Psychosocial interventions for reducing diabetes distress in vulnerable people with type 2 diabetes mellitus: a systematic review and meta-analysis.

Diabetes Metab Syndr Obes · 2019 · PMC6301434 · PMID 30588053

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a nonsignificant trendno p-value reported

On HbA1c, there was a nonsignificant trend toward deteriorating HbA1c after brief intervention.

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borderline significantno p-value reported

reported a borderline significant effect on HbA1c, but as previously mentioned, no effect on DD. 20 The conflicting findings might be explained by the vulnerability criteria applied in this review including one or more comorbidities 62 and longer duration of diabetes 23 which, pathophysiologically 63 and mentally, might hamper possible effects of interventions on HbA1c despite reduced levels of DD.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.