A Psychoeducational Intervention (SWEEP) for Depressed Women with Diabetes
Clinically significant depression is present in 25 % of individuals with type 2 diabetes, its risk being doubled in women.
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.
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).
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.
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.