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  • Open Access

Effect of stress management training on glycemic control in patients with Type 1 diabetes

  • Abbas Attari1,
  • Mahnaz Sartippour2,
  • Massoud Amini2 and
  • Sassan Haghighi2
Annals of General Psychiatry20065(Suppl 1):S203

https://doi.org/10.1186/1744-859X-5-S1-S203

Published: 28 February 2006

Keywords

Public HealthBeneficial EffectDiabetic PatientTreatment ProgramGlycemic Control

Background

In this study, the effect of stress management training on glycemic control has been investigated in type 1 diabetic patients.

Materials and methods

The participants were 60 type 1 diabetic patients (aged 16–30). 30 Subjects attended in 3-month stress management training classes during which the prescribed insulin remained constant, but the remainder 30 ones did not. HbA1 from all patients were measured before and after the intervention. Besides, in order to assess the ways of coping, every patient completed a questionnaire and the scores were compared between two groups.

Results

Trained patients showed significantly improved ways of coping. HbA1 changed from 11.7 ± 2.9 and 10.9 ± 2.1 before training to 8.5 ± 1.7 and 10.3 ± 2.1 after intervention in trained and control groups respectively and the changes were significant in study group (p < 0.001). In addition, the difference between means of HbA1 of two groups was statistically significant at the end of the study (p < 0.001).

Discussion

Results show a clinically significant beneficial effect of stress management training on glycemic control among type 1 diabetic patient. It is recommended to consider this type of training as an addition to the treatment program in type 1 diabetic patient.

Authors’ Affiliations

(1)
Behavioral Siences Research Center, Iran
(2)
Endocrine and Metabolism Research Center, Iran

References

  1. Konen JC, Summerson JH, Dignan MB: Family function, stress and locus of control: relationship to glycemia in adults with diabetes mellitus. Arch Fam Med. 1993, 2: 393-402. 10.1001/archfami.2.4.393.View ArticlePubMedGoogle Scholar
  2. Spiess K, Sachs G, Moser G, Pietschmann P, Schernthaner G, Prager R: Psychological moderator variables and metabolic control in recent onset type 1 diabetic patients-a two year longitudinal study. J Psychosom Res. 1994, 38: 249-258. 10.1016/0022-3999(94)90120-1.View ArticlePubMedGoogle Scholar
  3. Lloyd CE, Dyer PH, Lancashire BA, Harris T, Daniels JE, Barnett AH: Association between stress and glycemic control in adults with type 1(insulin-dependent) diabetes. Diabetes Care. 1999, 22: 1278-1283.View ArticlePubMedGoogle Scholar
  4. Viner R, Mcrath M, Trudinger P: Family stress and metabolic control in diabetes. Arch Dis Child. 1996, 74: 418-421.PubMed CentralView ArticlePubMedGoogle Scholar

Copyright

© The Author(s) 2006

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