A psychoeducational intervention (SWEEP) for depressed women with diabetes Journal Article

Authors: Penckofer, S. M.; Ferrans, C.; Mumby, P.; Byrn, M; Emanuele, M. A.; Harrison, P. R.; Durazo-Arvizu, R. A.; Lustman, P.
Article Title: A psychoeducational intervention (SWEEP) for depressed women with diabetes
Abstract: BACKGROUND: Clinically significant depression is present in 25 % of individuals with type 2 diabetes, its risk being doubled in women. PURPOSE: 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.
Journal Title: Annals of Behavioral Medicine : A Publication of the Society of Behavioral Medicine
Volume: 44
Issue: 2
ISSN: 1532-4796; 0883-6612
Publisher: Unknown  
Journal Place: United States
Date Published: 2012
Start Page: 192
End Page: 206
Language: eng
Notes: LR: 20130617; GR: K-23: NR009420/NR/NINR NIH HHS/United States; JID: 8510246; NIHMS480829; OID: NLM: NIHMS480829 [Available on 10/01/13]; OID: NLM: PMC3682680 [Available on 10/01/13]; PMCR: 2013/10/01 00:00; ppublish