Accepted for/Published in: JMIR Formative Research
Date Submitted: Aug 30, 2021
Date Accepted: May 3, 2022
Online Guided Self-Help Cognitive Behavioral Therapy with Exposure to Anxiety and Problem solving in Type 1 Diabetes Mellitus: Two illustrative Case reports
ABSTRACT
Background:
Type 1 diabetes mellitus (T1DM) is dependent on self-care to avoid severe consequences. There are several problem areas in diabetes that could be addressed by psychological interventions, such as suboptimal problem-solving strategies and fear of hypoglycaemia. There is empirical support for some psychological interventions but these are largely unavailable.
Objective:
With the long-term aim to increase access to care, an online guided self-help cognitive behavioural therapy protocol featuring the interventions problem solving and exposure was developed. The purpose of this report is to show the potential of this newly developed online intervention by describing two illustrative cases.
Methods:
Two participants received an internet-delivered CBT intervention, and their treatments are described within the paper.
Results:
Both cases showed a clinically significant improvement in diabetes-related problem areas. Characteristics of the cases are discussed from a cognitive-behavioural psychological perspective in the light of previous literature. Both participants were satisfied with treatment and we were able to match interventions to reported problem areas.
Conclusions:
The cases illustrate that you can improve high blood glucose and other problem areas in diabetes with a guided self-help cognitive behavioural therapy protocol, delivered via the internet and based on problem solving and exposure. This report also offers a discussion on four potential behavioural problem areas in T1DM; denial, routines, fear of hypoglycaemia and depression. Clinical Trial: N/A
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