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diabetes depression randomized

Jerzy Piwoński, Aleksandra Piwońska, Piotr Jędrusik, Jakub Stokwiszewski, Marcin Rutkowski, Piotr Bandosz, Wojciech Drygas, Tomasz Zdrojewski
BACKGROUND: Poland is a country of high cardiovascular risk. Because the depression was found to be a predictor of coronary artery disease and the prevalence of depressive symptoms raised worldwide, so the monitoring of depressive symptoms in a population is desirable. AIM: to evaluate the prevalence of depressive symptoms (DS) in relation to the socio-demographic status, and selected types of cardiovascular diseases in the adult Polish population. METHODS: A country representative random sample of 2413 subjects, aged 18-79, was examined in 2011...
November 8, 2018: Kardiologia Polska
Swati Mehta, Vanessa A Peynenburg, Heather D Hadjistavropoulos
This systematic review and meta-analysis aims to evaluate the effectiveness of internet-delivered cognitive behavioural therapy (ICBT) on anxiety and depression among persons with chronic health conditions. A systematic database search was conducted of MEDLINE, CINAHL, PsycInfo, EMBASE, and Cochrane for relevant studies published from 1990 to September 2018. A study was included if the following criteria were met: (1) randomized controlled trial involving an ICBT intervention; (2) participants experienced a chronic health condition; (3) participants ≥ 18 years of age; and (4) effects of ICBT on anxiety and/or depression were reported...
November 1, 2018: Journal of Behavioral Medicine
Andrea L Cherrington, Yulia Khodneva, Joshua S Richman, Susan J Andreae, Christopher Gamboa, Monika M Safford
OBJECTIVE: Comorbid depression is associated with increased health care utilization and cost. We examined the effects of peer support on acute care (AC) and hospital utilization in individuals with diabetes with or without depressive symptoms. RESEARCH DESIGN AND METHODS: This was a cluster-randomized controlled trial conducted in 2010-2012, with the clusters being practices and their surrounding communities. Adults with type 2 diabetes who wanted help with self-management were eligible to participate...
October 29, 2018: Diabetes Care
Yung-Fu Chen, Chih-Sheng Lin, Chun-Fu Hong, D J Lee, Changming Sun, Hsuan-Hung Lin
Erectile dysfunction (ED) affects millions of men worldwide. Men with ED generally complain failure to attain or maintain an adequate erection during sexual activity. The prevalence of ED is strongly correlated with age, affecting about 40% of men at age 40 and nearly 70% at age 70. A variety of chronic diseases, including diabetes, ischemic heart disease, congestive heart failure, hypertension, depression, chronic renal failure, obstructive sleep apnea, prostate disease, gout, and sleep disorder, were reported to be associated with ED...
October 23, 2018: IEEE Journal of Biomedical and Health Informatics
Sarah S Jaser, Jadienne H Lord, Kimberly Savin, Meredith Gruhn, Tamara Rumburg
Objectives: To develop and pilot test a program to meet the needs of mothers of adolescents with type 1 diabetes (T1D) and improve outcomes in adolescents with type 1 diabetes. Methods: We conducted focus groups with mothers of adolescents to identify needs and develop a cognitive behavioral intervention aimed at reducing maternal distress, improving parenting practices, and reducing family conflict. This intervention was pilot tested in a randomized trial; mothers were randomized to either the Coping & Communication (N=15) intervention or Usual Care (N=15)...
March 2018: Clinical Practice in Pediatric Psychology
A S Adams, J A Schmittdiel, A Altschuler, E A Bayliss, R Neugebauer, L Ma, W Dyer, J Clark, B Cook, D Willyoung, M Jaffe, J D Young, E Kim, J M Boggs, L Prosser, E Wittenberg, B Callaghan, M Shainline, R M Hippler, R W Grant
AIMS: To evaluate the effectiveness of automated symptom and side effect monitoring on quality of life among individuals with symptomatic diabetic peripheral neuropathy. METHODS: We conducted a pragmatic, cluster randomized controlled trial (July 2014 to July 2016) within a large healthcare system. We randomized 1834 primary care physicians and prospectively recruited from their lists 1270 individuals with neuropathy who were newly prescribed medications for their symptoms...
October 21, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
Lauren B Shomaker, Lauren Gulley, Allison M Hilkin, Emma Clark, Shelly Annameier, Sangeeta Rao, Bonny Rockette-Wagner, Andrea Kriska, Kenneth P Wright, Eric Stice, Kristen J Nadeau, Megan M Kelsey
BACKGROUND: Depressive symptoms often manifest in adolescence and predict worsening insulin sensitivity, a key precursor in the path to β-cell failure and type 2 diabetes (T2D). OBJECTIVE: To assess the efficacy of a six-week cognitive-behavioral group versus six-week health education group for improving insulin sensitivity and preserving β-cell function in adolescent girls at-risk for T2D with depressive symptoms and evaluate mechanisms underlying the association between depression and insulin dynamics...
