Effectiveness of cognitive-behavioral stress management on psychological stress and glycemic control in gestational diabetes: a randomized controlled trial

Zaheri, Hamideh; Najar, Shahnaz; Abbaspoor, Zahra

doi:10.1080/14767058.2016.1214699

Cited by 18 publications

(39 citation statements)

References 18 publications

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“…Twenty‐eight RCTs reported results of 1944 pregnant women. Nine RCTs were conducted in West Asia (Iran (Asghari et al., 2016; Bastani et al., 2005; Khorsandi et al., 2016; Mohammad & Shima, 2019; Nasiri et al., 2018; Shahtaheri et al., 2016; Zaheri et al., 2017) and Turkey (Ertekin et al., 2018; Fiskin & Sahin, 2018)); seven in Europe (Greece (Kantziari et al., 2019; Tragea et al., 2014), Germany (Richter et al., 2012), Ireland (Matvienko‐Sikar & Dockray, 2017), Sweden (Lönnberg et al., 2020; Scherer et al., 2016) and UK (Krusche et al., 2018)); five in USA (Guardino et al., 2014; Jallo et al., 2014; Urizar et al., 2019; Vieten & Astin, 2008; Zhang & Emory, 2015); three in India (Deshpande et al., 2013; Muthukrishnan et al., 2016; Satyapriya et al., 2009); two in China (Pan et al., 2018; Zhang et al., 2019); and two in Australia (Beattie et al., 2017; Woolhouse et al., 2014). The mean age of the participants ranged from 18 to 35 years old.…”

Section: Resultsmentioning

confidence: 99%

Mind–body interventions on stress management in pregnant women: A systematic review and meta‐analysis of randomized controlled trials

Guo

Zhang

Liu

et al. 2020

Journal of Advanced Nursing

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Aim To quantify the effect of mind–body interventions on stress in pregnant women. Design A systematic review and meta‐analysis of randomized controlled trials was performed. Data Sources PubMed, Embase, CENTRAL, Web of Science and PsycINFO were searched from each database inception to January 2020. Review methods Randomized controlled trials regarding mind–body interventions for stress in pregnant women were included. Methodological quality was evaluated using the Cochrane Collaboration ‘Risk of Bias’ tool and meta‐analysis was performed via RevMan 5.3. Subgroup analysis and publication bias assessment were conducted. Post hoc sensitivity analysis was performed to investigate the source of heterogeneity. Results In total, 28 studies comprising 1944 participants were included. The overall meta‐analysis showed that antenatal stress of pregnant women in the mind–body interventions groups showed significant high improvements (SMD=−0.94; 95% CI [−1.25, −0.63]; p < .00001) compared with the control groups. Results of subgroup analyses indicated that all types of mind–body interventions including mindfulness intervention, cognitive behavioural therapy, relaxation techniques and yoga were beneficial to antenatal stress. Both groups and individual formats mind–body interventions were effective. 4–8 weeks mind–body interventions were seemed as the optimal choice. Moreover, mind–body interventions were concomitant with reducing antenatal anxiety and depression. Conclusion Mind–body interventions are promising approaches for stress reduction in pregnant women. Nevertheless, the results should be interpreted with caution because of high heterogeneity and publication bias. Further high‐quality studies are needed to verify the findings. Impact Mind–body interventions have been widely implemented to ameliorate antenatal stress, but conflicting results were found across studies. This systematic review and meta‐analysis suggested that mind–body interventions are relatively safe and convenient and can successfully promote antenatal stress. The suggestions proposed in this review may be useful for developing a scientific mind–body interventions regimen and encouraging the application of mind–body interventions in pregnant women, thereby managing antenatal stress effectively.

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Section: Resultsmentioning

confidence: 99%

Mind–body interventions on stress management in pregnant women: A systematic review and meta‐analysis of randomized controlled trials

Guo

Zhang

Liu

et al. 2020

Journal of Advanced Nursing

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“…Among the 14 articles selected for the evaluation of the psychosocial intervention program, studies conducted prior to 2013 could not be identified. Eight studies (57.1%) [23][24][25][26][27][28][29][30] were published before 2018, and six studies (42.9%) [31][32][33][34][35][36] were published after 2018. In the past 3 years, psychosocial support interventions for women with GDM have been actively studied, and it can be confirmed that various intervention methods such as smartphone-or web-based interventions are being used.…”

Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

“…In the past 3 years, psychosocial support interventions for women with GDM have been actively studied, and it can be confirmed that various intervention methods such as smartphone-or web-based interventions are being used. There were nine international studies and five domestic studies done in Korea (n = 5, 35.7%) [28][29][30]34,36], which was the country with the most studies included in this analysis, followed by Iran (n = 4, 28.6%) [24,25,33,35], while one study (7.1%) each was included from Turkey [31], Netherlands [32], United Kingdom [23], Australia [26], and Ireland [27]. The total number of study participants was 1,331, with eight studies (57.1%) [24,25,28,[30][31][32][33]36] having more than 50 but fewer than 100 participants, three studies (21.4%) [23,26,35] having more than 100 participants, and three studies (21.4%) [27,29,34] having fewer than 50 participants.…”

Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

“…There were nine international studies and five domestic studies done in Korea (n = 5, 35.7%) [28][29][30]34,36], which was the country with the most studies included in this analysis, followed by Iran (n = 4, 28.6%) [24,25,33,35], while one study (7.1%) each was included from Turkey [31], Netherlands [32], United Kingdom [23], Australia [26], and Ireland [27]. The total number of study participants was 1,331, with eight studies (57.1%) [24,25,28,[30][31][32][33]36] having more than 50 but fewer than 100 participants, three studies (21.4%) [23,26,35] having more than 100 participants, and three studies (21.4%) [27,29,34] having fewer than 50 participants. Ten studies (71.4%) [23][24][25][28][29][30][31][33][34][35] were conducted among women with GDM during pregnancy and four (28.6%) [26,27,32,36] focused on women with a GDM history within 5 years of childbirth, who had not been diagnosed with T2DM.…”

Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

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Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review

Jung

Kim

Park

et al. 2021

Korean J Women Health Nurs

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This study aimed to analyze the content and effectiveness of psychosocial support interventions for women with gestational diabetes mellitus (GDM). Methods: The following databases were searched with no limitation of the time period: Ovid-MEDLINE, Cochrane Library, Ovid-Embase, CINAHL, PsycINFO, NDSL, KoreaMed, RISS, and KISS. Two investigators independently reviewed and selected articles according to the predefined inclusion/exclusion criteria. ROB 2.0 and the RoBANS 2.0 checklist were used to evaluate study quality. Results: Based on the 14 selected studies, psychosocial support interventions were provided for the purpose of (1) informational support (including GDM and diabetes mellitus information; how to manage diet, exercise, stress, blood glucose, and weight; postpartum management; and prevention of type 2 diabetes mellitus); (2) self-management motivation (setting goals for diet and exercise management, glucose monitoring, and enhancing positive health behaviors); (3) relaxation (practicing breathing and/or meditation); and (4) emotional support (sharing opinions and support). Psychosocial supportive interventions to women with GDM lead to behavioral change, mostly in the form of self-care behavior; they also reduce depression, anxiety and stress, and have an impact on improving self-efficacy. These interventions contribute to lowering physiological parameters such as fasting plasma glucose, glycated hemoglobin, and 2-hour postprandial glucose levels. Conclusion: Psychosocial supportive interventions can indeed positively affect self-care behaviors, lifestyle changes, and physiological parameters in women with GDM. Nurses can play a pivotal role in integrative management and can streamline the care for women with GDM during pregnancy and following birth, especially through psychosocial support interventions.

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“…De acuerdo con la información de la tabla 7, existe evidencia de que las intervenciones psicológicas con base en la TCC tienen influencia favorable en el manejo de la enfermedad, en la reducción de sintomatología relacionada al estrés y otras problemáticas psicológicas. Se establece que la TCC es efectiva generando cambios estadísticamente significativos (Winkley et al, 2020), además proporciona una reducción estadísticamente significativa de los puntajes de estrés de dos semanas después (Zaheri et al, 2016). Por su parte, la intervención en línea obtiene resultados favorables, las intervenciones psicoeducativas demostraron que había mejora en niveles de glucosa, reducción de peso y circunferencia (mejorando hasta seis meses).…”

Section: Autoresunclassified

Reducción de estrés en pacientes con Diabetes Mellitus

Arellano¹,

Gómez²,

Mondragón³

et al. 2021

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Vivir con un padecimiento crónico degenerativo como la Diabetes Mellitus (DM) implica seguir tratamientos e indicaciones, que podrían suponer un reto para los pacientes y llegar a generar situaciones de estrés. Se sabe que el estrés en pacientes con DM se asocia a un aumento en las cifras de glucosa y a una baja adherencia al tratamiento. Este libro tiene como objetivo ser una guía flexible de un modelo de intervención psicológica en línea atendiendo condiciones contemporáneas. Se desarrolla una propuesta de trabajo breve, con una metodología cognitivo conductual, proponiendo un enfoque práctico que permite al terapeuta tomar diferentes decisiones y seleccionar técnicas ajustadas a las necesidades de cada paciente, adaptando las estrategias y materiales haciendo uso de las Tecnologías de Información y Comunicación (TIC’s).

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Effectiveness of cognitive-behavioral stress management on psychological stress and glycemic control in gestational diabetes: a randomized controlled trial

Abstract: Cognitive-behavioral stress management reduces stress in women with gestational diabetes and reducing stress may also improve the pregnancy outcomes, especially whose glycemic along with stress is not adequately controlled by medication.

Cited by 18 publications

References 18 publications

Mind–body interventions on stress management in pregnant women: A systematic review and meta‐analysis of randomized controlled trials

Mind–body interventions on stress management in pregnant women: A systematic review and meta‐analysis of randomized controlled trials

Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review

Reducción de estrés en pacientes con Diabetes Mellitus

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