Cognitive-Behavioral Therapy for Adherence and Depression (CBT-AD) in type 2 diabetes

Jeffrey S. Gonzalez, Lauren A. McCarl, Deborah J. Wexler, Enrico Cagliero, Linda Delahanty, Tiffany D. Soper, Valerie Goldman, Robert Knauz, Steven A. Safren

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


Depression is one of the most common psychological problems among individuals with diabetes, and is associated with worse treatment adherence and clinical outcomes. As part of a program of treatment research aimed at integrating interventions for depression and treatment nonadherence, five depressed patients with suboptimally controlled type 2 diabetes were treated with 10-12 sessions of individual cognitive-behavioral therapy for adherence and depression (CBT-AD) in a case-series design. The intervention was delivered in a hospital setting by a collaborative team consisting of a psychologist, a nurse educator, and a dietitian. Post-treatment, all participants demonstrated a decrease in depression severity and demonstrated improvements in diabetes self-care. Four of the five demonstrated improved glycemic control. These preliminary results provide evidence for the acceptability, feasibility, and potential utility of CBT-AD for patients with type 2 diabetes and depression.

Original languageEnglish (US)
Pages (from-to)329-343
Number of pages15
JournalJournal of Cognitive Psychotherapy
Issue number4
StatePublished - 2010
Externally publishedYes


  • Adherence
  • CBT
  • Compliance
  • Depression
  • Diabetes

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Clinical Psychology
  • Psychiatry and Mental health


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