Effects of Relaxation Therapy on Patients With Type I Diabetes Mellitus

Feinglos, Mark N.; Hastedt, Priscilla; Surwit, Richard S.

doi:10.2337/diacare.10.1.72

Cited by 52 publications

(13 citation statements)

References 13 publications

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“…Although results showed improved control of blood glucose in the PMR condition compared to participants in a control condition, Surwit and Feinglos acknowledged that the study was not readily generalisable to outpatients with T2DM because training took place during a week-long inpatient stay in hospital. Also, a similar PMR treatment did not reduce blood glucose in a T1DM sample (Feinglos et al 1987), and other studies reported no therapeutic effect of stress management (Aitkens et al 1997;Jablon et al 1997).…”

Section: Relaxation Interventionsmentioning

confidence: 86%

Stress and Chronic Illness: the Case of Diabetes

2011

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Globally, Type 2 Diabetes Mellitus (T2DM) is one of the most prevalent chronic illnesses. Managing T2DM is a major challenge now affecting the lives of around 200 million people. Even when medication, diet, and physical activity regimens are maintained, blood sugar levels might not be effectively controlled because stress triggers the release of sugar into the blood. This makes the management of stress an important adjunct to the treatment of T2DM. Stress includes both life stress, the major issues that people face in their lives, such as job loss, divorce, or death of a loved one, and daily hassles, smaller everyday problems, such as deadlines for work, traffic hold-ups, or family disagreements. The stress levels created by these events are exacerbated by the stress created by the demands of managing diabetes. In this paper, we first examine the evidence for the relationship between stress and poor blood sugar control in people with T2DM. Then, we consider research that has examined the impact of various stress management strategies on blood sugar level. Finally, we discuss some promising psychological techniques for managing stress that could be helpful for people with diabetes or pre-diabetes. We note the double benefit of physical activity, which directly assists in the metabolism of sugar from the blood and indirectly reduces acute stress and chronic stress reactivity, thus providing a buffer against the effects of stress for people with T2DM.

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Section: Relaxation Interventionsmentioning

confidence: 86%

Stress and Chronic Illness: the Case of Diabetes

2011

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“…However, because the PMR training and the evaluations were conducted during a single week-long hospitalization, the generalizability of these findings to outpatient treatment was not known. Furthermore, in a follow-up study, these investigators were unable to find similar effects in a sample of patients with type 1 diabetes (10).…”

mentioning

confidence: 94%

Stress Management Improves Long-Term Glycemic Control in Type 2 Diabetes

et al. 2002

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OBJECTIVE -There is conflicting evidence regarding the utility of stress management training in the treatment of diabetes. The few studies that have shown a therapeutic effect of stress management have used time-intensive individual therapy. Unfortunately, widespread use of such interventions is not practical. The aim of the present investigation is to determine whether a cost-effective, group-based stress management training program can improve glucose metabolism in patients with type 2 diabetes and to determine whether a particular subset of patients is more likely to get positive results.RESEARCH DESIGN AND METHODS -Patients with type 2 diabetes were randomized to undergo a five-session group diabetes education program with or without stress management training. Participants (n ϭ 108) were followed for 1 year, during which HbA 1c tests and questionnaires assessing perceived stress, anxiety, and psychological health were administered at regular intervals to evaluate treatment effects.RESULTS -Stress management training was associated with a small (0.5%) but significant reduction in HbA 1c . Compliance with the treatment regimen decreased over time but was similar to that seen in patients receiving stress management for other reasons in the clinic. Trait anxiety (a measure of stable individual differences in anxiety proneness) did not predict response to treatment, showing that highly anxious patients did not derive more benefit from training. CONCLUSIONS -The current results indicate that a cost-effective, group stress management program in a "real-world" setting can result in clinically significant benefits for patients with type 2 diabetes.

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“…Most RCTs had small sample sizes (< 100 participants) and did not adequately describe the study progress according to the CONsolidated Standards of Reporting Trials (CONSORT) guidelines. 96 The most common clinical subgroup was sub-optimal glycaemic control; [97][98][99][100] there was one RCT each for newly diagnosed diabetes, 101 complications, 102 and obesity. 103 The mean duration of diabetes was 14.12 [standard deviation (SD) 6.85] years.…”

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confidence: 99%

A randomised controlled trial of cognitive behaviour therapy and motivational interviewing for people with Type 1 diabetes mellitus with persistent sub-optimal glycaemic control: A Diabetes and Psychological Therapies (ADaPT) study.

Ismail

Maissi²,

Thomas³

et al. 2010

Health Technol Assess

202

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Effects of Relaxation Therapy on Patients With Type I Diabetes Mellitus

Cited by 52 publications

References 13 publications

Stress and Chronic Illness: the Case of Diabetes

Stress and Chronic Illness: the Case of Diabetes

Stress Management Improves Long-Term Glycemic Control in Type 2 Diabetes

A randomised controlled trial of cognitive behaviour therapy and motivational interviewing for people with Type 1 diabetes mellitus with persistent sub-optimal glycaemic control: A Diabetes and Psychological Therapies (ADaPT) study.

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