Depressive Symptoms in a Trial Behavioral Family Systems Therapy for Diabetes: A Post Hoc Analysis of Change

Andrew R. Riley, Danny Duke, Kurt Freeman, Korey K. Hood, Michael Harris

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

OBJECTIVE: The objective was to test whether Behavioral Family Systems Therapy for Diabetes (BFST-D), an evidence-based family therapy, produces individual changes in depressive symptoms for adolescents with type 1 diabetes in suboptimal glycemic control (HbA(1c) ≥9.0% [≥74.9 mmol/mol]).

RESEARCH DESIGN AND METHODS: Data were from a randomized controlled trial (RCT) comparing two modes of BFST-D delivery: in clinic versus Internet videoconferencing. There were no significant differences between groups in the RCT, so groups were collapsed into a within-group prepost design for secondary analyses. A multiple regression analysis was performed to test for mediation of treatment outcomes by changes in family processes.

RESULTS: Significant improvements in glycemic control, depressive symptoms, and family functioning were found from pre- to posttreatment. A multiple regression analysis for within-subject mediation indicated that improvements in depressive symptoms were partially mediated by improvements in parent-youth conflict; however, family process changes did not mediate diabetes health outcomes.

CONCLUSIONS: In addition to improving treatment adherence and glycemic control, BFST-D has collateral benefits on depressive symptoms.

Original languageEnglish (US)
Pages (from-to)1435-1440
Number of pages6
JournalDiabetes Care
Volume38
Issue number8
DOIs
StatePublished - Aug 1 2015

Fingerprint

Family Therapy
Depression
Randomized Controlled Trials
Regression Analysis
Videoconferencing
Type 1 Diabetes Mellitus
Internet
Research Design
Health
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Depressive Symptoms in a Trial Behavioral Family Systems Therapy for Diabetes : A Post Hoc Analysis of Change. / Riley, Andrew R.; Duke, Danny; Freeman, Kurt; Hood, Korey K.; Harris, Michael.

In: Diabetes Care, Vol. 38, No. 8, 01.08.2015, p. 1435-1440.

Research output: Contribution to journalArticle

@article{410a1a37451c4e5b9cdc6eccdc903626,
title = "Depressive Symptoms in a Trial Behavioral Family Systems Therapy for Diabetes: A Post Hoc Analysis of Change",
abstract = "OBJECTIVE: The objective was to test whether Behavioral Family Systems Therapy for Diabetes (BFST-D), an evidence-based family therapy, produces individual changes in depressive symptoms for adolescents with type 1 diabetes in suboptimal glycemic control (HbA(1c) ≥9.0{\%} [≥74.9 mmol/mol]).RESEARCH DESIGN AND METHODS: Data were from a randomized controlled trial (RCT) comparing two modes of BFST-D delivery: in clinic versus Internet videoconferencing. There were no significant differences between groups in the RCT, so groups were collapsed into a within-group prepost design for secondary analyses. A multiple regression analysis was performed to test for mediation of treatment outcomes by changes in family processes.RESULTS: Significant improvements in glycemic control, depressive symptoms, and family functioning were found from pre- to posttreatment. A multiple regression analysis for within-subject mediation indicated that improvements in depressive symptoms were partially mediated by improvements in parent-youth conflict; however, family process changes did not mediate diabetes health outcomes.CONCLUSIONS: In addition to improving treatment adherence and glycemic control, BFST-D has collateral benefits on depressive symptoms.",
author = "Riley, {Andrew R.} and Danny Duke and Kurt Freeman and Hood, {Korey K.} and Michael Harris",
year = "2015",
month = "8",
day = "1",
doi = "10.2337/dc14-2519",
language = "English (US)",
volume = "38",
pages = "1435--1440",
journal = "Diabetes Care",
issn = "1935-5548",
publisher = "American Diabetes Association Inc.",
number = "8",

}

TY - JOUR

T1 - Depressive Symptoms in a Trial Behavioral Family Systems Therapy for Diabetes

T2 - A Post Hoc Analysis of Change

AU - Riley, Andrew R.

AU - Duke, Danny

AU - Freeman, Kurt

AU - Hood, Korey K.

AU - Harris, Michael

PY - 2015/8/1

Y1 - 2015/8/1

N2 - OBJECTIVE: The objective was to test whether Behavioral Family Systems Therapy for Diabetes (BFST-D), an evidence-based family therapy, produces individual changes in depressive symptoms for adolescents with type 1 diabetes in suboptimal glycemic control (HbA(1c) ≥9.0% [≥74.9 mmol/mol]).RESEARCH DESIGN AND METHODS: Data were from a randomized controlled trial (RCT) comparing two modes of BFST-D delivery: in clinic versus Internet videoconferencing. There were no significant differences between groups in the RCT, so groups were collapsed into a within-group prepost design for secondary analyses. A multiple regression analysis was performed to test for mediation of treatment outcomes by changes in family processes.RESULTS: Significant improvements in glycemic control, depressive symptoms, and family functioning were found from pre- to posttreatment. A multiple regression analysis for within-subject mediation indicated that improvements in depressive symptoms were partially mediated by improvements in parent-youth conflict; however, family process changes did not mediate diabetes health outcomes.CONCLUSIONS: In addition to improving treatment adherence and glycemic control, BFST-D has collateral benefits on depressive symptoms.

AB - OBJECTIVE: The objective was to test whether Behavioral Family Systems Therapy for Diabetes (BFST-D), an evidence-based family therapy, produces individual changes in depressive symptoms for adolescents with type 1 diabetes in suboptimal glycemic control (HbA(1c) ≥9.0% [≥74.9 mmol/mol]).RESEARCH DESIGN AND METHODS: Data were from a randomized controlled trial (RCT) comparing two modes of BFST-D delivery: in clinic versus Internet videoconferencing. There were no significant differences between groups in the RCT, so groups were collapsed into a within-group prepost design for secondary analyses. A multiple regression analysis was performed to test for mediation of treatment outcomes by changes in family processes.RESULTS: Significant improvements in glycemic control, depressive symptoms, and family functioning were found from pre- to posttreatment. A multiple regression analysis for within-subject mediation indicated that improvements in depressive symptoms were partially mediated by improvements in parent-youth conflict; however, family process changes did not mediate diabetes health outcomes.CONCLUSIONS: In addition to improving treatment adherence and glycemic control, BFST-D has collateral benefits on depressive symptoms.

UR - http://www.scopus.com/inward/record.url?scp=84953860131&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84953860131&partnerID=8YFLogxK

U2 - 10.2337/dc14-2519

DO - 10.2337/dc14-2519

M3 - Article

C2 - 26015558

AN - SCOPUS:84953860131

VL - 38

SP - 1435

EP - 1440

JO - Diabetes Care

JF - Diabetes Care

SN - 1935-5548

IS - 8

ER -