Short-Term Impact of a Stress Management and Health Promotion Program on Perceived Stress, Parental Stress, Health Locus of Control, and Cortisol Levels in Parents of Children and Adolescents With Diabetes Type 1: A Pilot Randomized Controlled Trial

Tsiouli, Eleni; Pavlopoulos, Vassilis; Alexopoulos, Evangelos C.; Chrousos, George P.; Darviri, Christina

doi:10.1016/j.explore.2013.12.004

Cited by 33 publications

(33 citation statements)

References 31 publications

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“…We employed salivary cortisol as a measure of physiological response in the present study to estimate the neurophysiological benefit of diaphragmatic breathing. Its concentration decreased significantly after the 20 sessions’ intervention, which was consistent with previous results from parents of children and adolescents with diabetes type 1 (Tsiouli et al, 2014). This result was consistent with previous studies and indicated that breathing practice reduced the stress-related physiological response level in healthy volunteers.…”

Section: Discussionsupporting

confidence: 91%

The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults

et al. 2017

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A growing number of empirical studies have revealed that diaphragmatic breathing may trigger body relaxation responses and benefit both physical and mental health. However, the specific benefits of diaphragmatic breathing on mental health remain largely unknown. The present study aimed to investigate the effect of diaphragmatic breathing on cognition, affect, and cortisol responses to stress. Forty participants were randomly assigned to either a breathing intervention group (BIG) or a control group (CG). The BIG received intensive training for 20 sessions, implemented over 8 weeks, employing a real-time feedback device, and an average respiratory rate of 4 breaths/min, while the CG did not receive this treatment. All participants completed pre- and post-tests of sustained attention and affect. Additionally, pre-test and post-test salivary cortisol concentrations were determined in both groups. The findings suggested that the BIG showed a significant decrease in negative affect after intervention, compared to baseline. In the diaphragmatic breathing condition, there was a significant interaction effect of group by time on sustained attention, whereby the BIG showed significantly increased sustained attention after training, compared to baseline. There was a significant interaction effect of group and time in the diaphragmatic breathing condition on cortisol levels, whereby the BIG had a significantly lower cortisol level after training, while the CG showed no significant change in cortisol levels. In conclusion, diaphragmatic breathing could improve sustained attention, affect, and cortisol levels. This study provided evidence demonstrating the effect of diaphragmatic breathing, a mind-body practice, on mental function, from a health psychology approach, which has important implications for health promotion in healthy individuals.

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Section: Discussionsupporting

confidence: 91%

The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults

et al. 2017

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“…Grey 2011 was previously included in the review but is now excluded for the purposes of this update as the manuscript replicates data already included from another included trial. The updated search identified an additional 13 studies (Antonini 2014; Ellis 2012; Gulewitsch 2013; Marsland 2013; Mullins 2012; Naar-King 2014; Nansel 2009; Nansel 2012; Sahler 2013; Saßman 2012; Shekarabi-Ahari 2012; Stark 2005; Tsiouli 2014) and three follow-up papers of studies already included (Levy 2010; Stark 2005; Wade 2011), resulting in a total of 47 studies (60 papers).…”

Section: Resultsmentioning

confidence: 99%

“…There were 14 studies of children with painful conditions (Allen 1998; Barakat 2010; Barry 1997; Connelly 2006; Duarte 2006; Gulewitsch 2013; Hicks 2006; Kashikar-Zuck 2005; Kashikar-Zuck 2012; Levy 2010; Palermo 2009; Robins 2005; Sanders 1994; Stark 2005). Ten studies with the primary illness of cancer met the inclusion criteria (Askins 2009; Hoekstra-Weebers 1998; Kazak 2004; Marsland 2013; Mullins 2012; Sahler 2002; Sahler 2005; Sahler 2013; Shekarabi-Ahari 2012; Stehl 2009), 13 studies investigated children with diabetes (Ambrosino 2008; Ellis 2004; Ellis 2005; Ellis 2012; Laffel 2003; Lehmkuhl 2010; Nansel 2009; Nansel 2012; Olivares 1997; Saßman 2012; Tsiouli 2014; Wysocki 1999; Wysocki 2006), five investigated asthma (Celano 2012; Lask 1979; Naar-King 2014; Ng 2008; Seid 2010), four studies treated children with traumatic brain injury (Antonini 2014; Wade 2006a; Wade 2006b; Wade 2011) and one study included children with atopic eczema (Niebel 2000). No studies met the inclusion criteria for gynaecological disorders or inflammatory bowel diseases.…”

