Effect of stress management training on glycemic control in patients with Type 1 diabetes

Attari, Abbas; Sheikhi, Mahnaz; Amini, Massoud; Haghighi, S

doi:10.1186/1744-859x-5-s1-s203

Cited by 10 publications

(12 citation statements)

References 4 publications

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“…Studies in patients with type 1 diabetes have been mixed. In the two studies in patients with type 1 diabetes, while both showed an impact of stress management and relaxation training on improving mood [125] and coping [126], only the study by Attari et al showed a significant reduction in HbA1c in the trained group compared to the control group [126]. Most of these studies, however, were extremely small and future studies examining the impact of stress reduction on metabolic control in diabetes will be needed to guide future treatment recommendations.…”

Section: Impact Of Cbt On Clinical Outcomes and Metabolic Risk Factormentioning

confidence: 94%

A Review of the Evidence for a Neuroendocrine Link Between Stress, Depression and Diabetes Mellitus

Golden

2007

CDR

194

116

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Obesity and type 2 diabetes continue to be major public health burdens with type 2 diabetes rising in epidemic proportions. Since known risk factors do not explain all of the variance in the population, it is important to identify novel risk factors that can lead to development of new preventive measures. Chronic psychological stress and depression are associated with type 2 diabetes but the mechanism remains unclear. Neuroendocrine changes induced by these stressors, specifically activation of the hypothalamic-pituitary-adrenal (HPA) axis and sympathetic nervous system (SNS), might provide a unifying explanation. The objectives of this review are (1) to summarize the metabolic impact of HPA axis and SNS dysfunction induced by depression and stress, (2) to summarize the relation of neuroendocrine parameters to risk factors for diabetes, (3) to discuss the limitations of assessing neuroendocrine function in population-based and intervention studies, and (4) to summarize the evidence of the impact of stress reduction, by cognitive behavior therapy (CBT), on neuroendocrine factors and on outcomes in diabetes and obesity.

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Section: Impact Of Cbt On Clinical Outcomes and Metabolic Risk Factormentioning

confidence: 94%

A Review of the Evidence for a Neuroendocrine Link Between Stress, Depression and Diabetes Mellitus

Golden

2007

CDR

194

116

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“…Researchers have also examined the impact on blood glucose control in people with diabetes of stress management programmes, comprising combinations of cognitivebehavioural techniques (Attari et al 2006;Bradshaw et al 2007;McCraty et al 1999;Surwit et al 2002;Steinhardt et al 2009). For example, Steinhardt et al examined the effect on perceived stress and HbA1c of a Diabetes Coaching Program (DCP) focused on developing resilience.…”

Section: Cognitive-behavioural Stress Managementmentioning

confidence: 98%

“…Steinhardt et al reported that resilience and perceived stress improved during the study, but the change was not significant, whereas HbA1c was significantly reduced. Attari et al (2006) examined the effect of a 3-month stress management programme on glycaemic control of 30 people with T1DM compared to 30 equivalent T1DM participants in a control condition. The stress management programme consisted of eight 2-h classes run by an experienced psychiatrist.…”

Section: Cognitive-behavioural Stress Managementmentioning

confidence: 99%

Stress and Chronic Illness: the Case of Diabetes

2011

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Globally, Type 2 Diabetes Mellitus (T2DM) is one of the most prevalent chronic illnesses. Managing T2DM is a major challenge now affecting the lives of around 200 million people. Even when medication, diet, and physical activity regimens are maintained, blood sugar levels might not be effectively controlled because stress triggers the release of sugar into the blood. This makes the management of stress an important adjunct to the treatment of T2DM. Stress includes both life stress, the major issues that people face in their lives, such as job loss, divorce, or death of a loved one, and daily hassles, smaller everyday problems, such as deadlines for work, traffic hold-ups, or family disagreements. The stress levels created by these events are exacerbated by the stress created by the demands of managing diabetes. In this paper, we first examine the evidence for the relationship between stress and poor blood sugar control in people with T2DM. Then, we consider research that has examined the impact of various stress management strategies on blood sugar level. Finally, we discuss some promising psychological techniques for managing stress that could be helpful for people with diabetes or pre-diabetes. We note the double benefit of physical activity, which directly assists in the metabolism of sugar from the blood and indirectly reduces acute stress and chronic stress reactivity, thus providing a buffer against the effects of stress for people with T2DM.

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“…The link between stress, physiological changes, and physical health has been well documented in the general population. In terms of physiological changes, studies have found associations between perceived stress and cortisol secretion (Bremner, 2006), glucose regulation (Altuna, Lelli, San Martin de Viale, & Damasco, 2006;Attari, Sartippour, Amini, & Haghighi, 2006;Wiesli, Krayenbuhl, Kerwer, Seifert, & Schmid, 2007), inflammation (Hamer, Gibson, Vuononvirta, Williams, & Steptoe, 2006;Miller, Rohleder, Stetler, & Kirschbaum, 2005;Owen, Poulton, Hay, MohamedAli, & Steptoe, 2003;von et al, 2006), and immune function (Kavelaars & Heijnen, 2006;Mohr & Pelletier, 2006;Simmons & Broderick, 2005;Vig, Forsythe, & Vliagoftis, 2006). Health outcomes related to stress include increased risk of cardiovascular disease (Lee et al, 2003) and somatic symptoms, such as heart palpitations, headaches, and digestive problems (Grasel, 2002;Kreutzer et al, 2009;Thompson et al, 2004).…”

Section: Introductionmentioning

confidence: 93%

Measures of Psychological Stress and Physical Health in Family Caregivers of Stroke Survivors

Saban

Sherwood

DeVon

et al. 2010

Journal of Neuroscience Nursing

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Studies have demonstrated that the stress of family caregiving places caregivers at risk for developing depression, poor quality of life, and health problems. The purpose of this review was to identify the ways in which variables are operationalized in studies addressing psychological stressors and physical health of family caregivers of stroke survivors. The adapted Pittsburgh MindYBody Center model provides the organizing conceptual framework for this literature review. A literature search for relevant articles was conducted using Ovid Medline, PsycINFO, and Ovid Nursing Database for the period of July 1999 through June 2009 using the following search terms: caregiver (or family caregiver), stroke, stress, and health. Articles were included if they met the following inclusionary criteria: (a) written in English, (b) published in peer-reviewed journal, (c) focused on adults who were caring for an adult who experienced stroke, (d) included measures of stress and physical health or health-related quality of life, and (e) primarily used quantitative research methods. Twenty-four articles were identified that met the inclusion criteria. Findings related to the variables included in the adapted Pittsburgh MindYBody Center model are discussed. Variables were not well defined, a wide array of measurement instruments were used, and measures were taken at broadly divergent time frames following stroke. Future research guided by a theoretical framework, consistent measures of variables, and standardized measurement time points would allow for better comparison of findings across studies, thus enabling clinicians to better understand the health risks of family caregivers.

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Effect of stress management training on glycemic control in patients with Type 1 diabetes

Cited by 10 publications

References 4 publications

A Review of the Evidence for a Neuroendocrine Link Between Stress, Depression and Diabetes Mellitus

A Review of the Evidence for a Neuroendocrine Link Between Stress, Depression and Diabetes Mellitus

Stress and Chronic Illness: the Case of Diabetes

Measures of Psychological Stress and Physical Health in Family Caregivers of Stroke Survivors

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