RCT comparing empowerment intervention, psychotherapy (CAT) and requested CAT for patients with Type 1 diabetes

A study analysing psychological morbidity amongst patients with Type 1 diabetes was conducted at the Royal Bournemouth Hospital (Shaban, Fosbury et al, Diabetic Medicine 2006).

Part 2 of the study was a RCT randomising patients in to empowerment intervention, psychotherapy (CAT) and requested CAT. This second part has been published as part of an abstract and has been submitted to Diabetologia for review. Biochemical (HbAlc) and psychological data were measured. All groups reduced HbAlc in a way which reduced clinical risk in patients with diabetes (e.g. blindness, amputations etc) but patients who requested CAT showed the greatest result in psychological and biochemical terms and significant statistical data at 2 year follow up (Diabetic Medicine March 2008, Vol 25, Supplement 1, p 135).

The second part is a continuation of the first RCT of CAT in diabetes published by Jackie Fosbury (Fosbury et al 1997, Diabetes Care). This study recommends that more complex therapy is effective in those reporting more severe diabetes related psychological distress. We are making a case for CAT, which goes over and above current limitations of the IAPT agenda and a case for CAT for people with long term physical conditions (commissioning process). As second author to the Bournemouth study I will be following up the part 2 study with comments about how the trial was conducted i.e. the psychotherapist was supervised by me but not CAT trained formally and was quite 'resistant' to CAT at outset.

Contact: Jackie Fosbury
jackie@dtaylor0.wanadoo.co.uk

November 2014 - Update:
This research is now complete but not yet published.

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Current Research Using a CAT approach to make sense of psychosis Team based Interventions with 5 session CAT consultancy RCT of CAT with adolescent and borderline patients Integrating Embodied Awareness into CAT Comparison of Treatment of Anorexia in Adults with CAT Case Series Research - in intellectual disability (community and forensic) services Support for CAT research Research Awaiting Publication Deconstruction of CAT The case formulation task in psychotherapy Therapists’ Construction and Application of the Reformulation Diagram in Clinical Practice Understanding SDRs in CAT CAT Sequential Diagrammatic Reformulation (SDR) to explore service users' experience of CAT formulation: a qualitative thesis project Recently Published Research and Research Presentations A Feasibility Trial of Group Cognitive Analytic Music Therapy in Secure Hospital Settings (2014) Assessment of identity disturbance: Factor Structure and validation of the Personality Structure Questionnaire (PSQ) in an Italian sample CAT and Psychosis Cognitive Analytic Therapy for high-risk sexual behaviour Is Cognitive Analytic Therapy (CAT) effective in treating Hoarding Disorder? Testing the Effectiveness of Cognitive Analytic Therapy for Hypersexuality Disorder: An Intensive Time-Series Evaluation Cognitive analytic therapy: A review of the outcome evidence base for treatment Group Cognitive Analytic Therapy for Female Survivors of Childhood Sexual Abuse An eight-eyed version of Hawkins and Shohet’s clinical supervision model: the addition of the cognitive analytic therapy concept of the ‘observing eye/I’ as the ‘observing us’ Outcomes of cognitive analytic therapy delivered by trainees Treatment of Paranoid Personality Disorder with Cognitive Analytic Therapy - A Mixed Methods Single Case Experimental Design Team Consultancy Using Cognitive Analytic Therapy: A Controlled Study In Assertive Outreach Using a cognitive analytic approach to formulate a complex sexual and violent offender to inform multi-agency working: developing a shared understanding Cognitive analytic therapy at 30 Bipolar Trial: CATBiD: A phase one randomised controlled study of Cognitive Analytic Therapy for Bipolar Affective Disorder Development and evaluation of cognitive analytic guided self-help (CAT-SH) for use in IAPT services How change is enabled during cognitive analytic therapy: An exploratory study of the treatment of depression CAT Research Archives Do people with learning disabilities have a concept of reciprocal roles Exploring endings from therapist's experience RCT for CAT and diabetes A process study evaluating rupture repair in CAT CAT in groups The SPeDi Trial (Sheffield Personality Disorders) Goodbye Letters in CAT The effectiveness of CAT for BPD RCT for CAT informed care planning CAT and CBT for affective disorders Key References to Research in CAT Research and Communication Committee Donate to ACAT Research Fund ACAT Research Strategy Researchers Currently Recruiting Through ACAT

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