The effectiveness of a brief psychological intervention for patients with diabetes-related distress

Abstract

Background: Diabetes-related distress (DRD) is the negative emotional and psychological reaction to living with diabetes mellitus (DM). DRD has been reported to affect glycemic control and self-management practices adversely. Limited research is available on the effectiveness of psychological interventions for DRD. We aimed to study the effectiveness of a brief psychological intervention for patients with DRD. Methods: The findings of a targeted brief psychological intervention conducted for patients with DRD, as a part of psycho-endocrinology liaison services in a general hospital, are reported. Details regarding the assessment and intervention given were collected from the patients' records. Forty-one patients with DRD diagnosed using Diabetes Distress Scale (DDS) were given the single session intervention consisting of brief diabetes education focusing on physical activity and medication adherence, relaxation techniques, and illness-specific problem-solving strategies. Effectiveness was assessed using change in Clinical Global Impression-Severity (CGI-S), patient-rated visual analog scale, brief physical activity questionnaire, and medication adherence at baseline and 2-month follow-up. Results: Analysis using Wilcoxon signed rank test found a significant change in the follow-up scores on all the assessment scales. Conclusions: The study highlights the benefits of brief intervention for reducing DRD, thus reducing the emotional burden of living with DM.

Keywords

• Depression
• diabetes mellitus
• diabetes-related distress Key messages: Single session intervention incorporating education regarding lifestyle changes
• medication adherence
• relaxation techniques and problem solving therapy was found to reduce diabetes-related distress and improve diabetes self-management practices.