Acceptance or challenge? Psychological treatments for depressive symptoms in patients with diabetes

Annika Tovote

Acceptance or challenge? Psychological treatments for depressive symptoms in patients with diabetes

Vertaalde titel van de bijdrage: Accepteren of uitdagen?: Psychologische behandelingen voor diabetespatiënten met depressieve klachten

Annika Tovote

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Diabetes kan een grote invloed hebben op vele gebieden van het leven. Daardoor ervaren mensen met diabetes relatief vaak stress, somberheid en minder plezier in activiteiten. Deze depressieve klachten kunnen wederom een negatief effect hebben op de gezondheid en diabetes-zelfzorg. Daarom is het van belang om effectieve behandelingen te identificeren. Psychologische interventies zoals Mindfulness-Based Cognitieve Therapie (MBCT) en Cognitieve Gedragstherapie (CGT) zijn hierbij veelbelovend. Er is weinig bekend over de acceptatie en effectiviteit van individuele MBCT, terwijl hier in de praktijk wel vraag naar is.
In dit proefschrift werd gekeken of individuele MBCT en individuele CGT behulpzaam zijn voor diabetespatiënten met depressieve klachten en voor wie welke behandeling het beste werkt. We hebben gevonden dat de meeste mensen heel tevreden waren over de individuele begeleiding. Daarnaast toonden de resultaten aan dat zowel individuele MBCT als individuele CGT effectief zijn in het verminderen van depressieve klachten, angst en diabetes-gerelateerde stress en ook in het verbeteren van welzijn, zowel op de korte als de lange termijn. Beide behandelingen zijn geschikt voor een brede doelgroep, alleen mensen die al eerder psychologische behandeling hadden, of bij aanvang hoge diabetes-gerelateerde stress beleefden, bleken minder baat te hebben bij de behandelingen. Daarnaast lijken mensen met een lage opleiding en mensen met een angstige hechtingstijl, dus die bang zijn voor afwijzing in relaties, meer profijt te hebben bij CGT dan bij MBCT. Samenvattend kan worden gesteld dat zowel individuele MBCT als ook individuele CGT goed werken voor diabetespatiënten die last hebben van depressieve klachten.

Vertaalde titel van de bijdrage	Accepteren of uitdagen?: Psychologische behandelingen voor diabetespatiënten met depressieve klachten
Originele taal-2	English
Kwalificatie	Doctor of Philosophy
Toekennende instantie	Rijksuniversiteit Groningen
Begeleider(s)/adviseur	Sanderman, Robbert, Supervisor Emmelkamp, Paulus, Supervisor Links, Thera, Supervisor Fleer, Joke, Co-supervisor Schroevers, Maya, Co-supervisor
Datum van toekenning	17-sep.-2014
Plaats van publicatie	[S.l.]
Uitgever	[S.n.]
Gedrukte ISBN's	978-90-367-7163-4
Elektronische ISBN's	978-90-367-7164-1
Status	Published - 2014

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Title and contentFinal publisher's version, 363 KB
Chapter 1Final publisher's version, 321 KB
Chapter 2Final publisher's version, 372 KB
Chapter 3Final publisher's version, 470 KB
Chapter 4Final publisher's version, 349 KB
Chapter 5Final publisher's version, 587 KB
Chapter 6Final publisher's version, 515 KB
Chapter 7Final publisher's version, 425 KB
Chapter 8Final publisher's version, 285 KB
AppendixFinal publisher's version, 524 KB
Complete dissertationFinal publisher's version, 1,68 MB

