Cognitive Therapy and Glycemic Therapy for Diabetic Patients with Depression

Running head: EVIDENCE BASED STUDIES
EVIDENCE BASED STUDIES
Name of the student:
Name of the university:
Author note:

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EVIDENCE BASED STUDIES
Research question:
The research question is prepared with the help of the PICO framework. It mainly contains four
important components that help in forming a proper clinical question. The research question that
is developed is
“Does cognitive therapy along with Glycemic therapy provide better health outcomes on
diabetic patients with depression in comparison to when only Glycemic intervention is
provided alone?”
Different key search terms had been used which include “cognitive behavioral therapy,
Glycemic therapy, better health outcome, diabetes patients, diabetes with depression and others.
These words are mainly fed in the two electronic bases like the PubMed, CINAHL and
Medscape. These phrases were mainly taken in combination with that of the Boolean operators
like the ‘AND’ and ‘OR’. These operators helped in broadening as well as narrowing the search
results. Filters were used as it helped in the extraction of the different arricles that were
published on or after 2014. Only English language paper was selected.
PICO table:
Population Intervention Comparison outcome
Diabetic type 2 patients
with depression
Cognitive behavioral
therapy along with
Glycemic therapy
When only Glycemic
therapy is given to
similar individuals
Better health outcome
on patients with
diabetes and depression

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EVIDENCE BASED STUDIES
Evaluation of the research:
Huang, C. Y., Lai, H. L., Chen, C. I., Lu, Y. C., Li, S. C., Wang, L. W., & Su, Y. (2016).
Effects of motivational enhancement therapy plus cognitive behaviour therapy on
depressive symptoms and health-related quality of life in adults with type II diabetes
mellitus: a randomised controlled trial. Quality of Life Research, 25(5), 1275-1283.
Researchers had conducted an interesting study with the motive of checking the
effectiveness of the motivational enhancement therapy plus cognitive behavior therapy on
depressive symptoms as well as in the health related quality of lives of people with type-2
diabetes. The research paradigm can be considered to be based on positivism (Huang et al.,
2015). This is said so because the researchers had been seen to derive the conclusions about the
effectiveness of the interventions through application of reason as well as logic. About 61
diabetes type-2 patients with depression were selected and were randomly allocated to two
groups. One group was given the usual nutrition based and health education based care. The
other group was also provided the same in addition to motivational enhancement therapy plus
cognitive behavior therapy. The experimental group was seen to experience a significant
reduction in the glycosylated hemoglobin, fasting glucose, and depressive symptoms and a
significant increase in physical quality of life and mental quality of life. The people in the control
group did not show any changes over time. Ethical considerations were followed effectively.
Independent T test was done for statistical analysis if the results of two groups. The Institutional
Review Board had been seen to approve the study. Written consents were taken from the
participants. Confidentiality was also maintained throughout the study.

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EVIDENCE BASED STUDIES
Research topic:
Evidence base articles are of the opinion that diabetes patients become vulnerable to the
development of depression in the course of their health management procedures. About 30 to
40% of the diabetes patients come for treatment in the healthcare centers along with the com-
morbid chronic issues of depression. Therefore, in order to ensure quality life of the patient
provided pharmacological treatment like medication and Glycemic therapy cannot help the
individuals completely to develop quality life. Therefore, nursing professionals need to develop
interventions that would help in treating depression in the diabetes patient besides the mentioned
interventions (Uchendu & Blake, 2017).
Relationships between diabetes and depression are intricately associated. Different
studies have given forward their thesis explaining the connection between depression and
diabetes. Many of the studies have supported that the rigors of management of the diabetes can
be often stressful and this aspect might lead to the symptoms of depression. Other studies have
also found that diabetes can cause different complications and health problems and therefore
these factors might worsen the symptoms of depression (Sharif et al., 2014). Again, the opposite
approaches are discussed in the other articles. Researchers have stated that depression might lead
to different poor lifestyle choices like unhealthy eating, smoking, less exercise and others that are
actually the risk factors of diabetes. Depression can interfere with the ability to take self-care,
perform tasks, and communicate effectively and others and therefore these can interfere with
ability to manage successfully diabetes (Echevaria & Walker, 2014)).