Affiliation:
1. From the Department of Psychiatry, Medical University of Ohio, Toledo, Ohio
Abstract
OBJECTIVE—The objective of this randomized controlled study was to determine the effects of biofeedback and relaxation on blood glucose and HbA1c (A1C) in patients with type 2 diabetes.
RESEARCH DESIGN AND METHODS—Patients with type 2 diabetes were randomized to either 10 sessions of biofeedback (electromyograph and thermal) and relaxation or 3 sessions of education. All sessions were individual. A total of 39 participants were entered, and 30 completed the 3-month protocol. Average blood glucose, A1C, forehead muscle tension, and peripheral skin temperature were assessed, and inventories measuring depression and anxiety were administered prerandomization and after completion of treatment/control.
RESULTS—Biofeedback and relaxation were associated with significant decreases in average blood glucose, A1C, and muscle tension compared with the control group. At 3-month follow-up, the treatment group continued to demonstrate lower blood glucose and A1C. Both groups decreased scores on the depression and anxiety inventories. Patients with depression had higher blood glucose levels and tended to drop out of the study.
CONCLUSIONS—This study supports the use of biofeedback and relaxation in patients with type 2 diabetes for up to 3 months after treatment. Further research is necessary to determine the long-term effects of biofeedback and the effects of mood on patients’ responses to treatment.
Publisher
American Diabetes Association
Subject
Advanced and Specialized Nursing,Endocrinology, Diabetes and Metabolism,Internal Medicine
Reference23 articles.
1. American Diabetes Association: Standards of medical care in diabetes (Position Statement). Diabetes Care 27 (Suppl. 1): S15–S35, 2004
2. Rosmond R: Role of stress in the pathogenesis of the metabolic syndrome. Psychoneuroendocrinology 30: 1–10, 2005
3. Surwit RS, Schneider MS, Feinglos MN: Stress and diabetes mellitus. Diabetes Care 15: 1413–1421, 1992
4. Schwartz NM, Schwartz MS: Definitions of biofeedback and applied psychophysiology. In Biofeedback: A Practitioner’s Guide. 3rd ed. Schwartz MS, Andrasik F, Eds. New York, Guilford Press, 2003, p. 27–42
5. Jablon SL, Naliboff BD, Gilmore SL: Effects of relaxation training in glucose tolerance and diabetic control in type II diabetes. Appl Psychophysiol Biofeedback 22: 155–169, 1997
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