Diabetes Mellitus, depression, diabetes self-care behaviour, Acceptance and Commitment Therapy
Conditions
Interventions
Acceptance and Commitment Therapy (ACT) consisting of eight one-and-a-half hour individual sessions across ten weeks
Sponsors
Zuyderland Medical Centre, Heerlen
Eligibility
Inclusion criteria
Inclusion criteria: 1. age 18 to 65 years; 2. a diagnosis type 1 or type 2 diabetes mellitus > 6 months ago; 3. suboptimal glycaemic control (HbA1c ≥7.5%/58mmol/mol) 4. intensive insulin treatment (at least 4 dialy administrations regimen; or insulin pump therapy) 5. elevated depressive symptoms (CES-D ≥ 16); 6. motivation for an 8-session psychological intervention focusing on acceptance in chronic illness (based on clinical judgement).
Exclusion criteria
Exclusion criteria: 1. severe psychiatric or somatic comorbidity that hampers participation (e.g. depression with strong suicidal ideation, psychosis, severe cognitive impairment, severe cardiac disease, end-stage cancer); 2. non-fluent in Dutch language, an intellectual disability or lack of verbal abstraction (based on educational level and clinical judgement); 3. earlier treatment based on ACT and/or MBCT; 4. ongoing other psychological treatment; 5. changes in antidepressive medication during the study period; 6. pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Depression: VAS by PsyMate (App for smartphone) Diabetes self-care behaviour: Self-Care Inventory-revised (SCI-R) (blood glucose regulation) | — |
Secondary
| Measure | Time frame |
|---|---|
| Acceptance: Acceptance and Action Questionnaire- II (AAQ-II) Cognitive fusion: Cognitive Fusion Questionnaire (CFQ13) | — |
Contacts
Public ContactLinda Vondenhoff
Zuyderland Medical Centre, Department of Clinical and Medical Psychology
Outcome results
None listed