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

Aim Diabetes is a chronic progressive condition presenting physical, social and psychological challenges that increase the risk of comorbid mental health problems. Cognitive–behavioural therapy (CBT) is effective in treating a variety of psychological disorders, and may potentially improve glycaemic control and psychological outcomes in diabetes. This systematic review and meta-analysis aims to establish the effectiveness of CBT on glycaemic control and comorbid diabetes-related distress, depression, anxiety and quality of life in the short, medium and longer term among adults with diabetes. Method An electronic search was conducted in PubMed, Embase, MEDLINE, PsycINFO, CINAHL, Web of Knowledge, Cochrane Central Register of Controlled Trials and references in reviews. Twelve randomized controlled trials (RCTs) were identified that evaluated the effectiveness of CBT on at least one of: glycaemic control, diabetes-related distress, anxiety, depression or quality of life in adults with Type 1 or Type 2 diabetes. The Cochrane Risk of Bias Tool and Review Manager version 5.3 were used for risk of bias assessment and meta-analysis, respectively. Results CBT is effective in reducing short-term and medium-term glycaemic control, although no significant effect was found for long-term glycaemic control. CBT improved short- and medium-term anxiety and depression, and long-term depression. Mixed results were found for diabetes-related distress and quality of life. Conclusion CBT is beneficial in improving depression for adults with diabetes. It may have benefits for improving glycaemic control and other aspects of psychological health, although the findings are inconclusive

The effectiveness of emotion regulation therapy (ERT) on improving depression, anxiety and stress in patients with myocardial infarction

Background: Among the cardiovascular diseases, myocardial infraction is one the main cause of mortality around the world. People with myocardial infarction are significantly more likely to suffer from psychological problems, such as depression, anxiety and stress. Therefore, psychological interventions can help their routine treatment. The purpose of this study was to determine the effectiveness of emotional regulation therapy on depression, anxiety and stress in patients with myocardial infarction. Methods: In this single-case design, 5 patients with myocardial infarction referred to the Taleghani Hospital were selected using convenience sampling method. They received eight sessions of emotional regulation psychotherapy. These patients were evaluated by anxiety, stress, and depression scale (DASS-21) before starting treatment and after each session.Results: The results showed that emotional regulation therapy significantly reduced depression, anxiety and stress in patients with myocardial infarction. Discussion: According to the findings of this study indicating the effectiveness of emotional regulation therapy on depression, anxiety and stress in patients with myocardial infarction, this treatment can be used as part of a comprehensive treatment process for these patients

Validity and Reliability of the Persian Version of the Chronic Pain Grade Questionnaire in Patients with Musculoskeletal Pain

Introduction: Chronic pain which is a pain that remains or repeats for more than 3 to 6 months affects one in every 10 people in the world. Rising direct and indirect costs of chronic pain show the importance of researches which help to find better ways of pain management. Testing the validity and reliability of pain measurement tools in different populations can help this kind of researches. The chronic pain grade questionnaire is devised by Vonkorff and his colleagues. This seven-item instrument gives a score which empowers chronic pain patients to be characterized into one of four hierarchical categories according to pain severity or interference. The goal of this research was to test the validity and reliability of the Persian version of the chronic pain grade questionnaire. Methods: As a cross-sectional study after downloading the questionnaire from the internet and translating from English to Persian by researchers and backward translation by a native researcher, it was answered by 204 patients with musculoskeletal pain. These patients were referred to the physical medicine and rehabilitation clinic in Modarres Hospital and were registered using convenience sampling method. Patients were aged between 18 and 87; suffering from musculoskeletal pain (including primary and secondary pains) for at least the last 6 months. Fifty patients were reevaluated after two weeks. Results: As a result of testing reliability, Cronbach’s alpha was 0.89 and the Guttman split-half coefficient was around 0.82 and Test re-test coefficient using Spearman’s correlation coefficient was 0.89. Only a single component was extracted for the questionnaire, as a result of factor analysis. This component defines 59.8% of the variance. Conclusions: In summary, construct validity and reliability of the Persian version of the chronic pain grade questionnaire are approved, therefore it would be applicable to people with musculoskeletal pain in the Iranian population

Psychometric properties of Persian version of Beck depression inventory in coronary patients

Background Obtaining psychometric properties regarding specific populations increases diagnostic accuracy and reduces economic health burdens. Beck depression inventory-second version (BDI-II) is useful for the screening and assessment of depression in clinical and research settings. The aim of the present study was to investigate the psychometric properties of the Persian (Farsi) version of BDI-II in patients with coronary heart disease (CHD).   Methods A cross-sectional study was conducted on 284 patients with CHD admitted to Imam Ali Hospital in Kermanshah. They were first given a structured clinical interview (SCID-I) and then were asked to complete the Beck depression inventory-II (BDI-II), patient health questionnaire 9 (PHQ-9) and generalized anxiety disorder 7 (GAD-7). Data were analyzed by descriptive statistics, Cronbach’s á, Spearman’s correlation coefficient, exploratory factor analysis and receiver operating characteristic curve (ROC). Results The internal consistency measured using Cronbach’s alpha was 0.90. The obtained correlation of BDI-II with PHQ-9 and GAD-7 was 0.74 and 0.65, respectively (p< 0.001). Factor analysis of the inventory revealed 5 factors, namely cognitive, somatic , impaired performance , negative attitude to self and ,and self punishment respectively. The cut-off point for CHD patients was 11 with sensitivity of 0.78 and specificity of 0.81 according to the Youden index and 10 with sensitivity of 0.80 and specificity of 0.77 according to the two-stage approach. The area under the curve was 0.86 (95% Confidence Interval 0.82-0.90). Conclusion The Persian version of the BDI-II possesses the acceptable psychometric properties that can be used to screen depression in CHD patients

Psychometric properties of Persian version of Beck depression inventory in coronary patients

BackgroundObtaining psychometric properties regarding specific populations increases diagnostic accuracy and reduces economic health burdens. Beck depression inventory-second version (BDI-II) is useful for the screening and assessment of depression in clinical and research settings. The aim of the present study was to investigate the psychometric properties of the Persian (Farsi) version of BDI-II in patients with coronary heart disease (CHD).  MethodsA cross-sectional study was conducted on 284 patients with CHD admitted to Imam Ali Hospital in Kermanshah. They were first given a structured clinical interview (SCID-I) and then were asked to complete the Beck depression inventory-II (BDI-II), patient health questionnaire 9 (PHQ-9) and generalized anxiety disorder 7 (GAD-7). Data were analyzed by descriptive statistics, Cronbach’s á, Spearman’s correlation coefficient, exploratory factor analysis and receiver operating characteristic curve (ROC).ResultsThe internal consistency measured using Cronbach’s alpha was 0.90. The obtained correlation of BDI-II with PHQ-9 and GAD-7 was 0.74 and 0.65, respectively (p&lt; 0.001). Factor analysis of the inventory revealed 5 factors, namely cognitive, somatic , impaired performance , negative attitude to self and ,and self punishment respectively. The cut-off point for CHD patients was 11 with sensitivity of 0.78 and specificity of 0.81 according to the Youden index and 10 with sensitivity of 0.80 and specificity of 0.77 according to the two-stage approach. The area under the curve was 0.86 (95% Confidence Interval 0.82-0.90). ConclusionThe Persian version of the BDI-II possesses the acceptable psychometric properties that can be used to screen depression in CHD patients.</jats:p