Cognitive behavioral therapy in adolescents with type 1 diabetes: an integrative review
Abstract
Problem Type 1 Diabetes (T1D) is a complex chronic condition that impacts physiologic and psychosocial outcomes in adolescents. Adolescents with T1D experience anxiety and depressive symptoms at 2 to 3 times the rate of the general adolescent population. Anxiety and depressive symptoms negatively impact disease management. Cognitive behavioral therapy (CBT) is considered the gold standard therapeutic technique for treating anxiety and depressive symptoms. The aim of this integrative review was to examine and synthesize the extant literature exploring the effect of CBT on physiologic and psychosocial outcomes in adolescents with T1D.Eligibility criteria Electronic databases were searched with the terms "type 1 diabetes" and "cognitive behavioral therapy." Studies were included if they were published between 2000 and 2020, evaluated a pediatric population (≤18 years of age), and included individuals with diagnosed T1D.Sample 475 articles were identified in our initial search, and after removal of duplicates 353 articles remained. 339 did not meet inclusion criteria. A total of 14 papers met inclusion criteria.Results All studies included CBT, but differed in delivery methods. Several studies demonstrated evidence of the feasibility and acceptability; however, there were mixed results regarding improvement of physiologic and psychosocial outcomes.Conclusions CBT is a feasible and acceptable intervention in adolescents with T1D. It may be a method of improving psychologic and psychosocial outcomes for this high-risk population.Implications In adolescents with T1D, screening and treatment for psychosocial comorbidities should occur regularly at endocrinology visits. CBT can be operationalized to fill this gap.
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Cognitive behavioral and mindfulness-based therapies are successful therapeutic approaches for people with diabetes and psychosocial concerns.
“Successful therapeutic approaches include cognitive behavioral (330,332,348,349) and mindfulness-based therapies (346,350,351).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [332]
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- Authors
- Rechenberg, K., & Koerner, R.
- Affiliations
- University of South Florida (US)
- Venue
- Journal of Pediatric Nursing
- Publisher
- Elsevier BV
- Published
- 2021-09
- Volume
- 60
- Pages
- 190-197
- ISSN
- 0882-5963 (ISSN-L)
- OpenAlex
- W3181336048
- Semantic Scholar
- 3e9370c0b59ef201125b1cf644c979df24f516a5
- Cited by
- 38
- References
- 55
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 14 · 2023: 8 · 2022: 7
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Pediatric Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- cognitive behavioral therapy, type 1 diabetes, adolescents, anxiety, depressive symptoms, psychosocial outcomes, disease management, feasibility and acceptability, psychosocial comorbidity, diabetes screening
- MeSH terms
- Adolescent, Anxiety, Anxiety Disorders, Child, Chronic Disease, Diabetes Mellitus, Type 1, Humans, Cognitive Behavioral Therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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