Attari Abbas, Sartippour Mahnaz, Amini Massoud, Haghighi Sassan
Department of Psychiatry, Faculty of Medicine, Isfahan University of Medical Sciences and Health Services, Isfahan, Iran.
Diabetes Res Clin Pract. 2006 Jul;73(1):23-8. doi: 10.1016/j.diabres.2005.11.014. Epub 2006 Feb 13.
In this study, the effect of stress management training on glycemic control has been investigated in type 1 diabetic patients.
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.
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).
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.
本研究探讨了压力管理训练对1型糖尿病患者血糖控制的影响。
参与者为60名1型糖尿病患者（年龄16 - 30岁）。30名受试者参加了为期3个月的压力管理训练课程，在此期间规定的胰岛素用量保持不变，而其余30名未参加。在干预前后测量了所有患者的糖化血红蛋白（HbA1）。此外，为了评估应对方式，每位患者完成了一份问卷，并比较了两组的得分。
接受训练的患者应对方式有显著改善。训练组和对照组干预前糖化血红蛋白分别为11.7±2.9和10.9±2.1，干预后分别为8.5±1.7和10.3±2.1，研究组的变化具有显著性（P<0.001）。此外，研究结束时两组糖化血红蛋白均值的差异具有统计学意义（P<0.001）。
结果表明压力管理训练对1型糖尿病患者的血糖控制具有临床上显著的有益效果。建议将这种训练作为1型糖尿病患者治疗方案的补充。
