Nikkhah Ravari Omid, Mousavi Seyedeh Zeinab, Babak Anahita
Department of Community and Family Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2020 Oct 30;9:61. doi: 10.4103/abr.abr_133_20. eCollection 2020.
Diabetes mellitus is one of the major health problems in the world. Stress and mental illnesses adversely affect glycemic control. In most patients, a multidisciplinary approach including physical activity, healthy diet, and stress management is required for glycemic control. Mindfulness-based stress reduction (MBSR) is a structured group program that reduces emotional distress through self-awareness and assuming the responsibility for individual choices, and results in increased effective health behaviors. Here, we aimed to evaluate the effects of mindfulness meditation on glycemic control and mental health in patients with type 2 diabetes.
This randomized clinical trial study was performed in 2018 in Isfahan city. A total number of 108 patients with diabetes mellitus type 2 were selected and allocated randomly to two groups, intervention (12 weeks MBSR program) and control (routine care). Depression, anxiety, and stress scores regarding to depression, anxiety, and stress Scale - 21 questionnaire and also amounts of fasting blood sugar (FBS) and hemoglobin A1C (HbA1C) were assessed and analyzed using independent -test, paired -test, Mann-Whitney U-test, and Chi-square, before and 13 weeks after educational programs.
The means of HbA1C, FBS, and depression, anxiety, and stress scores improved significantly after intervention in the MBSR group. Except FBS levels, all outcome variable scores' mean change was significant between the two groups.
In general, this study revealed that mindfulness meditation could be helpful in improving the quality of mental health and lowering glycemic control indices in patients with type 2 diabetes mellitus.
糖尿病是世界上主要的健康问题之一。压力和精神疾病会对血糖控制产生不利影响。对于大多数患者来说，血糖控制需要采取多学科方法，包括体育活动、健康饮食和压力管理。基于正念的减压疗法（MBSR）是一种结构化的团体项目，通过自我意识和对个人选择负责来减轻情绪困扰，并导致有效的健康行为增加。在此，我们旨在评估正念冥想对2型糖尿病患者血糖控制和心理健康的影响。
这项随机临床试验研究于2018年在伊斯法罕市进行。共选取108例2型糖尿病患者，随机分为两组，干预组（为期12周的MBSR项目）和对照组（常规护理）。在教育项目前和项目后13周，使用独立样本t检验、配对t检验、曼-惠特尼U检验和卡方检验，评估并分析抑郁、焦虑和压力量表-21问卷的抑郁、焦虑和压力得分，以及空腹血糖（FBS）和糖化血红蛋白（HbA1C）水平。
MBSR组干预后，HbA1C、FBS以及抑郁、焦虑和压力得分的均值有显著改善。除FBS水平外，两组之间所有结局变量得分的均值变化均有显著性差异。
总体而言，本研究表明正念冥想有助于改善2型糖尿病患者的心理健康质量并降低血糖控制指标。
