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E-ISSN : 2733-4538
This study was conducted to develop a stress management group psychotherapy based on the abroad research results and the depth interview with diabetic patients to verify the efficacy of the program. 22 diabetic patients were participated in this program. This program consisted of eight sessions, 120-min and composed in two parts. One is the diabetes-education focusing on general facts about the diabetic disease and feedback of the self-monitoring of blood glucose. The other is the progressive muscle relaxation with deep breathing for relieving psychological stress. The dependent variables were fasting glucose, HbA1C, perceived stress, efficacy and practice of self-management, emotional maladjustments. According to pre-post-follow comparison, the stress management group psychotherapy was associated with a significant reduction in HbA1C, state-anxiety, trait-anxiety and a significant improvement in excercise practice. But fasting glucose, perceived stress, efficacy and practice of self-management except exercise, depression were not a significant changes. These results suggest that the stress management group psychotherapy is effective in improving and maintaining glycemic control. It is supposed to develop a procedure for improving motivation in patients and to apply to type 1 patients and peoples with diabetic complication as well.
(1988) 당뇨병 환자들의 대응전략,
(1992) 인슐린비의존형 당뇨병환자들의 스트레스지각,
(1996) 당뇨환자의 자기간호 행위 예측 모형 스트레스 - 대처 모형을 기반으로,
(2005) 혈당개선이 제2형 당뇨병환자의 우울에 미치는 효과,
(1987) 당뇨환자의 식이요법에 대한 지식 및 실천정도가 당뇨병 관리에 미치는 영향,
(2003) 당뇨병 환자에서 우울증과 혈당 조절과의 관련성,
(1987) 생활변화와 질병에 대한 연구 -당뇨병 환자를 대상으로-,
(1993) 사건귀인 및 무망감과 우울의 관계 공변량 구조모형을 통한 분석,
(1996) 당뇨병 환자의 우울 및 불안성향과 관련 인자,
(1999) 능력증강 교육프로그램이 인슐린비의존성 당뇨병 환자의 능력증강상태, 자기간호행위, 및 당대사 조절에 미치는 효과,
(2000) 상태-특성불안검사(STAI-KYZ). , 학지사
(2005) Diabetes in Older Adults , John Wiley & Sons
(1992) Major developments in behavioral diabetes research Journal of Consulting and Clinical Psychology,
(1984) The relationship between psychological stress and insulin-dependent diabetic blood glucose control,
(1986) Patient perspective on factors contributing to nonadherence to diabetes regimen,
(1982) Psychological factors in diabetes and its treatment Journal of Consulting and Clinical Psychology,
(1986) Journal of Personality and Social Psychology,
(1999) Behavioral science in diabetes: Contributing and opportunities. ,
(1988) Measuring Self Care Ability in Patients with Diabetes Measurement of nursing outcomes, Springer Publishing Co
(1993) Relaxation training for NIDDM,
(1996) Changing behaviour: Practical lessons from the diabetes control and complications trial,
(2000) Depression and poor glycemic control: A meta-analytic review of the literature,
(1997) The Course of major depression in diabetes,
(1997) Adherence in diabetes: Can we define it and can we measure it? ,
(1985) Psychosocial factors in diabetes control Adjustment of insulin-treated adults,
(1995) Assessment of diabetes-related distress,
(2005) Counselling and Psychotherapy in Diabetes Mellitus , John Wiley & Sons
(1992) Psychosocial problems and interventions:A review of the literature,
(2001) Psychological issues and treatments for people with diabetes,
(1983) Adherence to IDDM regimens Relationship to psychosocial variables and metabolic control,
(1993) Mind over Metabolism How to use your Mind for Better Health,
(1983) The effects of relaxation on glucose tolerance in non-insulin-dependent diabetes,
(1988) Stress and autonomic nervous system in type 2 diabetes,
(2002) Stress management improves long-term glycemic control in type 2 diabetes,
(2003) Understanding Research in Clinical and Counseling Psychology, Lawrence Erlbaum Associates
(1987) Longterm effects of modest weight loss in type 2 diabetic subjects,