The Effect of Coping Skills Training on Depression, Anxiety, Stress, and Self-Efficacy in Adolescents with Diabetes: A Randomized Controlled Trial.
Mitra Edraki, Masoume Rambod, Zahra Molazem
PMID 30465005WHAT IT FOUND
Adolescents with type 1 diabetes who joined eight coping skills sessions reported lower depression, anxiety and stress and more confidence in new situations at one-month follow-up than routine-care controls.
Key findings
01The coping skills training group had lower depression, anxiety and stress scores than the control group.
02The coping skills training group had higher general self-efficacy scores than the control group after the intervention.
03No harms or side effects related to participation were reported during the study.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Follow-up was only one month after the intervention, so it does not show whether the benefits lasted. Outcomes were self-report mood and confidence scores, with no objective measures such as diabetes control. Participants knew which group they were in, which could affect their answers. Recruitment was convenience and purposeful sampling from one diabetes clinic, so results may not apply to all adolescents with type 1 diabetes. The intervention was a multi-component programme, so the contribution of any single element cannot be separated.
The easy way to misread this
Do not read this as proof that coping skills training improves diabetes control or produces lasting psychological benefit. The study measured self-report mood and confidence outcomes only one month after the intervention, and it did not report effects on glucose or diabetes control.