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.

ACAT Calendar for March
Fr
Sa
Su
Mo
Tu
We
Th
11st March 2019
CPD Event: Research Conference - organised jointly by ACAT and Catalyse
2
3
4
5
66th March 2019
CAT Introductory Event: ACAT: Two Day Introduction to CAT
7
88th March 2019
CPD Event: ACAT: Out of control sexual behaviour
99th March 2019
CPD Event: CAT Nature Retreat - offered by CAT Cumbria
10
1111th March 2019
CPD Event: How to run a successful private practice: all you need to know - offered by Become Psychology
12
13
14
1515th March 2019
CPD Event: ACAT: CAT for psychosis: a relational approach
16
17
1818th March 2019
Special Interest Group Event: CAT-TAST SIG meeting
19
20
21
22
23
24
25
26
2727th March 2019
CPD Event: Trainers and Supervisors Meeting
28
2929th March 2019
CPD Event: ACAT: CAT with Couples
CPD Event: Forensic CAT Conference - offered by Tees, Esk and Wear Valley NHS Trust (TEWV)
30
31

More information:

Support for CAT research Current Research and Research Awaiting Publication Deconstruction of CAT Using a CAT approach to make sense of psychosis Team based Interventions with 5 session CAT consultancy The case formulation task in psychotherapy Therapists’ Construction and Application of the Reformulation Diagram in Clinical Practice RCT of CAT with adolescent and borderline patients Understanding SDRs in CAT CAT Sequential Diagrammatic Reformulation (SDR) to explore service users' experience of CAT formulation: a qualitative thesis project Comparison of Treatment of Anorexia in Adults with CAT Case Series Research - in intellectual disability (community and forensic) services 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 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 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 Key References to Research in CAT Summaries and Meta-analyses of CAT Research Cognitive Analytic Therapy at 30 Cognitive Analytic Therapy: A review of the outcome evidence base for treatment summaries and meta analyses Research and Communication Committee ACAT Research Strategy Donate to ACAT Research Fund Researchers Currently Recruiting Through ACAT 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

Contact Details

ACAT Administration Manager:Maria Cross

ACAT Administrator:Alison Marfell

ACAT Financial Administrator:Louise Barter

Postal Address:ACAT
PO Box 6793
Dorchester
DT1 9DL
United Kingdom

Phone:+44(0) 1305 263 511

Email:admin@acat.me.uk

Office Hours:Monday to Friday
9am to 5pm

News from ACAT

New blog: 'Dilemmas of Desire: How CAT May Help Chemsex-related Distress' New blog: 'Dilemmas of Desire: How CAT May Help Chemsex-related Distress'...

ACAT Website Gets Mobile-Friendly Last week ACAT's website was updated to use a "responsive" design framework. This means it now works properly on mobile devices and tablets as well as on laptops and desktop computers....

Click to read all news

Help

This site has recently been updated to be Mobile Friendly. We are working through the pages to check everything is working properly. If you spot a problem please email support@acat.me.uk and we'll look into it. Thank you.