October 17, 2018: Contemporary Clinical Trials
Esther Jacobs, Miguel Tamayo, Joachim Rosenbauer, Matthias B Schulze, Oliver Kuss, Wolfgang Rathmann
BACKGROUND: Little evidence exists on the impact of diabetes risk scores, e.g. on physicians and patient's behavior, perceived risk of persons, shared-decision making and particularly on patient's health. The aim of this study is to investigate the impact of a non-invasive type 2 diabetes risk prediction model in the primary health care setting as component of routine health checks on change in physical activity. METHODS: Parallel group cluster randomized controlled trial including 30 primary care physicians (PCPs) and 300 participants in the region of Düsseldorf and surrounding urban and rural municipalities, West Germany...
October 16, 2018: BMC Endocrine Disorders
Gulnaz Mohamoud, Bob Mash, Mohamoud Merali, James Orwa, Megan Mahoney
BACKGROUND:  Primary care (PC) is the foundation of the Kenyan health care system, providing comprehensive care, health promotion and managing all illnesses across the lifecycle. In the private sector in Nairobi, PC is principally offered by the general practitioners, also known as family doctors (FDs). The majority have no postgraduate training. Little is known about how patients perceive their capability. AIM:  To assess patients' perceptions of the scope of practice of FDs working in private sector PC clinics in Nairobi and their awareness of the new category of family physicians (FPs) and the discipline of family medicine...
October 4, 2018: African Journal of Primary Health Care & Family Medicine
Valéry Bocquet, Jessica Barré, Sophie Couffignal, Marylène d'Incau, Charles Delagardelle, Georges Michel, Marc Schlesser, Saverio Stranges, Andrea Kuemmerle, Maria Ruiz-Castell
BACKGROUND: The European Health Examination Survey in Luxembourg (EHES-LUX) is a population based survey performed from 2013 to 2015 with the aim to establish baseline information on the general health status of the Luxembourg population aged 25 to 64 years. The paper introduces the study design, recruitment method and representativeness of the sample, and summarizes the sociodemographic characteristics of participants and the prevalence of major health outcomes. METHODS: EHES-LUX is based on a random sample representative of the population of Luxembourg based on gender, age and district of residence...
October 11, 2018: BMC Public Health
Cheryl L P Vigen, Kristine Carandang, Jeanine Blanchard, Paola A Sequeira, Jamie R Wood, Donna Spruijt-Metz, Robin Whittemore, Anne L Peters, Elizabeth A Pyatak
PURPOSE: The purpose of this study was to evaluate relationships between behavioral and psychosocial constructs, A1C, and diabetes-dependent quality of life (DQoL) among low-socioeconomic status, ethnically diverse young adults with diabetes. METHODS: Using baseline data of 81 participants in the Resilient, Empowered, Active Living (REAL) randomized controlled trial, behavioral, cognitive, affective, and experiential variables were correlated with A1C and DQoL while adjusting for demographic characteristics, and these relationships were examined for potential effect modification...
December 2018: Diabetes Educator
Gordon D Schiff, Elissa Klinger, Alejandra Salazar, Jeffrey Medoff, Mary G Amato, E John Orav, Shimon Shaykevich, Enrique V Seoane, Lake Walsh, Theresa E Fuller, Patricia C Dykes, David W Bates, Jennifer S Haas
BACKGROUND: Medication adverse events are important and common yet are often not identified by clinicians. We evaluated an automated telephone surveillance system coupled with transfer to a live pharmacist to screen potentially drug-related symptoms after newly starting medications for four common primary care conditions: hypertension, diabetes, depression, and insomnia. METHODS: Cluster randomized trial with automated calls to eligible patients at 1 and 4 months after starting target drugs from intervention primary care clinics compared to propensity-matched patients from control clinics...
October 5, 2018: Journal of General Internal Medicine
Miia Kivipelto, Francesca Mangialasche, Tiia Ngandu
Research into dementia prevention is of paramount importance if the dementia epidemic is to be halted. Observational studies have identified several potentially modifiable risk factors for dementia, including hypertension, dyslipidaemia and obesity at midlife, diabetes mellitus, smoking, physical inactivity, depression and low levels of education. Randomized clinical trials are needed that investigate whether interventions targeting these risk factors can reduce the risk of cognitive decline and dementia in elderly adults, but such trials are methodologically challenging...
