Evidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
Add to Evidence TrackerResearch Summary
Analyzed using Evidence Intelligence™
CBT improves diabetes management in patients with metabolic syndrome
Last updated July 11, 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
Journal Reference
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
Main Effects
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.
This study contributes evidence to
Primary intervention
Behavioral counseling
Primary outcomes
- BMI
- Depression score
- Diabetes self-management behaviors
Primary intervention
Primary outcomes
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
954
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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Primary evidence
Evidence relationship
Diabetes Self-Management Education and Support (DSMES) Programs and Body Mass Index
Related evidence
Evidence relationship
Diabetes Self-Management Education and Support (DSMES) Programs and Diabetes Management Self-Efficacy
Save evidence
Evidence relationship
Diabetes Self-Management Education and Support (DSMES) Programs and Blood Pressure
Save evidence
Core evidence
Study findings
The primary outcomes reported in this study.
Evidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- 100
- consistent
Supporting studies: Based on 2 studies
Add to Evidence TrackerDiabetes self-management behaviors
Behavioral counseling → Diabetes self-management behaviors
Behavioral counseling → Diabetes self-management behaviors
Evidence Intelligence™
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence TrackerDiastolic blood pressure
Behavioral counseling → Diastolic blood pressure
Behavioral counseling → Diastolic blood pressure
Evidence Intelligence™
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence TrackerEfficacy 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™
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence TrackerEvidence Intelligence™
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence TrackerEvidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 75
- Positive
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
Add to Evidence TrackerSystolic blood pressure
Behavioral counseling → Systolic blood pressure
Behavioral counseling → Systolic blood pressure
Evidence Intelligence™
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence TrackerEvidence Library
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Evidence Suggest
- 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 to
- Adults diagnosed with Type 2 diabetes.
- Patients experiencing symptoms of metabolic syndrome.
- Individuals seeking psychological support alongside diabetes management.
Keep in Mind
- 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
- 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.
Evidence Library
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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 Body Mass Index, Diabetes Self-Management Education and Support (DSMES) Programs and Mental Health.
Related evidence relationships
Explore in Evidence ExplorerThis study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Diabetes Self-Management Education and Support (DSMES) Programs → Body Mass Index
Behavioral & Lifestyle
Evidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
View evidenceBehavioral & Lifestyle
Diabetes Self-Management Education and Support (DSMES) Programs → Mental Health
Behavioral & Lifestyle
Evidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- 100
- consistent
Supporting studies: Based on 2 studies
View evidenceBehavioral & Lifestyle
Diabetes Self-Management Education and Support (DSMES) Programs → Quality of Life Outcomes
Behavioral & Lifestyle
Evidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 75
- Positive
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
View evidenceIncluded in these evidence collections
Curated evidence collections and hubs this study is part of.
Body Mass Index Evidence Hub
All studies measuring Body Mass Index
2 studies
outcome_hubMeasures Body Mass Index as a key outcome.
Diabetes Self-Management Education and Support (DSMES) Programs Evidence Hub
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
2 studies
intervention_hubContributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
Mental Health Evidence Hub
All studies measuring Mental Health
2 studies
outcome_hubMeasures Mental Health as a key outcome.
Quality of Life Outcomes Evidence Hub
All studies measuring Quality of Life Outcomes
2 studies
outcome_hubMeasures Quality of Life Outcomes as a key outcome.
Explore more in Evidence Explorer
Jump to pre-filtered views in Evidence Explorer.
All studies on Behavioral counseling and BMI
Intervention: Behavioral counselingOutcome: BMI
2 results
All studies on Behavioral counseling and Depression score
Intervention: Behavioral counselingOutcome: Depression score
2 results
All studies on Behavioral counseling
Intervention: Behavioral counseling
2 results
All studies measuring BMI
Outcome: BMI
2 results
All studies measuring Depression score
Outcome: Depression score
2 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
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 generally consistent across studies.
Ranked evidence signals
- 1
BMI
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is based on 15 supporting studies with generally consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
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
Diabetes self-management behaviors
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 18 supporting studies with consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does Diabetes Self-Management Education and Support (DSMES) Programs improve blood pressure?
Strong Evidence
Diabetes Self-Management Education and Support (DSMES) Programs may improve Blood Pressure.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
- 1
Diastolic blood pressure
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
- 2
Systolic blood pressure
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 9 supporting studies with generally consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
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
HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 38 supporting studies with generally consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Next steps
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