Resumen de Investigación
Analyzed using Evidence Intelligence™

CBT improves diabetes management in patients with metabolic syndrome

Última actualización 11 de julio de 2026

Key finding

Depression scores decreased significantly both in the intervention group (4.11 ± 4.35 vs. 1.99 ± 2.12) and the control group (3.40 ± 3.26 vs. 2.32 ± 1.88) after the intervention time.

This study evaluated the effectiveness of Cognitive Behavioral Therapy (CBT) for Type 2 diabetes patients with metabolic syndrome, showing significant improvements in depression and self-management behaviors.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

This study evaluated the effectiveness of Cognitive Behavioral Therapy (CBT) for Type 2 diabetes patients with metabolic syndrome, showing significant improvements in depression and self-management behaviors.

Clinical relevance

The findings highlight the importance of addressing mental health in diabetes care. By integrating Cognitive Behavioral Therapy into treatment plans, healthcare providers can potentially improve both psychological well-being and diabetes management, leading to better overall health outcomes for patients.

Keep in mind

The study did not measure long-term effects of CBT. Sample size and demographic diversity may limit generalizability. The downtrend in other health metrics was not statistically significant.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Yanni L, Nicholas B, Samantha F, et al. Cognitive Behavior Therapy for Type 2 Diabetes Patients with Comorbid Metabolic Syndrome: A Randomized Controlled Trial. Diabetology & Metabolic Syndrome. 2023;15:158. doi:10.1186/s13098-023-01100-2

Efectos Principales

Depression symptoms decreased significantly in the intervention group (4.11 ± 4.35 vs. 1.99 ± 2.12, p=0.044).

Diabetes self-management behaviors increased significantly in the intervention group (26.79 ± 12.18 vs. 37.49 ± 10.83, p=0.022).

Efficacy of CBT improved significantly in the intervention group (47.45 ± 6.83 vs. 50.76 ± 4.98, p=0.023).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Behavioral counseling and BMI, Depression score, Diabetes self-management behaviors, and 5 more.

Primary intervention

Behavioral counseling

Primary outcomes

  • BMI
  • Depression score
  • Diabetes self-management behaviors

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

8
Evidence pairs
8
Relationships
5
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

5

Related topics

8

Evidence pairs

475

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 5 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c

Evidencia relacionada

Relación de evidencia

Diabetes Self-Management Education and Support (DSMES) Programs and Quality of Life Outcomes

Seguir evidencia

Relación de evidencia

Diabetes Self-Management Education and Support (DSMES) Programs and Body Mass Index

Seguir evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

BMI

Behavioral counseling → BMI

Behavioral counseling → BMI

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Depression score

Behavioral counseling → Depression score

Behavioral counseling → Depression score

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Diabetes self-management behaviors

Behavioral counseling → Diabetes self-management behaviors

Behavioral counseling → Diabetes self-management behaviors

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Diastolic blood pressure

Behavioral counseling → Diastolic blood pressure

Behavioral counseling → Diastolic blood pressure

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Efficacy of Cognitive Behavioral Therapy (CBT) in Diabetes Management

Behavioral counseling → Efficacy of Cognitive Behavioral Therapy (CBT) in Diabetes Management

Behavioral counseling → Efficacy of Cognitive Behavioral Therapy (CBT) in Diabetes Management

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Behavioral counseling → HbA1c

Behavioral counseling → HbA1c

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
64
Moderate
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Sleep quality

Behavioral counseling → Sleep quality

Behavioral counseling → Sleep quality

Evidence Intelligence™
ImpactScore™
75
Positive
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Systolic blood pressure

Behavioral counseling → Systolic blood pressure

Behavioral counseling → Systolic blood pressure

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

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Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

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Weekly Evidence Digest

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evidence suggest

La Evidencia Sugiere

  • CBT led to a significant reduction in depression scores by 2.12 points.
  • Self-management behaviors improved by 10.7 points in the intervention group.
  • The efficacy of CBT increased by 3.31 points.
who this applies

A quién se aplica

  • Adults diagnosed with Type 2 diabetes.
  • Patients experiencing symptoms of metabolic syndrome.
  • Individuals seeking psychological support alongside diabetes management.
keep in mind

Tener en Cuenta

  • Results may not apply to populations outside the study's demographic.
  • The study focused on short-term outcomes; long-term effects are unknown.
  • Further research is needed to confirm findings across diverse settings.
between the lines

Entre Líneas

  • The study did not measure long-term effects of CBT.
  • Sample size and demographic diversity may limit generalizability.
  • The downtrend in other health metrics was not statistically significant.

Save this study

Keep this study in your Evidence Tracker so you can easily find it again whenever you need it.

Today's Activity

Your Evidence Workspace

Free account

Saved this study

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Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and Quality of Life Outcomes, Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Diabetes Self-Management Education and Support (DSMES) Programs improve HbA1c?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 64.2 | neutral | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is based on 28 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
28 supporting studiesUpdated: Jul 2026

Does Diabetes Self-Management Education and Support (DSMES) Programs improve quality of life outcomes?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Quality of Life Outcomes.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Sleep quality

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is based on 10 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
10 supporting studiesUpdated: Jul 2026

Does Diabetes Self-Management Education and Support (DSMES) Programs affect body mass index?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve Body Mass Index.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Population details are unavailable.
11 supporting studiesUpdated: Jul 2026

Does Diabetes Self-Management Education and Support (DSMES) Programs improve diabetes management self-efficacy?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Diabetes Management Self-Efficacy.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Diabetes self-management behaviors

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 9 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
9 supporting studiesUpdated: Jul 2026
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