November 2018: Nature Reviews. Neurology
Pamela Franco, Ana María Gallardo, Xavier Urtubey
BACKGROUND: Depression is twice as common in people with diabetes, and this comorbidity worsens the course of both pathologies. In clinical practice guidelines, screening and treatment of depression in patients with diabetes are highly recommended. However, depression is still both underrecognized and undertreated. To find ways to enhance their reach, psychological treatments have taken advantage of benefits of internet and technological devices as delivery formats, providing interventions that require considerably less (or even no) interaction time with therapists...
September 14, 2018: JMIR diabetes
Gabriele Berger, Thomas Waldhoer, Irene Barrientos, Daniela Kunkel, Birgit M Rami-Merhar, Edith Schober, Andreas Karwautz, Gudrun Wagner
BACKGROUND/OBJECTIVE: The aim of this study was to systematically assess the association of insulin-manipulation (intentional under- and/or overdosing of insulin), psychiatric comorbidity and diabetes complications. METHODS: Two diagnostic interviews (Diabetes-Self-Management-Patient-Interview and Children's-Diagnostic-Interview for Psychiatric Disorders) were conducted with 241 patients (age 10-22) with type 1 diabetes (T1D) from 21 randomly selected Austrian diabetes care centers...
September 28, 2018: Pediatric Diabetes
Sara Mazzoni, Pamela Hill, Ariel Briggs, Kate Barbier, Alison Cahill, George Macones, Graham Colditz, Methodius Tuuli, Ebony Carter
OBJECTIVE: To measure the impact of group prenatal care (GPC) on diabetes-specific peer support and depressive symptoms in women with pregnancies complicated by diabetes. MATERIALS AND METHODS: This is a planned secondary analysis of a two-center pilot randomized controlled trial conducted at Denver health (DH) and Washington University in St. Louis (WU) including Spanish (DH) or English (WU) speaking women with type 2 or gestational diabetes. Women were randomized to diabetes GPC or individual prenatal care (IPC) in the resident diabetes clinic...
September 25, 2018: Journal of Maternal-fetal & Neonatal Medicine
Marleen Kunneman, Megan E Branda, Ian Hargraves, Arwen H Pieterse, Victor M Montori
Objective: To assess the extent to which (1) clinicians, using or not using conversation aids, foster choice awareness during clinical encounters and (2) fostering choice awareness, with or without conversation aids, is associated with greater patient involvement in shared decision making (SDM). Patients and Methods: We randomly selected 100 video-recorded encounters, stratified by topic and study arm, from a database of 10 clinical trials of SDM interventions in 7 clinical contexts: low-risk acute chest pain, stable angina, diabetes, depression, osteoporosis, and Graves disease...
March 2018: Mayo Clinic proceedings. Innovations, quality & outcomes
Golnaz Azami, Kim Lam Soh, Shariff Ghazali Sazlina, Md Said Salmiah, Sanaz Aazami, Mosayeb Mozafari, Hamid Taghinejad
In recent years, great emphasis has been placed on the role of nonpharmacological self-management in the care of patients with diabetes. Studies have reported that nurses, compared to other healthcare professionals, are more likely to promote preventive healthcare seeking behaviors. The aim of this study was to investigate the effectiveness of a nurse-led diabetes self-management education on glycosylated hemoglobin. A two-arm parallel-group randomized controlled trial with the blinded outcome assessors was designed...
2018: Journal of Diabetes Research
Evelien Snippe, Maya J Schroevers, K Annika Tovote, Robbert Sanderman, Paul M G Emmelkamp, Joke Fleer
Understanding why therapists deviate from a treatment manual is crucial to interpret the mixed findings on the adherence-outcome association. The current study aims to examine whether therapists' interpersonal behaviours and patients' active engagement predict treatment outcome and therapist adherence in cognitive behaviour therapy (CBT) and mindfulness-based cognitive therapy (MBCT) for depressive symptoms. In addition, the study explores rater's explanations for therapist nonadherence at sessions in which therapist adherence was low...
September 10, 2018: Clinical Psychology & Psychotherapy
Shihoko Koyama, Jun Aida, Noriko Cable, Toru Tsuboya, Yusuke Matsuyama, Yukihiro Sato, Tatsuo Yamamoto, Katsunori Kondo, Ken Osaka
BACKGROUND: No studies have examined the associations between the numbers of teeth and sleep disturbance. Therefore, we examined the associations between the number of teeth and sleep duration in older people, considering the evidence linking fewer teeth and sleep apnoea through changes in jaw position. METHODS: For this study we used information from a sample of 23,444 cohort participants, randomly selected from the Japan Gerontological Evaluation Study 2010 (N = 169,215)...
August 10, 2018: Sleep Medicine
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