Cognitive-behavioural stress management for patients with non-insulin dependent diabetes mellitus

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Abstract
This study was designed to evaluate the efficacy of a combined cognitive-behavioural stress management programme in improving subjective anxiety and diabetic control in 19 subjects with non-insulin-dependent (NIDDM, Type II) diabetes. Subjects were randomly allocated to either cognitive-behaviour therapy (n = 10) or waiting list (n = 9) conditions. Treatment consisted of six weekly 1.5-hour sessions conducted in two small groups by one therapist. Treatment consisted of both progressive muscular relaxation training and cognitive coping skills training. Measures, obtained at pre-treatment and post-treatment, included self report scales of anxiety, depression and daily stressors, glycosylated haemoglobin and fasting blood glucose. Results indicated that therapy had significant effects in the amelioration of anxiety and stress. Effects of treatment on glycosylated haemoglobin were in the desired direction but statistically less powerful. Overall, the results were encouraging and suggest a useful role for stress management in the maintenance of good diabetic control in NIDDM.

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