Comorbid diabetes and depression: Do E-health treatments achieve better diabetes control?

C.M. van der Feltz-Cornelis

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Abstract

Research in the field of comorbid depression in diabetes shows that the
optimum treatment to attain better diabetes disease control is still undecided. Although several treatment models are effective and available, interventions aimed at improving disease control, such as glycemic control, are less effective, with moderate evidence for pharmacological treatment and a lot of evidence for psychotherapy in combination with
self-management techniques. New developments such as M-health and E-health are much less effective and show much less effect in terms of glycemic control than earlier developed, face-to-face psychotherapeutic treatments, and demonstrate higher mortality rates in patients with diabetes mellitus or with multimorbidity, which gives reason for caution in the evaluation, testing and implementation of E-health and M-health models in patients
with diabetes and depression. Further research into blended E-health models, in which the clinical diagnostic and treatment evaluation is strongly embedded, and with a focus not only on depression treatment, but also on diabetes control and taking mortality into account as outcome, is needed
Original languageEnglish
Pages (from-to)379-388
JournalDiabetes Management
Volume3
Issue number5
DOIs
Publication statusPublished - 2013

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