Mindfulness-based cognitive therapy for people with diabetes and emotional problems: long-term follow-up findings from the DiaMind randomized controlled trial
Open accessAbstract
Objective The DiaMind trial showed beneficial immediate effects of mindfulness-based cognitive therapy (MBCT) on emotional distress, but not on diabetes distress and HbA1c. The aim of the present report was to examine if the effects would be sustained after six month follow-up.Methods In the DiaMind trial, 139 outpatients with diabetes (type-I or type-II) and a lowered level of emotional well-being were randomized into MBCT (n=70) or a waiting list with treatment as usual (TAU: n=69). Primary outcomes were perceived stress, anxiety and depressive symptoms, and diabetes distress. Secondary outcomes were, among others, health status, and glycemic control (HbA1c).Results Compared to TAU, MBCT showed sustained reductions at follow-up in perceived stress (p<.001, d=.76), anxiety (p<.001, assessed by HADS d=.83; assessed by POMS d=.92), and HADS depressive symptoms (p=.004, d=.51), but not POMS depressive symptoms when using Bonferroni correction for multiple testing (p=.016, d=.48). No significant between-group effect was found on diabetes distress and HbA1c.Conclusion This study showed sustained benefits of MBCT six months after the intervention on emotional distress in people with diabetes and a lowered level of emotional well-being.Trial registration Dutch Trial Register NTR2145, http://www.trialregister.nl.
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One study found that reductions in perceived stress, anxiety, and depression after an eight-week mindfulness-based cognitive therapy intervention were maintained at six-month follow-up.
“One indicated that at six-month follow-up, significant reductions in perceived stress, anxiety, and depression found after an eight-week mindfulness-based cognitive therapy intervention (with one booster session three months post-intervention) were maintained [74].”
From Well-being interventions for individuals with diabetes: A systematic review (2019) · cites this paper as [74]
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EFFECTIVENESS OF MINDFULNESS-BASED COGNITIVE THERAPY (MBCT) TOWARDS DEPRESSION
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- Authors
- van Son, J., Nyklíček, I., Pop, V. J., Blonk, M. C., Erdtsieck, R. J., & Pouwer, F.
- Affiliations
- Tilburg University (NL)
- Catharina Ziekenhuis (NL)
- Máxima Medisch Centrum (NL)
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2014-07
- Volume
- 77
- Issue
- 1
- Pages
- 81-84
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W1978378910
- Cited by
- 82
- References
- 36
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 7 · 2020: 15 · 2019: 4 · 2018: 9 · 2017: 8 · 2016: 8 · 2015: 9 · 2014: 1 · 2012: 1
- FWCI
- 10.26
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- Research portal (Tilburg University) (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Dutch Diabetes Research Foundation (2008.13.005)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- mindfulness-based cognitive therapy, diabetes mellitus, emotional distress, perceived stress, anxiety, depressive symptoms, diabetes distress, glycemic control, HbA1c, long-term follow-up, type 1 diabetes, type 2 diabetes, emotional well-being
- MeSH terms
- Adult, Anxiety Disorders, Depression, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Emotions, Female, Follow-Up Studies, Humans, Male, Mental Health, Middle Aged, Outpatients, Stress, Psychological, Waiting Lists, Cognitive Behavioral Therapy, Mindfulness
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