Psychosocial Interventions and Wellbeing in Individuals with Diabetes Mellitus: A Systematic Review and Meta-Analysis

Purpose: A number of studies, including systematic reviews, show beneficial effects of psychosocial interventions for people with diabetes mellitus; however, they have not been assessed using meta-analysis. The purpose of this meta-analysis of randomized controlled trials is to investigate the effec...

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Main Authors: Michaela C. Pascoe, David R. Thompson, David J. Castle, Zoe M. Jenkins, Chantal F. Ski
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-12-01
Series:Frontiers in Psychology
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fpsyg.2017.02063/full
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spelling doaj-ea4c2213fe40476c8ed2622467b547432020-11-25T01:09:20ZengFrontiers Media S.A.Frontiers in Psychology1664-10782017-12-01810.3389/fpsyg.2017.02063281397Psychosocial Interventions and Wellbeing in Individuals with Diabetes Mellitus: A Systematic Review and Meta-AnalysisMichaela C. Pascoe0Michaela C. Pascoe1David R. Thompson2David R. Thompson3David J. Castle4David J. Castle5Zoe M. Jenkins6Chantal F. Ski7Chantal F. Ski8Institute of Sport, Exercise and Active Living (ISEAL), Victoria University, Melbourne, VIC, AustraliaPeter MacCallum Cancer Centre, Melbourne, VIC, AustraliaDepartment of Psychiatry, University of Melbourne, Melbourne, VIC, AustraliaDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, AustraliaDepartment of Psychiatry, University of Melbourne, Melbourne, VIC, AustraliaMental Health Service, St. Vincent's Hospital, Melbourne, VIC, AustraliaMental Health Service, St. Vincent's Hospital, Melbourne, VIC, AustraliaDepartment of Psychiatry, University of Melbourne, Melbourne, VIC, AustraliaMental Health Service, St. Vincent's Hospital, Melbourne, VIC, AustraliaPurpose: A number of studies, including systematic reviews, show beneficial effects of psychosocial interventions for people with diabetes mellitus; however, they have not been assessed using meta-analysis. The purpose of this meta-analysis of randomized controlled trials is to investigate the effects of psychosocial interventions on depressive and anxiety symptoms, quality of life and self-efficacy in individuals with diabetes mellitus.Methods: The databases Pubmed, MEDLINE, CINAHL, PsycINFO, Scopus, Web of Science and SocINDEX were searched with no year restriction. Eligible studies were randomized controlled trials published in English that included individuals diagnosed with diabetes mellitus, aged 18 years or above, who engaged in a psychosocial intervention, with outcome measures addressing depressive or anxiety symptomology, quality of life or self-efficacy. Eligible studies needed to compare the intervention to usual care. Study selection was completed using Covidence and meta-analysis was undertaken using Comprehensive Meta-Analysis software.Results: Seven studies were included in the meta-analysis. Five studies investigated the effects of psychosocial interventions and showed a medium to large benefit for depressive symptoms (SMD: −0.70; CI: −1.27, −0.13) which persisted at follow up (SMD: −1.54, CI: −2.97, −0.12). Similar results were not seen immediately post-intervention in the three studies that assessed anxiety symptoms (SMD: −0.30; CI: −0.69, 0.10); however, a medium beneficial effect was seen at follow up (SMD = −0.61, CI = −0.92 to −0.31). Small benefits were seen in the three studies assessing quality of life outcomes (SMD: 0.30, CI: 0.06, 0.55). No benefit was seen in the two studies assessing self-efficacy (SMD: 0.23, CI: −0.11, 0.57).Conclusions: The results of the current study provide preliminary evidence that psychosocial interventions, compared to usual care, reduce depressive symptoms, and may improve quality of life in individuals with diabetes. However, only a few studies were included and the clinical significance of these findings is unknown.http://journal.frontiersin.org/article/10.3389/fpsyg.2017.02063/fullpsychosocial interventionswellbeingdiabetes mellitussystematic reviewmeta-analysis
