| Autor: |
VAN SON, JENNY, NYKLÍČEK, IVAN, POP, VICTOR J., BLONK, MARION C., ERDTSIECK, RONALD J., SPOOREN, PIETER F., TOORIANS, ARNO W., POUWER, FRANÇOIS |
| Předmět: |
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| Zdroj: |
Diabetes Care; Apr20123, Vol. 36 Issue 4, p823-830, 8p, 1 Diagram, 3 Charts, 1 Graph |
| Abstrakt: |
OBJECTIVE--Emotional distress is common in outpatients with diabetes, affecting ~20- 40% of the patients. The aim of this study was to determine the effectiveness of group therapy with Mindfulness-Based Cognitive Therapy (MBCT), relative to usual care, for patients with diabetes with regard to reducing emotional distress and improving health-related quality of life and glycemic control. RESEARCH DESIGN AND METHODS--In the present randomized controlled trial, 139 outpatients with diabetes (type 1 or type 2) and low levels of emotional well-being were randomized to MBCT (n = 70) or a waiting list group (n = 69). Primary outcomes were perceived stress (Perceived Stress Scale), anxiety and depressive symptoms (Hospital Anxiety and Depression Scale), mood (Profiles of Mood States), and diabetes-specific distress (Problem Areas In Diabetes). Secondary outcomes were health-related quality of life (12-Item Short-Form Health Survey), and glycemic control (HbA1c). Assessments were conducted at baseline and at 4 and 8 weeks of follow-up. RESULTS--Compared with control, MBCT was more effective in reducing stress (P < 0.001, Cohen d = 0.70), depressive symptoms (P= 0.006, d = 0.59), and anxiety (P = 0.019, d =0.44).In addition, MBCT was more effective in improving quality of life (mental: P = 0.003, d =0.55; physical: P = 0.032, d = 0.40). We found no significant effect on HbA1c or diabetes-specific distress, although patients with elevated diabetes distress in the MBCT group tended to show a decrease in diabetes distress (P= 0.07, d = 0.70) compared with the control group. CONCLUSIONS--Compared with usual care, MBCT resulted in a reduction of emotional distress and an increase in health-related quality of life in diabetic patients who had lower levels of emotional well-being. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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