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iCBT for depression in diabetes
Unmodified clinician-supported iCBT beat treatment-as-usual on depression, anxiety, distress, and diabetes-specific distress in adults with diabetes.
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What population was studied?
Adults with diabetes mellitus and clinically relevant depression.
Source: Web-Based Cognitive Behavior Therapy for Depression in People With Diabetes Mellitus: A Randomized Controlled Trial · DOI · quote verified
What trial comparison was used?
iCBT versus treatment-as-usual (TAU) wait comparison.
Source: Web-Based Cognitive Behavior Therapy for Depression in People With Diabetes Mellitus: A Randomized Controlled Trial · DOI · quote verified
How many were randomized?
106 people (49 iCBT, 57 TAU).
Source: Web-Based Cognitive Behavior Therapy for Depression in People With Diabetes Mellitus: A Randomized Controlled Trial · DOI · quote verified
What was the depression between-group effect?
Moderate Hedges g=0.78 on PHQ-9 favoring iCBT.
Source: Web-Based Cognitive Behavior Therapy for Depression in People With Diabetes Mellitus: A Randomized Controlled Trial · DOI · quote verified
What was the anxiety between-group effect?
Hedges g=0.72 on GAD-7 favoring iCBT.
Source: Web-Based Cognitive Behavior Therapy for Depression in People With Diabetes Mellitus: A Randomized Controlled Trial · DOI · quote verified
Did diabetes-specific distress improve?
Yes—large between-group effect on PAID (reported with other significant outcomes).
Source: Web-Based Cognitive Behavior Therapy for Depression in People With Diabetes Mellitus: A Randomized Controlled Trial · DOI · quote verified
What adherence rate was reported?
66% completed all six lessons (27/41).
Source: Web-Based Cognitive Behavior Therapy for Depression in People With Diabetes Mellitus: A Randomized Controlled Trial · DOI · quote verified
How did reliable improvement compare?
51% iCBT vs 18% TAU showed reliable PHQ-9 improvement.
Source: Web-Based Cognitive Behavior Therapy for Depression in People With Diabetes Mellitus: A Randomized Controlled Trial · DOI · quote verified
Was the iCBT program diabetes-specific?
No—authors highlight an unmodified depression iCBT program.
Source: Web-Based Cognitive Behavior Therapy for Depression in People With Diabetes Mellitus: A Randomized Controlled Trial · DOI · quote verified
What glycemic result is important to remember?
Between-group HbA1c effect was small/nonsignificant in the reported contrasts.
Source: Web-Based Cognitive Behavior Therapy for Depression in People With Diabetes Mellitus: A Randomized Controlled Trial · DOI · quote verified
Why does this matter clinically?
Depression in diabetes worsens self-management and outcomes; scalable iCBT may be a treatment option.
Source: Web-Based Cognitive Behavior Therapy for Depression in People With Diabetes Mellitus: A Randomized Controlled Trial · DOI · quote verified