PMID- 33758648
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210325
IS  - 1948-9358 (Print)
IS  - 1948-9358 (Electronic)
IS  - 1948-9358 (Linking)
VI  - 12
IP  - 3
DP  - 2021 Mar 15
TI  - Effectiveness of cognitive behavior therapy for sleep disturbance and glycemic 
      control in persons with type 2 diabetes mellitus: A community-based randomized 
      controlled trial in China.
PG  - 292-305
LID - 10.4239/wjd.v12.i3.292 [doi]
AB  - BACKGROUND: Poor sleep quality is a common clinical feature in patients with type 
      2 diabetes mellitus (T2DM), and often negatively related with glycemic control. 
      Cognitive behavioral therapy (CBT) may improve sleep quality and reduce blood 
      sugar levels in patients with T2DM. However, it is not entirely clear whether CBT 
      delivered by general practitioners is effective for poor sleep quality in T2DM 
      patients in community settings. AIM: To test the effect of CBT delivered by 
      general practitioners in improving sleep quality and reducing glycemic levels in 
      patients with T2DM in community. METHODS: A cluster randomized controlled trial 
      was conducted from September 2018 to October 2019 in communities of China. 
      Overall 1033 persons with T2DM and poor sleep quality received CBT plus usual 
      care or usual care. Glycosylated hemoglobin A1c (HbAlc) and sleep quality 
      [Pittsburgh Sleep Quality Index (PSQI)] were assessed. Repeated measures analysis 
      of variance and generalized linear mixed effects models were used to estimate the 
      intervention effects on hemoglobin A1c and sleep quality. RESULTS: The CBT group 
      had 0.64, 0.50, and 0.9 lower PSQI scores than the control group at 2 mo, 6 mo, 
      and 12 mo, respectively. The CBT group showed 0.17 and 0.43 lower HbAlc values 
      than the control group at 6 mo and 12 mo. The intervention on mean DeltaHbAlc values 
      was significant at 12 mo (t = 3.68, P < 0.01) and that mean DeltaPSQI scores were 
      closely related to DeltaHbAlc values (t = 7.02, P < 0.01). Intention-to-treat 
      analysis for primary and secondary outcomes showed identical results with 
      completed samples. No adverse events were reported. CONCLUSION: CBT delivered by 
      general practitioners, as an effective and practical method, could reduce 
      glycemic levels and improve sleep quality for patients with T2DM in community.
CI  - (c)The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights 
      reserved.
FAU - Zhang, Huai-Zhong
AU  - Zhang HZ
AD  - Department of Psychiatry, Xuzhou Third People's Hospital, Xuzhou 221000, Jiangsu 
      Province, China.
FAU - Zhang, Pan
AU  - Zhang P
AD  - Department of Control and Prevention of Chronic Non-communicable Diseases, Xuzhou 
      Center for Disease Control and Prevention, Xuzhou 221006, Jiangsu Province, 
      China.
FAU - Chang, Gui-Qiu
AU  - Chang GQ
AD  - Department of Control and Prevention of Chronic Non-communicable Diseases, Xuzhou 
      Center for Disease Control and Prevention, Xuzhou 221006, Jiangsu Province, 
      China.
FAU - Xiang, Quan-Yong
AU  - Xiang QY
AD  - Department of Control and Prevention of Chronic Non-communicable Diseases, 
      Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, 
      Jiangsu Province, China.
FAU - Cao, Huan
AU  - Cao H
AD  - Department of Psychiatry, Xuzhou Third People's Hospital, Xuzhou 221000, Jiangsu 
      Province, China.
FAU - Zhou, Jin-Yi
AU  - Zhou JY
AD  - Department of Control and Prevention of Chronic Non-communicable Diseases, 
      Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, 
      Jiangsu Province, China.
FAU - Dong, Zong-Mei
AU  - Dong ZM
AD  - Department of Control and Prevention of Chronic Non-communicable Diseases, Xuzhou 
      Center for Disease Control and Prevention, Xuzhou 221006, Jiangsu Province, 
      China.
FAU - Qiao, Cheng
AU  - Qiao C
AD  - Department of Control and Prevention of Chronic Non-communicable Diseases, Xuzhou 
      Center for Disease Control and Prevention, Xuzhou 221006, Jiangsu Province, 
      China.
FAU - Xu, Chun-Rong
AU  - Xu CR
AD  - Department of Psychiatry, Xuzhou Third People's Hospital, Xuzhou 221000, Jiangsu 
      Province, China.
FAU - Qin, Yu
AU  - Qin Y
AD  - Department of Control and Prevention of Chronic Non-communicable Diseases, 
      Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, 
      Jiangsu Province, China.
FAU - Lou, Pei-An
AU  - Lou PA
AD  - Department of Control and Prevention of Chronic Non-communicable Diseases, Xuzhou 
      Center for Disease Control and Prevention, Xuzhou 221006, Jiangsu Province, 
      China. lpa82835415@126.com.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - World J Diabetes
JT  - World journal of diabetes
JID - 101547524
PMC - PMC7958479
OTO - NOTNLM
OT  - Cognitive behavior therapy
OT  - Community-based randomized controlled trial
OT  - Glycemia
OT  - Intervention
OT  - Sleep quality
OT  - Type 2 diabetes mellitus
COIS- Conflict-of-interest statement: No potential conflicts of interest relevant to 
      this article are reported.
EDAT- 2021/03/25 06:00
MHDA- 2021/03/25 06:01
PMCR- 2021/03/15
CRDT- 2021/03/24 06:46
PHST- 2020/09/18 00:00 [received]
PHST- 2020/12/09 00:00 [revised]
PHST- 2020/12/23 00:00 [accepted]
PHST- 2021/03/24 06:46 [entrez]
PHST- 2021/03/25 06:00 [pubmed]
PHST- 2021/03/25 06:01 [medline]
PHST- 2021/03/15 00:00 [pmc-release]
AID - 10.4239/wjd.v12.i3.292 [doi]
PST - ppublish
SO  - World J Diabetes. 2021 Mar 15;12(3):292-305. doi: 10.4239/wjd.v12.i3.292.