Limitations of the study
Type II diabetes mellitus, cognitive behavior, anxiety, depressive, psychiatric, psychiatric disorders, T2DM, diabetes distress, diabetes
TYPE III DIABETES MELLITUS, DISORDERS, DIABETES
The current study has some limitations. First, only patients with Type II diabetes mellitus were taken in the study. Second, patients were taken only from outpatient departments. Third, major focus was given only to diabetes distress, depressive symptoms, health anxiety, medication adherence and physical activities; many other factors; such as, patients’ coping mechanisms, social and emotional support systems, and others comorbid medical conditions, diagnosed psychiatric disorders and aging factors, were not investigated in this study. Fourth, the cognitive behavior therapy session was mainly designed for patients with T2DM having psychiatric problems, not psychiatric disorders. Fifth point I that we could not enroll a large-enough number of participants (due to Covid-19) in this RCT that come from different age groups, especially above age 50, who might have more diabetes problems. Lastly, this RCT does not say anything about the patients who have a history of chronic diabetes greater than 10 years. Nonetheless, if future researches target the aforesaid areas, it will be a helpful contribution to the literature as well as to the generalizability of the results.