Penckofer SM, Mumby P, Byrn M, Emanuele MA, Harrison PR, Durazo-Arvizu RA, Lustman P. A Psychoeducational Intervention (SWEEP) for Depressed Women with Diabetes.Ann Behav Med. 2012; 44(2): 192–206. Doi:  17.9971408843994px

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. Results: Multilevel modeling indicated that SWEEP was more effective than UC in reducing depression (mean difference of –15 vs. –7, p<0,1), decreasing trait anxiety (mean difference of –15 vs. –5, p<0,1), and improving anger expression (mean difference of –12 vs. –5, p<0,5). 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.