Intervention Effect of Mindfulness-Based Cognitive Therapy on Diabetes-Related Distress and Self-Care.
Huilan Bao
Iranian journal of public health March 2022 DOI: 10.18502/ijph.v51i3.8937 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 68 |
| Population | Patients with type 2 diabetes mellitus from the Department of Endocrinology at Jinhua People's Hospital, China |
| Interventions | Mindfulness-based cognitive therapy (MBCT) Routine diabetes health education (RDHE) |
| Topics | Meditation |
| Keywords | Diabetes-related distress Intervention effect Mental health Mindfulness-based cognitive therapy Self-care |
| Key findings | Adding mindfulness-based cognitive therapy to routine diabetes health education reduced diabetes-related distress more than health education alone and improved diet and exercise self-care with sustained effects. It also outperformed education alone on blood glucose testing, foot care, and medication intake, though those effects were not sustained. |
Abstract
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. 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. 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. 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.