Psychotherapy and diabetic foot complications

NewsBot · Feb 23, 2008

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Psychotherapy intervention to reduce depressive symptoms in patients with diabetic foot syndrome.
Simson U, Nawarotzky U, Friese G, Porck W, Schottenfeld-Naor Y, Hahn S, Scherbaum WA, Kruse J.
Diabet Med. 2008 Feb;25(2):206-12.

Aims Compared to the population as a whole, patients with diabetes mellitus suffer a significantly higher rate of depressive symptoms, especially when they develop complications. Psychotherapy treatments in diabetes mellitus can lead to improvements in both depressive symptoms and glycaemic control. The objective of this study was to investigate whether depressive symptoms can be reduced by psychotherapy treatment delivered as a joint interdisciplinary service to in-patients with diabetic foot syndrome and comorbid depression.

Methods Thirty in-patients with diabetic foot syndrome and comorbid depression were randomized to either an intervention group (n = 15) with supportive psychotherapy treatment or a control group (n = 15) that received only standard medical treatment. Patients completed a set of questionnaires at the beginning and end of treatment. These recorded sociodemographic variables, anxiety and depression (Hospital Anxiety and Depression Scale) and diabetes-related problems (Problem Areas in Diabetes Scale).

Results Although the diabetic foot syndrome improved significantly in 75% of patients, the extent of depressive symptoms and anxiety reported by the control group did not decrease by the end of treatment. In contrast, in the intervention group, anxiety, depression and diabetes-related problems were all reduced. The extent of anxiety and depression was not, as had been anticipated, associated with the severity of the physical symptoms.

Conclusions These results indicate that psychotherapeutic intervention during in-patient treatment can have a positive influence on anxiety, depressive symptoms and diabetes-related problems in patients with diabetic foot syndrome.
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Admin2 · Feb 23, 2008

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perrypod · Mar 1, 2008

This research is very interesting. Please could you let me know if the psychotherapy used was based on:- Gestault, Cognitive, Rogerian, Clinical Hypnosis, NLP, or was a totally different approach utilised? Could it be that different therapists using different therapies were used to provide treatment? or was treatment provided by a single therapist using only one technique. I ask these questions as I have a special interest in psychology.

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