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首页> 外文期刊>Diabetes care >The effects of a mindfulness-based intervention on emotional distress, quality of life, and HbA1c in outpatients with diabetes (DiaMind): A randomized controlled trial
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The effects of a mindfulness-based intervention on emotional distress, quality of life, and HbA1c in outpatients with diabetes (DiaMind): A randomized controlled trial

机译：基于正念的干预对门诊糖尿病患者的情绪困扰，生活质量和HbA1c的影响（DiaMind）：一项随机对照试验

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OBJECTIVE-Emotional distress is common in outpatients with diabetes, affecting ;20- 40% of the patients. The aim of this study was to determine the effectiveness of group therapy with Mindfulness-Based Cognitive Therapy (MBCT), relative to usual care, for patients with diabetes with regard to reducing emotional distress and improving health-related quality of life and glycemic control. RESEARCH DESIGN AND METHODS-In the present randomized controlled trial, 139 outpatients with diabetes (type 1 or type 2) and low levels of emotional well-being were randomized to MBCT (n = 70) or a waiting list group (n = 69). Primary outcomes were perceived stress (Perceived Stress Scale), anxiety and depressive symptoms (Hospital Anxiety and Depression Scale), mood (Profiles of Mood States), and diabetes-specific distress (Problem Areas In Diabetes). Secondary outcomes were health-related quality of life (12-Item Short-Form Health Survey), and glycemic control (HbA1c). Assessments were conducted at baseline and at 4 and 8 weeks of follow-up. RESULTS-Compared with control, MBCT was more effective in reducing stress (P< 0.001, Cohen d = 0.70), depressive symptoms (P = 0.006, d = 0.59), and anxiety (P = 0.019, d = 0.44). In addition, MBCT was more effective in improving quality of life (mental: P = 0.003, d = 0.55; physical: P = 0.032, d = 0.40). We found no significant effect on HbA1c or diabetes-specific distress, although patients with elevated diabetes distress in the MBCT group tended to show a decrease in diabetes distress (P = 0.07, d = 0.70) compared with the control group. CONCLUSIONS-Compared with usual care, MBCT resulted in a reduction of emotional distress and an increase in health-related quality of life in diabetic patients who had lower levels of emotional well-being. ? 2013 by the American Diabetes Association.
机译：目标-情绪困扰在糖尿病门诊患者中很常见，影响20-40％的患者。这项研究的目的是确定与常规护理相比，基于正念的认知疗法（MBCT）的集体疗法对于糖尿病患者在减少情绪困扰，改善健康相关生活质量和血糖控制方面的有效性。研究设计和方法-在本随机对照试验中，将139名糖尿病患者（1型或2型）和低水平的情绪健康患者随机分为MBCT（n = 70）或候补组（n = 69） 。主要结局为感知压力（感知压力量表），焦虑和抑郁症状（医院焦虑和抑郁量表），情绪（情绪状态概况）和糖尿病特有的困扰（糖尿病问题区域）。次要结果是与健康有关的生活质量（12项简短健康调查）和血糖控制（HbA1c）。在基线以及随访的第4和8周进行评估。结果与对照组相比，MBCT在减轻压力（P <0.001，Cohen d = 0.70），抑郁症状（P = 0.006，d = 0.59）和焦虑（P = 0.019，d = 0.44）方面更有效。此外，MBCT在改善生活质量方面更为有效（心理：P = 0.003，d = 0.55;身体：P = 0.032，d = 0.40）。尽管与对照组相比，MBCT组中糖尿病困扰增加的患者往往显示出糖尿病困扰的减少（P = 0.07，d = 0.70），但我们发现对HbA1c或糖尿病特定的困扰没有显着影响。结论与常规护理相比，MBCT可以降低情绪健康水平较低的糖尿病患者的情绪困扰，并增加与健康相关的生活质量。 ？ 2013年由美国糖尿病协会颁发。

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