바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Korean Journal of Health Psychology

Article Contents

Prev Next
e-Submission

Vol.15 No.1

Citation Share

Durative Effects of the Stress Management Group Psychotherapy on Glycemic Control in Type 2 Diabetes: SMBG Profile & PMR

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2010, v.15 no.1, pp.51-66
https://doi.org/10.17315/kjhp.2010.15.1.004



& (2010). Durative Effects of the Stress Management Group Psychotherapy on Glycemic Control in Type 2 Diabetes: SMBG Profile & PMR. The Korean Journal of Health Psychology, 15(1), 51-66, https://doi.org/10.17315/kjhp.2010.15.1.004

Abstract

This study was conducted to develop of the stress management group program (SMGP) for type 2 diabetes and to verify the durative effects. For this purpose, 46 diabetic patients were assigned either to the SMGP group(n=25) or to the control group(n=21) by the method of matching sampling. This SMGP program consisted of eight weekly, 2-hr-sessions, which was composed of two parts, the diabetes-education part including feedback of the intensive regimens in SMBG and the progressive muscle relaxation training with stress-monitoring. Participants were assessed before, after, 2 months and 4 months later on FBS, HbA1C, BMI,the practice of self-management behaviors, depression and state/trait anxiety. The main results of this study were as follows. First, SMGP group members demonstrated significant improvements on HbA1C, FBS, depression compared to the control group members. Second,the improvement was maintained on HbA1C until follow-up 2 assessment, 6 months after the baseline of the program. Third, high SMBG and practice of diet were demonstrated to be the significant therapy process factors influencing the program efficacy. The results suggested that the SMGP can be effective to improve the blood glucose control, especially the practice of self-management such as SMBG. As the improvements on physiological and psychological indices were maintained for 4 months, the treatment effects may be fairly stable and not temporary. Implications and limitations were discussed.

keywords
type 2 diabetes, HbA1C, PMR, SMBG, depression, 제2형 당뇨병, PMR, 체계적 SMBG 프로파일, 당화혈색소, 공복혈당, 우울

Reference

1.

보건복지부지정 2형 당뇨병 임상연구센터 편 (2008). 당뇨병의 심리적 지원을 위한 지침. 서울: 보건복지부지정 2형 당뇨병 임상연구센터.

2.

이영호 (1993). 귀인양식, 생활사건, 사건귀인 및 무망감과 우울의 관계: 공변량 구조모형을 통한 분석. 서울대학교 박사학위청구논문.

3.

이평숙, 이용미 (1999). 당뇨병 환자의 스트레스 반응에 영향하는 요인분석. 스트레스 연구, 7(2), 45-54.

4.

유지수, 김은정, 이숙정 (2006). 스트레스 중재를 포함한 포괄적인 생활습관개선 프로그램이 제2형 당뇨병환자의 당조절과 스트레스 반응에 미치는 효과. 대한간호학회지, 36(5), 751-760.

5.

전진수, 김대중, 이관우, 권정혜 (2006). 제2형 당뇨환자를 위한 스트레스집단치료가 혈당조절에 미치는 효과: 예비연구. 한국심리학회지: 임상, 25(4), 899-917.

6.

전진수 (2007). 제2형 당뇨환자를 위한 스트레스집단치료가 혈당조절에 미치는 효과. 고려대학교 박사학위청구논문.

7.

전진수, 신강현, 김완석, 권정혜 (2007). 당뇨스트레스가 우울에 미치는 영향: 개인차 변수들의 조절효과. 한국심리학회지: 건강, 12(4), 851-868.

8.

최은옥 (1999). 능력증강 교육프로그램이 인슐린비의존성 당뇨병 환자의 능력증강상태, 자기간호행위 및 당대사 조절에 미치는 효과. 서울대학교 대학원 간호학 박사학위청구논문.

9.

한덕웅, 이장호, 전겸구, Spielberger (2000). 상태-특성불안검사(STAI-KYZ). 서울: 학지사.

10.

平田行正(2003). 당뇨병이 진단과 치료. (서광출판서역). 광주: 서광. (원전은 1994년에 출판)

11.

Clark, M., & Asimakopoulou, K. G. (2005). Diabetes in Older Adults. In F. J. Snoek, & T. C. Skinner (Eds), Psychology in Diabetes Care 2rd (chap. 4). London: John Wiley & Sons.

12.

Dennis, V.A., Toobert, D., Wilson, W., & Glasgow, R. E. (1986). Patient perspective on factors contributing to nonadherence to diabetes regimen. Diabetes Care, 9(2), 168-172.

13.

Hurley, A. C. (1988). Measuring Self Care Ability in Patients with Diabetes: The Insulin Management Diabetes Self-Efficacy Scale. In O. L. Strickland & C. F., Waltz(Eds). Measurement of Nursing Outcomes. vol 4. New York: Springer Publishing Co.

14.

Lane, J. D., McCaskill, C. C., Ross S. L., Feinglos, M. N., & Surwit, R. S. (1993). Relaxation training for NIDDM. Diabetes Care, 16(8), 1087-1094.

15.

Lustman, P. J., Griffith, L. S., Clouse, R. E.. Freedland, K. E., Eisen, S. A., Rubin, E. H., Carney, R. M., & McGill, J. B. (1995). Effects of aplazolam on glucose regulation in diabetes. Diabetes Care, 18, 1133-1139.

16.

McNabb, W. L. (1997). Adherence in diabetes: Can we define it and can we measure it? Diabetes Care, 20(2), 215-218.

17.

Owens, D. R., (2009). An Introduction to the New IDF Guidline-Self monitoring of blood glucose in Non-Insulin Treated Type 2 Diabetes, Diabetes Research Unit University Hospital Llandoug Penarth, UK. (Dibetes Newsletter, 2009년 12월호 ‘최신논문 맛보기’에서 재인용).

18.

Polonsky, W. H., Anderson, B.j., & Lohrer, P. A. (1995). Assessment of diabetes-related distress. Diabetes Care, 18, 754-760.

19.

Stefan, N., Kantartzis K., Machann, J., Schick, F., Thamer, C., Rittig, K., Balletshofer, B., Machicao, F., Fritsche, A., Haring, H.U. (2009) Identification and characterization of metabolically benign obesity in human. Archives Internal Medicine 168(15), 1609-1616.

20.

Surwit, R. S., & Bauman, A. (2004). The Mind Body Diabetes Revolution: A Proven New Program for Better Blood Sugar Control. New York: Free Press.

21.

Surwit, R. S., & Feinglos, M. N. (1983). The effects of relaxation on glucose tolerance in non-insulin-dependent diabetes. Diabetes Care, 6(2), 176-179.

22.

Surwit, R. S., van Tilburg, M. A. L., Zucker, N., McCaskill, C. C., Parekh, P., Feinglos, M. N., Edwards, C. L., Williams, P., & Lane, J. D. (2002). Stress management improves long-term glycemic control in type 2 diabetes. Diabetes Care, 25(1), 30-34.

23.

Thomas, J. C., & Hersen, M. (2003). Understanding Research in Clinical and Counseling Psychology (pp. 137-138). New Jersey:Lawrence Erlbaum Associates.

The Korean Journal of Health Psychology

e-Submission OA Policy