Section: Resultsmentioning

confidence: 99%

“…As a result, complete or partial data were available to extract from 37 (n = 2985) of the 47 studies (n = 3778) included in this review. Twenty-eight trials produced complete outcome data in their published paper (Allen 1998; Barakat 2010; Connelly 2006; Ellis 2004; Ellis 2005; Gulewitsch 2013; Hicks 2006; Hoekstra-Weebers 1998; Kashikar-Zuck 2005; Kashikar-Zuck 2012; Laffel 2003; Levy 2010; Marsland 2013; Nansel 2009; Ng 2008; Palermo 2009; Sahler 2013; Sanders 1994; Saßman 2012; Seid 2010; Shekarabi-Ahari 2012; Stehl 2009; Tsiouli 2014; Wade 2006a; Wade 2006b; Wade 2011; Wysocki 1997; Wysocki 2006) and nine authors responded to our requests for data (Ambrosino 2008; Antonini 2014; Askins 2009; Ellis 2012; Mullins 2012; Naar-King 2014; Niebel 2000; Sahler 2002; Sahler 2005). Other authors were unable or unwilling to provide additional data or did not respond.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Psychological interventions for parents of children and adolescents with chronic illness

Eccleston

Fisher

Law

et al. 2015

Cochrane Database of Systematic Reviews

156

125

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“…Participants in 12 articles (Bolyai, Bova, Lee, & Gruppuso, 2011;Bolyai, Bova, Lee, & Johnson, 2012;Bolyai et al, 2010;Bolyai et al, 2004;Grey, Jaser, Whittemore, Jeon, & Lindemann, 2011;Hoff et al, 2005;Kichler, Kaugars, Marik, Nabors, & Alemzadeh, 2013;Mackey, Herbert, Monaghan, & Cogen, 2016;Monaghan, Hilliard, Cogen, & Streisand, 2010;Nansel et al, 2009;Wysocki et al, 2007;Wysocki et al, 2000) were reported to be recruited mainly from children' hospitals, diabetes centers, or endocrinology clinics in the United States, whereas parents in other articles were from Greece (Tsiouli, Pavlopoulos, Alexopoulos, Chrousos, & Darviri, 2014), Germany (Saßmann et al, 2012), the UK (Doherty, Calam, & Sanders, 2013), the Netherlands (Boogerd et al, 2017), and Iran (Saghaei, Omidi, Dehkordi, & Safavi, 2017). There were two studies (Kichler et al, 2013;Nansel et al, 2009) including children and parents as participants, one study (Bolyai et al, 2011) focused on fathers only, two studies (Bolyai et al, 2004;Saghaei et al, 2017) included mothers only, and the rest included both parents as participants.…”

Section: Participants and Study Characteristicsmentioning

confidence: 99%

The Effectiveness of Parenting Interventions on Psychosocial Adjustment in Parents of Children and Adolescents with Type 1 Diabetes: A Meta‐Analysis

Zhao

Chen

et al. 2019

Worldviews Ev Based Nurs

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Aims: Parenting interventions in this review refer to supportive parenting training provided for parents or primary caregivers of children and adolescents with type 1 diabetes mellitus (T1DM). The review aimed to synthesize evidence about parenting interventions in parents or caregivers of children and adolescents with T1DM, and to evaluate the effect of interventions in reducing parents' or caregivers' psychological distress, helping them share diabetes management responsibility, seek social support, and improve their quality of life.Methods: We searched PubMed, MEDLINE, EMBASE, CINAHL, Cochrane, and Web of Science from January 1978 to October 2018. Randomized controlled trials (RCTs) comparing an intervention group of parenting programs with a control group of usual care were included. The primary outcomes were stress, family responsibility and conflict, and social support. Secondary outcomes included other psychological index and quality of life. Pooled effect sizes of weighted mean difference (WMD) were calculated.Results: A total of 17 RCTs with 962 participants met the inclusion criteria. Findings of the meta-analysis showed parenting interventions could significantly reduce parents' depression (WMD = −5.78, 95% CI: −6.23 to −5.33, I 2 = 0%) and distress (WMD = −5.28, 95% CI: −10.31 to −.25, I 2 = 0%), and help them ask for positive social support (WMD = .83, 95% CI: .03 to 1.64, I 2 = 0%). No beneficial changes of other outcomes were found.Linking Evidence to Action: Parents of children and adolescents with T1DM need support from the multidisciplinary team in health care, especially in mental health, family management of childhood diabetes, and social support. Parenting interventions may help parents reduce psychological distress and depression and assist them to ask for social support. Future research should include well-designed RCTs with large samples, appropriate measures with clear definitions, objective assessment, and separation of effects on mothers and fathers.

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Short-Term Impact of a Stress Management and Health Promotion Program on Perceived Stress, Parental Stress, Health Locus of Control, and Cortisol Levels in Parents of Children and Adolescents With Diabetes Type 1: A Pilot Randomized Controlled Trial

Cited by 33 publications

References 31 publications

The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults

The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults

Psychological interventions for parents of children and adolescents with chronic illness

The Effectiveness of Parenting Interventions on Psychosocial Adjustment in Parents of Children and Adolescents with Type 1 Diabetes: A Meta‐Analysis

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