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title = "Acceptance or challenge? Psychological treatments for depressive symptoms in patients with diabetes",

abstract = "Diabetes can have a significant impact on many areas of life. As a result, people with diabetes frequently experience stress, feelings of sadness and loss of pleasure. These depressive symptoms may again have a negative impact on health and diabetes self-care. Therefore, it is important to identify effective treatments. Psychological treatments such as Mindfulness-Based Cognitive Therapy (MBCT) and Cognitive Behavior Therapy (CBT) are hereby promising. MBCT is usually given in a group, although not everyone likes to share thoughts and feelings in a group of strangers. Little is known about the acceptance and effectiveness of an individual type of MBCT. This thesis investigated whether individual MBCT and individual CBT are helpful for diabetic patients with depressive symptoms and also for whom which treatment works best. We have found that most people were very satisfied with the individual training. In addition, the results showed that MBCT as well as CBT were effective in reducing depressive symptoms, anxiety and diabetes-related distress and in improving well-being, in the short and long term. Both interventions are effective for a broad population, only people who have already had psychological treatment, or experienced high levels of diabetes-related distress, were less likely to benefit from the treatments. In addition, people with lower levels of education and those with an anxious attachment style, thus people who are afraid of rejection in relationships, benefit more from CBT than MBCT. To sum up, both individual MBCT and CBT work well for people with diabetes who suffer from depressive symptoms.",

author = "Annika Tovote",

year = "2014",

language = "English",

isbn = "978-90-367-7163-4",

publisher = "[S.n.]",

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N2 - Diabetes can have a significant impact on many areas of life. As a result, people with diabetes frequently experience stress, feelings of sadness and loss of pleasure. These depressive symptoms may again have a negative impact on health and diabetes self-care. Therefore, it is important to identify effective treatments. Psychological treatments such as Mindfulness-Based Cognitive Therapy (MBCT) and Cognitive Behavior Therapy (CBT) are hereby promising. MBCT is usually given in a group, although not everyone likes to share thoughts and feelings in a group of strangers. Little is known about the acceptance and effectiveness of an individual type of MBCT. This thesis investigated whether individual MBCT and individual CBT are helpful for diabetic patients with depressive symptoms and also for whom which treatment works best. We have found that most people were very satisfied with the individual training. In addition, the results showed that MBCT as well as CBT were effective in reducing depressive symptoms, anxiety and diabetes-related distress and in improving well-being, in the short and long term. Both interventions are effective for a broad population, only people who have already had psychological treatment, or experienced high levels of diabetes-related distress, were less likely to benefit from the treatments. In addition, people with lower levels of education and those with an anxious attachment style, thus people who are afraid of rejection in relationships, benefit more from CBT than MBCT. To sum up, both individual MBCT and CBT work well for people with diabetes who suffer from depressive symptoms.

AB - Diabetes can have a significant impact on many areas of life. As a result, people with diabetes frequently experience stress, feelings of sadness and loss of pleasure. These depressive symptoms may again have a negative impact on health and diabetes self-care. Therefore, it is important to identify effective treatments. Psychological treatments such as Mindfulness-Based Cognitive Therapy (MBCT) and Cognitive Behavior Therapy (CBT) are hereby promising. MBCT is usually given in a group, although not everyone likes to share thoughts and feelings in a group of strangers. Little is known about the acceptance and effectiveness of an individual type of MBCT. This thesis investigated whether individual MBCT and individual CBT are helpful for diabetic patients with depressive symptoms and also for whom which treatment works best. We have found that most people were very satisfied with the individual training. In addition, the results showed that MBCT as well as CBT were effective in reducing depressive symptoms, anxiety and diabetes-related distress and in improving well-being, in the short and long term. Both interventions are effective for a broad population, only people who have already had psychological treatment, or experienced high levels of diabetes-related distress, were less likely to benefit from the treatments. In addition, people with lower levels of education and those with an anxious attachment style, thus people who are afraid of rejection in relationships, benefit more from CBT than MBCT. To sum up, both individual MBCT and CBT work well for people with diabetes who suffer from depressive symptoms.

M3 - Thesis fully internal (DIV)

SN - 978-90-367-7163-4

PB - [S.n.]

CY - [S.l.]

ER -

Acceptance or challenge? Psychological treatments for depressive symptoms in patients with diabetes

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