Psychotherapy for Depression in Diabetes
Authors: Patrick J. Lustman, Kenneth E. Freedland, Ray E. Clouse
Journal: Annals of Internal Medicine (1999)

Letters6 July 1999Psychotherapy for Depression in DiabetesPatrick J. Lustman, PhD, Kenneth E. Freedland, PhD, and Ray E. Clouse, MDPatrick J. Lustman, PhDWashington University School of Medicine; St. Louis, MO 63110 (Lustman)Washington University School of Medicine; St. Louis, MO 63110 (Freedland)Washington University School of Medicine; St. Louis, MO 63110 (Clouse)Search for more papers by this author, Kenneth E. Freedland, PhDWashington University School of Medicine; St. Louis, MO 63110 (Lustman)Washington University School of Medicine; St. Louis, MO 63110 (Freedland)Washington University School of Medicine; St. Louis, MO 63110 (Clouse)Search for more papers by this author, and Ray E. Clouse, MDWashington University School of Medicine; St. Louis, MO 63110 (Lustman)Washington University School of Medicine; St. Louis, MO 63110 (Freedland)Washington University School of Medicine; St. Louis, MO 63110 (Clouse)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-131-1-199907060-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Approximately 2 out of every 3 depressed diabetic patients seen in the primary care setting receive no specific antidepressant treatment (1). This may be because their depressive disorders are not diagnosed and thus their physicians accept depression as an inevitable outcome of chronic illness, or because too little is known about the efficacy of treatments for depression in diabetes. In our 10-week clinical trial, half of the patients received supportive care for depression provided in the context of diabetes education, and half received supportive treatment plus CBT. Earlier controlled studies had found that supportive care provided in the ...References1. Lustman PJ, Harper GW. Nonpsychiatric physicians' identification and treatment of depression in patients with diabetes. Compr Psychiatry. 1987;28:22-7. CrossrefMedlineGoogle Scholar2. Wickberg B, Hwang CP. Counselling of postnatal depression: a controlled study on a population based Swedish sample. J Affective Dis. 1996;39:209-16. CrossrefMedlineGoogle Scholar3. Massol J, Martin P, Belon JP, Puech AJ, Soubrie P. Helpless behavior (escape deficits) in streptozotocin-diabetic rats: resistance to antidepressant drugs. Psychoneuroendocrinology. 1989;14:145-53. CrossrefMedlineGoogle Scholar4. Senn S. Are placebo run ins justified? BMJ. 1997;314:1191-3. CrossrefMedlineGoogle Scholar5. Stassen HH, Angst J. Delayed onset of action of antidepressants: fact or fiction? Central Nervous System Drugs. 1998;3:177-84. Google Scholar Author, Article, and Disclosure InformationAffiliations: Washington University School of Medicine; St. Louis, MO 63110 (Lustman)Washington University School of Medicine; St. Louis, MO 63110 (Freedland)Washington University School of Medicine; St. Louis, MO 63110 (Clouse) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCognitive Behavior Therapy for Depression in Type 2 Diabetes Mellitus Patrick J. Lustman , Linda S. Griffith , Kenneth E. Freedland , Sarah S. Kissel , and Ray E. Clouse Psychotherapy for Depression in Diabetes William Rifkin Psychotherapy for Depression in Diabetes Andrew F. Shorr and Franklin G. Miller Metrics 6 July 1999Volume 131, Issue 1Page: 70-71KeywordsClinical trialsCognitive behavior therapyDisabilitiesMotivationPatients Issue Published: 6 July 1999 CopyrightCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...