Diabetes is a challenging condition to manage. Anxiety and depression are common among this group and are associated with poorer diabetes control. This study aims to ascertain the feasibility of conducting a trial of a psychological intervention designed to alleviate significant levels of anxiety and/or depression and improve glycaemic control among those with diabetes who have significant difficulties in these areas.

Eligible patients from NHS Grampian and NHS Greater Glasgow and Clyde will be randomly allocated to intervention or wait-list control groups. The intervention group will receive a course of mindfulness-based cognitive therapy (MBCT) comprising eight weekly sessions of 2-hours with trained mindfulness facilitators, and half an hour of mindfulness practice each day between sessions using pre-recorded audio files. Measures of anxiety/depression (HADS), diabetes control (HbA1c), and a range of other indicators of diabetes control, quality of life and emotional wellbeing will be taken at baseline, immediately post-intervention and at 3-months follow up. Use of health services in the 6-months prior to the intervention and during the 3-months follow-up period will also be assessed. Wait-list controls will complete the measures at the same time points for comparison and will be invited to receive the MBCT course after the 3-month follow-up period.


Andy Keen;