Research Summary
Analyzed using Evidence Intelligence™

CBT and Mindfulness Improve Mood and Sleep in Diabetic Cancer Patients

Last updated July 11, 2026

Key finding

The negative mood score decreased in both groups, and the score in the observation group was lower than that in the control group (P < 0.05).

This study evaluated the effects of Cognitive Behavioral Therapy and Mindfulness-Based Stress Reduction on patients with diabetes and endometrial cancer, finding significant improvements in mood and sleep quality.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 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 effects of Cognitive Behavioral Therapy and Mindfulness-Based Stress Reduction on patients with diabetes and endometrial cancer, finding significant improvements in mood and sleep quality.

Clinical relevance

Improving mental health and sleep quality is crucial for patients with chronic conditions like diabetes and cancer. This study highlights the potential of behavioral therapies to enhance overall well-being, which can lead to better disease management and quality of life.

Keep in mind

The study design was observational, limiting causal inferences. Sample size and demographic diversity were not specified. Potential confounding factors were not controlled for.

Published in

Journal Reference

Publication details and source links for this paper.

Qing-Song Z, Wei Z, Yun M, Xiao-Shi W, Jin-Wei Z, Ying-Jiu C. Cognitive Behavioral Therapy and Mindfulness-Based Stress Reduction for Patients with Diabetes and Endometrial Cancer. World Journal of Psychiatry. 2025;15(4):100849. doi:10.5498/wjp.v15.i4.100849

Main Effects

Negative mood score decreased by 2.74 (p < 0.001) in the observation group compared to control.

Positive mood score increased by 4.36 (p < 0.001) in the observation group compared to control.

Sleep quality score decreased by 0.68 (p < 0.001) in the observation group compared to control.

Pittsburgh Sleep Quality Index total score decreased by 0.39 (p < 0.001) in the observation group compared to control.

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to Telephone-based lifestyle education for gestational diabetes prevention and Negative mood score, Positive mood score improvement, Sleep quality.

Primary intervention

Telephone-based lifestyle education for gestational diabetes prevention

Primary outcomes

  • Negative mood score
  • Positive mood score improvement
  • Sleep quality

Evidence relationships

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

3
Evidence pairs
3
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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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: 54

0

Related topics

3

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 3 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Negative mood score

Telephone-based lifestyle education for gestational diabetes prevention → Negative mood score

Telephone-based lifestyle education for gestational diabetes prevention → Negative mood 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
Unlock full evidence details

Positive mood score improvement

Telephone-based lifestyle education for gestational diabetes prevention → Positive mood score improvement

Telephone-based lifestyle education for gestational diabetes prevention → Positive mood score improvement

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
Unlock full evidence details

Sleep quality

Telephone-based lifestyle education for gestational diabetes prevention → Sleep quality

Telephone-based lifestyle education for gestational diabetes prevention → Sleep quality

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
Unlock full evidence details

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evidence suggest

Evidence Suggest

  • Negative mood improved significantly with a decrease of 2.74 points.
  • Positive mood increased by 4.36 points in the intervention group.
  • Sleep quality scores showed a significant decrease of 0.68 points.
who this applies

Who this applies to

  • Patients diagnosed with diabetes.
  • Patients diagnosed with endometrial cancer.
keep in mind

Keep in Mind

  • Results may not be generalizable to other cancer types.
  • The study did not assess long-term effects of the interventions.
  • Further research is needed to explore underlying mechanisms.
between the lines

Between the Lines

  • The study design was observational, limiting causal inferences.
  • Sample size and demographic diversity were not specified.
  • Potential confounding factors were not controlled for.

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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 Telephone-based lifestyle education for gestational diabetes prevention and Negative mood score, Telephone-based lifestyle education for gestational diabetes prevention and Positive mood score improvement.

Related evidence relationships

Explore in Evidence Archive

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

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Explore more in the evidence archive

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Questions answered by this study

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

Does Telephone-based lifestyle education for gestational diabetes prevention improve negative mood score?

Emerging Evidence

Telephone-based lifestyle education for gestational diabetes prevention appears to improve Negative mood score.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Negative mood score

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

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Telephone-based lifestyle education for gestational diabetes prevention improve positive mood score improvement?

Emerging Evidence

Telephone-based lifestyle education for gestational diabetes prevention appears to improve Positive mood score improvement.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Positive mood score improvement

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

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Telephone-based lifestyle education for gestational diabetes prevention improve sleep quality?

Emerging Evidence

Telephone-based lifestyle education for gestational diabetes prevention appears to improve Sleep quality.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Sleep quality

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

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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