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Effects of Rational Emotive Cognitive Behavioral Coaching on Depression Among Type 2 Diabetic Inpatients

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Abstract

Depression is a human illness that may prevent sustainable goal attainment. People with Type 2 diabetes mellitus have a much higher risk of being depressed than the nonclinical population, which may be due to associations between the neurobiological mechanisms that play a role in the two diseases. The objective of the present study was to investigate the effects of rational emotive cognitive behavioral coaching (RE-CBC) on depressive thinking in a group of inpatients with Type 2 diabetes in Nigeria. A pretest–posttest control group design was used. Eighty participants were randomly allocated to the treatment and control groups. Outcomes were evaluated using Nigerian language (Igbo) versions of the Beck Depression Inventory-II and the Hamilton Rating Scale for Depression, and the intervention was delivered in Igbo. An Igbo version of the Rational Emotive Behavior Therapy Manual for Depression was used as the intervention package. Data were analyzed using mean rank, repeated measures ANOVA, and the Mann–Whitney U test. At the end of the intervention, a significant decline in depression was observed among the participants in the group that received RE-CBC, but not in those that received standard counseling (control group). The effects of RE-CBC were maintained at follow-up. The present results suggest that RE-CBC is an effective and time-efficient intervention for managing depression in inpatients living with Type 2 diabetes. Further evaluations are warranted in other countries.

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Acknowledgments

The researchers express their gratitude to all participants and research assistants. The researchers are also grateful to the Editor in Chief and the anonymous reviewers whose expertise helped improve the quality of this research.

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Authors and Affiliations

  1. Department of Educational Foundations, Faculty of Education, University of Nigeria, Nsukka, P.M.B. 410001, Enugu State, Nigeria

    Chiedu Eseadi, Mkpoikanke S. Otu, Kay C. N. Onyechi & Anthony U. Okere

  2. Department of Arts Education, Faculty of Education, University of Nigeria, Nsukka, P.M.B. 410001, Enugu State, Nigeria

    Gloria T. Onwuka

  3. Department of Human Kinetics and Health Education, Faculty of Education, University of Nigeria, Nsukka, P.M.B. 410001, Enugu State, Nigeria

    Prince C. I. Umoke

  4. Department of Social Science Education, University of Nigeria, Nsukka, P.M.B. 410001, Enugu State, Nigeria

    Nkechinyere C. Edeh

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  1. Chiedu Eseadi
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Eseadi, C., Onwuka, G.T., Otu, M.S. et al. Effects of Rational Emotive Cognitive Behavioral Coaching on Depression Among Type 2 Diabetic Inpatients. J Rat-Emo Cognitive-Behav Ther 35, 363–382 (2017). https://doi.org/10.1007/s10942-017-0266-2

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