title: Effectiveness of cognitive-behavioral stress management on psychological stress and glycemic control in gestational diabetes: a randomized controlled trial.
abstract: OBJECTIVE
  This study was conducted to determine the effect of cognitive-behavioral stress management (CBT) on reducing psychological stress in diabetic pregnant women.
  
  
  METHODS
  This randomized controlled trial applied through pretest and post-test with control group was conducted on 88 eligible women with gestational diabetes. Women who had a stress score more than 15, randomly assigned to intervention or control groups. Intervention group received stress management training within six two-hour sessions for three weeks. Stress and FBS were measured before intervention and two weeks after the last session. Data were analyzed using the SPSS version 19.0. Results were analyzed using chi-square, paired t test and independent sample t test.
  
  
  RESULTS
  In CBT training group, stress significantly decreased two weeks after the training (p < 0.001). In the control group, the stress scores were significantly different before and after the intervention and women had a significant increase in the stress scores (p = 0.028). There was a significant difference between two groups in stress scores, two weeks after intervention (p = 0.001).
  
  
  CONCLUSIONS
  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.
authors: a Faculty of Nursing and Midwifery , Ahvaz Jundishapur University of Medical Sciences , Ahvaz , Iran and.
authors: Hamideh
authors: H
authors: Zaheri
authors: b Midwifery Department, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences , Ahvaz , Iran.
authors: Shahnaz
authors: S
authors: Najar
authors: b Midwifery Department, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences , Ahvaz , Iran.
authors: Zahra
authors: Z
authors: Abbaspoor
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D015928:Cognitive Behavioral Therapy; D016640:Diabetes, Gestational / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D013315:Stress, Psychological / Q000628:therapy*; D055815:Young Adult
chemical_list: D001786:Blood Glucose
keywords: Gestational diabetes; cognitive-behavioral therapy; glycemic control; stress