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Cognitive behaviour therapy relieved depression in type 2 diabetes mellitus

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Question In patients with type 2 diabetes mellitus, is cognitive behaviour therapy (CBT), added to supportive diabetes education, effective in relieving depression and improving glycaemic control?

Design

10 week randomised controlled trial.

Setting

Academic medical centre in St Louis, Missouri, USA.

Patients

51 patients who were 21–70 years of age and had a diagnosis of type 2 diabetes mellitus confirmed by their primary physician and major depression (diagnostic criteria and score of ≥14 on the Beck Depression Inventory [BDI]). Exclusion criteria were suicidal ideation or history of attempted suicide; history of panic disorder; bipolar depression, or any psychotic disorder; substance abuse disorder; or receipt of psychoactive medications. 42 patients (82%) (mean …

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