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


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).


CONCLUSIONS
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.
Department of Psychiatry, Faculty of Medicine, Isfahan University of Medical Sciences and Health Services, Isfahan, Iran. bsrc@mui.ac.ir
Abbas
A
Attari
Mahnaz
M
Sartippour
Massoud
M
Amini
Sassan
S
Haghighi
D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000378:metabolism*; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008297:Male; D010353:Patient Education as Topic / Q000379:methods*; D013315:Stress, Psychological / Q000517:prevention & control*; D011795:Surveys and Questionnaires
D001786:Blood Glucose; D006442:Glycated Hemoglobin