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Relaxation training for NIDDM. Predicting who may benefit
J D Lane1, C C McCaskill, S L Ross
1Department of Psychiatry, Duke University Medical Center, Durham, NC 27710.
Diabetes Care
|August 1, 1993
Summary
Relaxation training did not improve glucose control in patients with non-insulin-dependent diabetes mellitus (NIDDM) beyond conventional treatment. Individual differences may influence response, suggesting potential benefits for selected patients.
Area of Science:
- Endocrinology
- Psychosomatic Medicine
Background:
- Non-insulin-dependent diabetes mellitus (NIDDM) management often involves lifestyle modifications.
- The role of psychological interventions like relaxation training in diabetes management requires further investigation.
Purpose of the Study:
- To evaluate the efficacy of relaxation training as an adjunct to conventional therapy for NIDDM patients.
- To identify psychological factors predicting treatment response in NIDDM.
Main Methods:
- Thirty-eight NIDDM patients received intensive conventional diabetes therapy.
- Half of the participants were additionally assigned biofeedback-assisted relaxation training for 8 weeks.
- Glycated hemoglobin (GHb) levels and glucose tolerance were assessed pre- and post-intervention.
Main Results:
- Intensive conventional treatment significantly improved GHb levels, with sustained effects.
- Relaxation training did not yield additional improvements in GHb or glucose tolerance compared to conventional treatment alone.
- Within the relaxation group, improved glucose tolerance correlated with trait anxiety and alprazolam's effect on glucose tolerance.
Conclusions:
- Relaxation training offers no significant added benefit for glucose control in NIDDM patients compared to conventional treatment.
- Further research is warranted to explore the potential of relaxation training for stress-responsive NIDDM patients.