohmann, C., Kruse, J., Haak, T., & Kulzer, B. (2015). The effect of a diabetes-specific cognitive behavioral treatment program (diamos) for patients with diabetes and subclinical depression: Results of a randomized controlled trial. Diabetes Care, 38(4), 551–560. Crossref
Hu, Y., Li, L., & Zhang, J. (2020). Diabetes Distress in Young Adults with Type 2 Diabetes: A Cross-Sectional Survey in China. Journal of Diabetes Research, 2020, 6–8. Crossref
Kalra, G., Gill, S., & Tang, T. S. (2020). Depression and Diabetes Distress in South Asian Adults Living in Low- and Middle-Income Countries: A Scoping Review. Canadian Journal of Diabetes, 44(6), 521-529.e1. Crossref
Kalra, S., Jena, B. N., & Yeravdekar, R. (2018). Emotional and psychological needs of people with diabetes. Indian Journal of Endocrinology and Metabolism, 22(5), 696–704. Crossref
Koledoye, U. L., Ezenwaji, C. O., Aloh, H. E., Osilike, C. C., Ugwuoke, N. J., Okeke, P. M. D., Ekwealor, N. E., & Ezenwaji, I. O. (2022). Effect of Stress Management Coaching Intervention on Adult Learners with Type 2 Diabetes: A Rational-Emotive Cognitive Behavioural Coaching Approach. Journal of Rational - Emotive and Cognitive - Behavior Therapy, 40(4), 707–722. Crossref
Li, C., Xu, D., Hu, M., Tan, Y., Zhang, P., Li, G., & Chen, L. (2017). A systematic review and meta-analysis of randomized controlled trials of cognitive behavior therapy for patients with diabetes and depression. Journal of Psychosomatic Research, 95, 44–54. Crossref
Lincoln, T. M., Jung, E., Wiesjahn, M., & Schlier, B. (2016). What is the minimal dose of cognitive behavior therapy for psychosis? An approximation using repeated assessments over 45 sessions. European Psychiatry, 38, 31–39. Crossref
Lutes, L. D., Cummings, D. M., Littlewood, K., Le, M. T., Kirian, K., Patil, S., Solar, C., Carraway, M., & Hambidge, B. (2020). A Tailored Cognitive-Behavioural Intervention Produces Comparable Reductions in Regimen-Related Distress in Adults With Type 2 Diabetes Regardless of Insulin Use: 12-Month Outcomes From the COMRADE Trial. Canadian Journal of Diabetes, 44(6), 530–536. Crossref
Ma, R. C. W., & Chan, J. C. N. (2013). Type 2 diabetes in East Asians: Similarities and differences with populations in Europe and the United States. Annals of the New York Academy of Sciences, 1281(1), 64–91. Crossref
McMorrow, R., Hunter, B., Hendrieckx, C., Kwasnicka, D., Cussen, L., Ho, F. C. S., Speight, J., Emery, J., & Manski-Nankervis, J.-A. (2021). Effect of routinely assessing and addressing depression and diabetes distress using patient-reported outcome measures in improving outcomes among adults with type 2 diabetes: a systematic review protocol. BMJ Open, 11(3), e044888. Crossref
Napolion, K., Siatang, W., & Ekawati, D. (2021). Relationship Between Coping Strategies and Levels of Anxiety Among Diabetes Mellitus Patients In Makassar. KnE Life Sciences, 523–534. Crossref
Nastiti, D. (2022). Hubungan Tingkat Stres Dengan Strategi Koping Pada Penderita Diabetes Melitus Tipe 2 Di Puskesmas Kartasura Kabupaten Sukoharjo. Program Studi Keperawatan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta. Article
Park, M., Katon, W. J., & Wolf, F. M. (2013). Depression and risk of mortality in individuals with diabetes: a meta-analysis and systematic review. General Hospital Psychiatry, 35(3), 217–225. Crossref
Perrin, N. E., Davies, M. J., Robertson, N., Snoek, F. J., & Khunti, K. (2017). The prevalence of diabetes-specific emotional distress in people with Type 2 diabetes: a systematic review and meta-analysis. Diabetic Medicine, 34(11), 1508–1520. Crossref