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language English
format Article
sources DOAJ
author Michaela C. Pascoe
Michaela C. Pascoe
David R. Thompson
David R. Thompson
David J. Castle
David J. Castle
Zoe M. Jenkins
Chantal F. Ski
Chantal F. Ski
spellingShingle Michaela C. Pascoe
Michaela C. Pascoe
David R. Thompson
David R. Thompson
David J. Castle
David J. Castle
Zoe M. Jenkins
Chantal F. Ski
Chantal F. Ski
Psychosocial Interventions and Wellbeing in Individuals with Diabetes Mellitus: A Systematic Review and Meta-Analysis
Frontiers in Psychology
psychosocial interventions
wellbeing
diabetes mellitus
systematic review
meta-analysis
author_facet Michaela C. Pascoe
Michaela C. Pascoe
David R. Thompson
David R. Thompson
David J. Castle
David J. Castle
Zoe M. Jenkins
Chantal F. Ski
Chantal F. Ski
author_sort Michaela C. Pascoe
title Psychosocial Interventions and Wellbeing in Individuals with Diabetes Mellitus: A Systematic Review and Meta-Analysis
title_short Psychosocial Interventions and Wellbeing in Individuals with Diabetes Mellitus: A Systematic Review and Meta-Analysis
title_full Psychosocial Interventions and Wellbeing in Individuals with Diabetes Mellitus: A Systematic Review and Meta-Analysis
title_fullStr Psychosocial Interventions and Wellbeing in Individuals with Diabetes Mellitus: A Systematic Review and Meta-Analysis
title_full_unstemmed Psychosocial Interventions and Wellbeing in Individuals with Diabetes Mellitus: A Systematic Review and Meta-Analysis
title_sort psychosocial interventions and wellbeing in individuals with diabetes mellitus: a systematic review and meta-analysis
publisher Frontiers Media S.A.
series Frontiers in Psychology
issn 1664-1078
publishDate 2017-12-01
description Purpose: A number of studies, including systematic reviews, show beneficial effects of psychosocial interventions for people with diabetes mellitus; however, they have not been assessed using meta-analysis. The purpose of this meta-analysis of randomized controlled trials is to investigate the effects of psychosocial interventions on depressive and anxiety symptoms, quality of life and self-efficacy in individuals with diabetes mellitus.Methods: The databases Pubmed, MEDLINE, CINAHL, PsycINFO, Scopus, Web of Science and SocINDEX were searched with no year restriction. Eligible studies were randomized controlled trials published in English that included individuals diagnosed with diabetes mellitus, aged 18 years or above, who engaged in a psychosocial intervention, with outcome measures addressing depressive or anxiety symptomology, quality of life or self-efficacy. Eligible studies needed to compare the intervention to usual care. Study selection was completed using Covidence and meta-analysis was undertaken using Comprehensive Meta-Analysis software.Results: Seven studies were included in the meta-analysis. Five studies investigated the effects of psychosocial interventions and showed a medium to large benefit for depressive symptoms (SMD: −0.70; CI: −1.27, −0.13) which persisted at follow up (SMD: −1.54, CI: −2.97, −0.12). Similar results were not seen immediately post-intervention in the three studies that assessed anxiety symptoms (SMD: −0.30; CI: −0.69, 0.10); however, a medium beneficial effect was seen at follow up (SMD = −0.61, CI = −0.92 to −0.31). Small benefits were seen in the three studies assessing quality of life outcomes (SMD: 0.30, CI: 0.06, 0.55). No benefit was seen in the two studies assessing self-efficacy (SMD: 0.23, CI: −0.11, 0.57).Conclusions: The results of the current study provide preliminary evidence that psychosocial interventions, compared to usual care, reduce depressive symptoms, and may improve quality of life in individuals with diabetes. However, only a few studies were included and the clinical significance of these findings is unknown.
topic psychosocial interventions
wellbeing
diabetes mellitus
systematic review
meta-analysis
url http://journal.frontiersin.org/article/10.3389/fpsyg.2017.02063/full
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