The Effect of Psychosocial Approach Education on Diabetes Control in Patients with Diabetes Mellitus and Depression in Comprehensive Health Care Centers in Isfahan City, Iran, 2018-2019

Background: The present study aimed to investigate the effect of psychosocial approach on depression and blood glucose control in patients with type 2 diabetes mellitus and depression. Methods: This was a controlled clinical trial study in patients with type 2 diabetes mellitus, who had records in comprehensive health care centers of Isfahan City, Iran, during the years 2018-2019. In both groups before the intervention, depression was assessed using standard Beck Depression Inventory (BDI-II) questionnaire, and if beck score is above 14 and informed consent was signed, the patients were included in the study. Fating blood sugar (FBS) and blood glycosylated hemoglobin (HbA1C) levels, weight, and height was measured. Then, psychosocial approach intervention was applied on 38 patients in intervention group; and the control group (41 patients) received routine health care services trainings. 3 months after the end of intervention, FBS, HBA1C, and BDI were assessed again. The results were analyzed using independent t, paired t, and chi-square tests via SPSS software. Findings: In posttest phase, HbA1c level and level of depression significantly decreased in the intervention group compared to the control group. Conclusion: Based on the results of this study, psychosocial approach can be effective in reducing depression and lowering HbA1c level in patients with type 2 diabetes mellitus and depression.