Petrak, F., Baumeister, H., Skinner, T. C., Brown, A., & Holt, R. I. G. (2015). Depression and diabetes: treatment and health-care delivery. The Lancet. Diabetes & Endocrinology, 3(6), 472–485. Crossref
Radiani, W. A. (2016). Cognitive Behavior Therapy Untuk Penurunan Depresi Pada Orang Dengan Kehilangan Penglihatan. InSight: Jurnal Ilmiah Psikologi, 18(1), 66-82. Crossref
Rector, N. A. (2010). Cognitive Behavioural Therapy An information guide. In D. Ballon & J. Walter-Vintar (Eds.), Centre for Addiction and Mental Health. Centre for addiction and Mental Health. Article
Roy, T., & Lloyd, C. E. (2012). Epidemiology of depression and diabetes: A systematic review. Journal of Affective Disorders, 142(SUPPL.), S8–S21. Crossref
Safren, S. A., Gonzalez, J. S., Wexler, D. J., Psaros, C., Delahanty, L. M., Blashill, A. J., Margolina, A. I., & Cagliero, E. (2014). A randomized controlled trial of cognitive behavioral therapy for adherence and depression (CBT-AD) in patients with uncontrolled type 2 diabetes. Diabetes Care, 37(3), 625–633. Crossref
Setyaningrum, R. H., Sudiyanto, A., Wiyono, N., & Fanani, M. (2018). Pengaruh Cognitive Behaviour Therapy Terhadap Derajat Depresi Dan Aktivitas Perawatan Diri Pada Pasien Diabetes Mellitus (Dm) Tipe 2. Mandala Of Health, 11(1), 31. Crossref
Šimić, G., Tkalčić, M., Vukić, V., Mulc, D., Španić, E., Šagud, M., Olucha-Bordonau, F. E., Vukšić, M., & Hof, P. R. (2021). Understanding emotions: Origins and roles of the amygdala. Biomolecules, 11(6), 1–58. Crossref
Tunsuchart, K., Lerttrakarnnon, P., Srithanaviboonchai, K., Likhitsathian, S., & Skulphan, S. (2020). Benefits of brief group cognitive behavioral therapy in reducing diabetes-related distress and hba1c in uncontrolled type 2 diabetes mellitus patients in Thailand. International Journal of Environmental Research and Public Health, 17(15), 1–10. Crossref
Uchendu, C., & Blake, H. (2017). Effectiveness of cognitive–behavioural therapy on glycaemic control and psychological outcomes in adults with diabetes mellitus: a systematic review and meta-analysis of randomized controlled trials. Diabetic Medicine, 34(3), 328–339. Crossref
Winchester, R. J., Williams, J. S., Wolfman, T. E., & Egede, L. E. (2016). Depressive symptoms, serious psychological distress, diabetes distress and cardiovascular risk factor control in patients with type 2 diabetes. Journal of Diabetes and Its Complications, 30(2), 312–317. Crossref
Wroe, A. L., Rennie, E. W., Sollesse, S., Chapman, J., & Hassy, A. (2018). Is Cognitive Behavioural Therapy focusing on Depression and Anxiety Effective for People with Long-Term Physical Health Conditions? A Controlled Trial in the Context of Type 2 Diabetes Mellitus. Behavioural and Cognitive Psychotherapy, 46(2), 129–147. Crossref
Yang, X., Li, Z., & Sun, J. (2020). Effects of Cognitive Behavioral Therapy–Based Intervention on Improving Glycaemic, Psychological, and Physiological Outcomes in Adult Patients With Diabetes Mellitus: A Meta-Analysis of Randomized Controlled Trials. Frontiers in Psychiatry, 11(July), 1–18. Crossref
Yu, G. (2018). Using meshes for MeSH term enrichment and semantic analyses. Bioinformatics (Oxford, England), 34(21), 3766–3767. Crossref
Yusuf, U., & Setianto, L. (2013). Efektivitas “Cognitive Behavior Therapy” terhadap Penurunan Derajat Stres. MIMBAR, Jurnal Sosial Dan Pembangunan, 29(2), 175. Crossref
Zakhour, S., Nardi, A. E., Levitan, M., & Appolinario, J. C. (2020). Cognitive-behavioral therapy for treatment-resistant depression in adults and adolescents: a systematic review. Trends in Psychiatry and Psychotherapy, 42(1), 92–101. Crossref
