Effect of cognition-based intervention on state of depression and anxiety in type 2 diabetes accepted insulin-treatment in Community

Objective Investigate the state of depression and anxiety in type 2 diabetes accepted insulin-treatment in community, as well as observation on the effect of intervention for the patients before and after cognition-based intervention. Methods A investigation by general practitioners was carried out among 231 cases with diabetes, all the subjects were assessed by the Zung,s self-rating depression scale(SDS),the Zung,s self-rating anxiety scale(SAS), 71 patients accepted insulin-treatment were randomly divided into intervention group(n=36)and control group(n=35), the two groups were compared by x2 test and t test.Results Patients with diabetes keep a mental dysfunction to insulin widespreadely. After 6 weeks of cognition-based intervention, self-rating scale values of anxiety and depression were significantly lower in the intervention group than that in the control group(P0.05).Conclusion The mental factor plays an important role in diabetes,the therapy of cognition-based was effective to depressive and anxious symptoms. It is very necessary to strengthen psychological education and eliminate misunderstand of the patients to insulin-treatment.