Does treatment of subsyndromal depression improve depression-related and diabetes-related outcomes? A randomised controlled comparison of psychoeducation, physical exercise and enhanced treatment as usual

Table 1 Contents which were discussed and practised within the programmes

Session	Psychoeducation^a	Physical exercise^b	Diabetes re-education
1	Feelings; recognising and understanding them within the feelings/thoughts/behaviour triad	Physical activity (PA) in managing diabetes	Discussing laboratory findings and patients’ satisfaction with them
	Homework	Exercise	Exchanging experiences with difficulties in managing diabetes
	Keeping mood diary		Distributing leaflets on self-help in mood difficulties
	Paying attention to upward and downward mood spirals
2	Thoughts; becoming aware of hypothetical thinking errors	Heart and PA
	Homework	Exercise
	Keeping mood diary and diary of daily activities
3	Improving mood by pleasant activities	PA and energy expenditure
	Homework	Exercise
	Developing a plan of pleasant activities, noticing obstacles to accomplishing the plan
4	Improving mood by solving problems	The effects of PA on motility, muscles and peripheral nerves
	Homework	Exercise
	Practising a stepped problem-solving technique
5	Automatic negative thoughts and how to manage them	The effects of PA on mood
	Homework	Exercise
	Noticing negative thoughts, trying to replace them with more positive ones
6	The role of support, and assertive communication	Staying motivated for PA
	Developing a plan for self-help in the future	Exercise

^aDiscussing and practising topics focused on diabetes-related issues whenever possible
^bBlood glucose and blood pressure measurements before and at the end of each session. Exercise intensity measured by a heart rate monitor, maintained in a light to medium intensity range

ISSN: 1745-6215