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Effects of stress management group psychotherapy on glycemic control in type 2 diabetes: Preliminary study

Abstract

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.

keywords
type 2 diabetes, stress management group psychotherapy, HbA1C, excercise practice, state-anxiety, trait-anxiety, 제2형 당뇨환자, 스트레스관리 집단치료, 당화혈색소, 상태 및 특성 불안, 운동 실천, type 2 diabetes, stress management group psychotherapy, HbA1C, excercise practice, state-anxiety, trait-anxiety

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