Annals of Behavioral Medicine

, Volume 44, Issue 2, pp 192–206 | Cite as

A Psychoeducational Intervention (SWEEP) for Depressed Women with Diabetes

  • Sue M. Penckofer
  • Carol Ferrans
  • Patricia Mumby
  • Mary Byrn
  • Mary Ann Emanuele
  • Patrick R. Harrison
  • Ramon A. Durazo-Arvizu
  • Patrick Lustman
Original Article

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.

Keywords

Diabetes Depression Women 

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Copyright information

© The Society of Behavioral Medicine 2012

Authors and Affiliations

  • Sue M. Penckofer
    • 1
  • Carol Ferrans
    • 2
  • Patricia Mumby
    • 3
  • Mary Byrn
    • 4
  • Mary Ann Emanuele
    • 3
  • Patrick R. Harrison
    • 5
  • Ramon A. Durazo-Arvizu
    • 3
  • Patrick Lustman
    • 6
  1. 1.School of NursingLoyola University ChicagoMaywoodUSA
  2. 2.College of NursingUniversity of IllinoisChicagoUSA
  3. 3.School of MedicineLoyola University ChicagoMaywoodUSA
  4. 4.Saint Mary’s CollegeNotre DameUSA
  5. 5.College of Arts and SciencesLoyola University ChicagoChicagoUSA
  6. 6.School of MedicineWashington University St. LouisSt. LouisUSA

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