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Effects of mindfulness on psychological distress and HbA1c in people with diabetes


Pearson, S and Wills, K and Woods, M and Warnecke, E, Effects of mindfulness on psychological distress and HbA1c in people with diabetes, Mindfulness, 9, (5) pp. 1615-1626. ISSN 1868-8527 (2018) [Refereed Article]

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Copyright 2018 Springer Science+Business Media, LLC, part of Springer Nature

DOI: doi:10.1007/s12671-018-0908-1


Type 2 diabetes mellitus (T2DM) is a prevalent chronic condition that is associated with a high degree of psychological distress. The aim of this study was to evaluate the effectiveness of a novel approach to delivering an intervention of mindfulness practice (IMP) to a patient population with a demonstrated need for psychological support. The novel approach utilised a self-directed audio compact disc (CD) recording of mindfulness practice. In this randomised controlled trial, 67 participants with T2DM (mean age = 59.4, standard deviation = 12.4), attending outpatient clinics, were randomised to an IMP (n = 31) or a control (n = 36) group. Participants completed written questionnaires at baseline and again at 8- and 12-week follow-ups. Primary outcome measures included depression, anxiety and stress (21-item Depression, Anxiety and Stress Scale) and diabetes-specific emotional problems (Problem Areas in Diabetes Survey (PAID)). Secondary outcome measures included diabetes self-management using the Summary of Diabetes Self-Care Activities Scale (SDSCA), systolic and diastolic blood pressure and HbA1c. Participants receiving the IMP reported significant reductions in depression (p = 0.02) and stress (p = 0.03) when compared with the control group. At the 12-week follow-up, there was an overall reduction in depression by 4.1 units and stress by 3.4 units in the IMP group relative to the control group. There was an overall improvement in blood glucose monitoring; however, this was not significant (p = 0.06). HbA1c measures decreased significantly over the 12-week follow-up by 0.48 units (time × group interaction: p = 0.02). The current study has shown that an easily accessible self-directed IMP was effective in improving psychological symptoms of depression and stress, blood glucose monitoring and HbA1c.

Item Details

Item Type:Refereed Article
Keywords:diabetes, mindfulness, randomised controlled trial, blood glucose, depression
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Endocrinology
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Pearson, S (Dr Sue Pearson)
UTAS Author:Wills, K (Dr Karen Wills)
UTAS Author:Warnecke, E (Dr Emma Warnecke)
ID Code:128523
Year Published:2018
Deposited By:Menzies Institute for Medical Research
Deposited On:2018-09-27
Last Modified:2019-03-18

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