Patrick J. Lustman, PhD; Kenneth E. Freedland, PhD; Ray E. Clouse, MD
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Lustman P., Freedland K., Clouse R.; Psychotherapy for Depression in Diabetes. Ann Intern Med. 1999;131:70-71. doi: 10.7326/0003-4819-131-1-199907060-00020
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Published: Ann Intern Med. 1999;131(1):70-71.
Approximately 2 out of every 3 depressed diabetic patients seen in the primary care setting receive no specific antidepressant treatment (1). This may be because their depressive disorders are not diagnosed and thus their physicians accept depression as an inevitable outcome of chronic illness, or because too little is known about the efficacy of treatments for depression in diabetes. In our 10-week clinical trial, half of the patients received supportive care for depression provided in the context of diabetes education, and half received supportive treatment plus CBT. Earlier controlled studies had found that supportive care provided in the context of health education was effective for postnatal depression (2). Thus, our participants were given more treatment than that often provided depressed diabetic patients, and each received a treatment with some evidence of efficacy. Several safeguards were used to protect participants during the trial, regardless of treatment assignment.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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