Biofeedback-Assisted Relaxation in Type 2 Diabetes

OBJECTIVE:--The objective of this randomized controlled study was to determine the effects of biofeedback and relaxation on blood glucose and HbA[subscript 1c] (A1C) in patients with type 2 diabetes. RESEARCH DESIGN AND METHODS--Patients with type 2 diabetes were randomized to either 10 sessions of...

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Veröffentlicht in:Diabetes care 2005-09, Vol.28 (9), p.2145-2149
Hauptverfasser: McGinnis, Ronald A, McGrady, Angele, Cox, Stephen A, Grower-Dowling, Kimber A
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container_end_page 2149
container_issue 9
container_start_page 2145
container_title Diabetes care
container_volume 28
creator McGinnis, Ronald A
McGrady, Angele
Cox, Stephen A
Grower-Dowling, Kimber A
description OBJECTIVE:--The objective of this randomized controlled study was to determine the effects of biofeedback and relaxation on blood glucose and HbA[subscript 1c] (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.
doi_str_mv 10.2337/diacare.28.9.2145
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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.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/diacare.28.9.2145</identifier><identifier>PMID: 16123481</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Biofeedback ; Biofeedback training ; Biofeedback, Psychology ; Biological and medical sciences ; Blood Glucose - metabolism ; Care and treatment ; Diabetes ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - psychology ; Diabetes Mellitus, Type 2 - rehabilitation ; Diabetes Mellitus, Type 2 - therapy ; Diabetes. Impaired glucose tolerance ; Diabetics ; Effectiveness studies ; Electromyography ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Evaluation ; Glucose ; Glycated Hemoglobin A - metabolism ; Health aspects ; Humans ; Management. Various non-drug treatments. 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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.</description><subject>Biofeedback</subject><subject>Biofeedback training</subject><subject>Biofeedback, Psychology</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - metabolism</subject><subject>Care and treatment</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes Mellitus, Type 2 - rehabilitation</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetics</subject><subject>Effectiveness studies</subject><subject>Electromyography</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Evaluation</subject><subject>Glucose</subject><subject>Glycated Hemoglobin A - metabolism</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Management. Various non-drug treatments. 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subjects Biofeedback
Biofeedback training
Biofeedback, Psychology
Biological and medical sciences
Blood Glucose - metabolism
Care and treatment
Diabetes
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - psychology
Diabetes Mellitus, Type 2 - rehabilitation
Diabetes Mellitus, Type 2 - therapy
Diabetes. Impaired glucose tolerance
Diabetics
Effectiveness studies
Electromyography
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Evaluation
Glucose
Glycated Hemoglobin A - metabolism
Health aspects
Humans
Management. Various non-drug treatments. Langerhans islet grafts
Medical sciences
Patient Education as Topic
Psychological aspects
Relaxation Therapy
Type 2 diabetes
title Biofeedback-Assisted Relaxation in Type 2 Diabetes
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