Intervention Effect of Mindfulness-Based Cognitive Therapy on Diabetes-Related Distress and Self-Care
Abstract
Background: Diabetes-related distress (DD) will seriously affect the therapeutic effect of diabetes and the physical and mental health of patients if an intervention treatment is not well implemented. We aimed to explore the effect of mindfulness-based cognitive therapy (MBCT) on the DD level and self-care capability of patients with diabetes.
Method: Sixty-eight patients with type 2 diabetes mellitus (T2DM) were selected from the Department of Endocrinology in Jinhua People’s Hospital, China and divided into control (CG) and intervention (IG) groups. Routine diabetes health education (RDHE) was only carried out in the CG, whereas the RDHE and MBCT were provided to the IG. Repeated ANOVA measurements were adopted to investigate the intergroup differences of these two intervention therapies on improving the DD and self-care capability of patients with diabetes.
Results: RDHE and MBCT could relieve the DD level of patients with diabetes, but the DD value in IG was lower than that in CG. In comparison with RDHE, MBCT and RDHE could significantly improve the diet and exercise dimensions of patients, and such improvement effects were significantly sustaining (P<0.05). MBCT and RDHE exerted better effects than RDHE alone on blood glucose testing, foot care, and medication intake. However, these effects were not sustaining.
Conclusion: The care and medication guide provided by MBCT consultants and medical staff can significantly relieve the patients’ DD and enhance their self-care capability. As a low-cost psychological intervention therapy with good sustaining effects, MBCT is important to strengthen the therapeutic effect on diabetes and lowering the medical cost.
2. Cho NH, Shaw JE, Karuranga S, et al. (2018). Idf di-abetes atlas: Global estimates of diabetes preva-lence for 2017 and projections for 2045. Diabetes Res Clin Pract, 138: 271-81.
3. Fisher L, Hessler D, Polonsky W, et al. (2012). When is diabetes distress clinically meaningful? Establish-ing cut points for the diabetes distress scale. Diabe-tes Care, 35: 259-64.
4. Ghaderian SB, Yazdanpanah L, Shahbazian H, et al. (2019). Prevalence and correlated factors of obesi-ty, overweight and central obesity in southwest of Iran. Iran J Public Health, 48: 1354-61.
5. Bao HL (2021). Relationship among family support, mental resilience and diabetic distress in patients with type 2 diabetic mellitus during covid-19. Iran J Public Health, 50: 1648-57.
6. Zagarins S, Allen N, Garb J, et al. (2011). Improve-ment in glycemic control following a diabetes ed-ucation intervention is associated with change in diabetes distress but not change in depressive symptoms. J Behav Med, 35: 299-304.
7. Fisher L, Hessler D, Glasgow R, et al. (2013). Re-deem: A pragmatic trial to reduce diabetes distress. Diabetes Care, 36: 2551-58.
8. Van Son J, Pop V, Blonk M, et al. (2014). Mindful-ness-based cognitive therapy for people with dia-betes and emotional problems: Long-term fol-low-up findings from the diamind randomized controlled trial. J Psychosom Res, 77(1): 81-4.
9. Tovote KA, Schroevers M, Snippe E, et al. (2015). Long-term effects of individual mindfulness-based cognitive therapy and cognitive behavior therapy for depressive symptoms in patients with diabetes: A randomized trial. PsychotherPsychosom, 84: 186-7.
10. Koo MH (2017). Mindfulness-based cognitive ther-apy for depressed diabetic patients. J Korean Diabe-tes, 18: 189.
11. Toobert D, Hampson S, Glasgow R (2000). The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care, 23: 943-50.
12. Polonsky WH, Anderson B, Lohrer PA, et al. (1995). Assessment of diabetes-related distress. Diabetes Care, 18: 754-60.
13. McCarthy K, Sturt J, Hamilton K, et al. (2015). The detection and management of diabetes distress in people with type 1 diabetes. Curr Diab Rep, 15(1): 101.
14. Mantzios M, Wilson J (2015). Mindfulness, eating behaviours, and obesity: A review and reflection on current findings. Curr Obes Rep, 4(1): 141-6.
15. Segal ZV, Williams JMG, Teasdale JD (2002). Mindful-ness-based cognitive therapy for depression. A new approach to preventing relapse. New York, The Guilford Press.
| Files | ||
| Issue | Vol 51 No 3 (2022) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v51i3.8937 | |
| Keywords | ||
| Mindfulness-based cognitive therapy Diabetes-related distress Self-care Intervention effect Mental health | ||
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