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
Unlock full evidence detailsResearch 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
448
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
Track related evidence
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Primary evidence
Evidence relationship
Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c
Related evidence
Evidence relationship
Diabetes Self-Management Education and Support (DSMES) Programs and Quality of Life Outcomes
Follow evidence
Evidence relationship
Diabetes Self-Management Education and Support (DSMES) Programs and Diabetes Management Self-Efficacy
Follow evidence
Core evidence
Study findings
The primary outcomes reported in this study.
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 detailsDiabetes 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
Unlock full evidence detailsDiastolic 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
Unlock full evidence detailsEfficacy 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
Unlock full evidence detailsEvidence Intelligence™
- ImpactScore™
- 50
- Neutral
- EvidenceScore™
- 64
- Moderate
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
Unlock full evidence detailsEvidence Intelligence™
- ImpactScore™
- 75
- Positive
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
Unlock full evidence detailsSystolic 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
Unlock full evidence detailsUnlock full evidence analysis
Create a free account to access effectiveness ratings, evidence strength and depth scores, consistency analysis, and direct links to all supporting studies.
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.
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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.
Related evidence relationships
Explore in Evidence ArchiveThis study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Detailed evidenceDiabetes Self-Management Education and Support (DSMES) Programs → Quality of Life Outcomes
Behavioral & Lifestyle
Evidence Intelligence™
- ImpactScore™
- 75
- Positive
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
View evidenceBehavioral & Lifestyle
Detailed evidenceDiabetes Self-Management Education and Support (DSMES) Programs → HbA1c
Behavioral & Lifestyle
Evidence Intelligence™
- ImpactScore™
- 50
- Neutral
- EvidenceScore™
- 64
- Moderate
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
View evidenceBehavioral & Lifestyle
Detailed evidenceDiabetes Self-Management Education and Support (DSMES) Programs → Blood Pressure
Behavioral & Lifestyle
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
View evidenceIncluded in these evidence collections
Curated evidence collections and hubs this study is part of.
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.
HbA1c Evidence Hub
All studies measuring HbA1c
2 studies
outcome_hubMeasures HbA1c 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.
Blood Pressure Evidence Hub
All studies measuring Blood Pressure
1 studies
outcome_hubMeasures Blood Pressure as a key outcome.
Explore more in the evidence archive
Jump to pre-filtered views in the evidence archive.
All studies on Behavioral counseling and Sleep quality
Intervention: Behavioral counselingOutcome: Sleep quality
2 results
All studies on Behavioral counseling and HbA1c
Intervention: Behavioral counselingOutcome: HbA1c
2 results
All studies on Behavioral counseling
Intervention: Behavioral counseling
2 results
All studies measuring Sleep quality
Outcome: Sleep quality
2 results
All studies measuring HbA1c
Outcome: HbA1c
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 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™ Moderate | EvidenceScore™ 64.2 | neutral | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is based on 26 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 quality of life outcomes?
Strong Evidence
Diabetes Self-Management Education and Support (DSMES) Programs may improve Quality of Life Outcomes.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
Sleep quality
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 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.
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 8 supporting studies with consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
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
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.
Next steps
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