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The Korean Journal of Health Psychology

  • KOREAN
  • P-ISSN1229-070X
  • E-ISSN2713-9581
  • KCI

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Vol.15 No.1

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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

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