Stress Reduction Ups Health Status in Type 2 Diabetes

Intervention lowers depression, improves health, has no effect on albuminuria at one year

FRIDAY, April 27 (HealthDay News) -- A mindfulness-based stress reduction (MBSR) intervention is effective at improving health status and lowering levels of depression among patients with type 2 diabetes, according to a study published in the May issue of Diabetes Care.

Mechthild Hartmann, from the University of Heidelberg in Germany, and colleagues investigated the effect of an MBSR intervention on psychosocial distress, nephropathy progression, and subjective health status of patients with type 2 diabetes from the Heidelberger Diabetes and Stress-Study. Patients were randomly assigned to an MBSR intervention (53 participants) or treatment as usual (57 participants).

The researchers found that, compared with controls, at one year of follow-up there were lower levels of depression (d = 0.71) and improved health status (d = 0.54) among participants in the MBSR group. There were no significant differences in albuminuria, a measure of nephropathy progression. Higher stress reduction was seen in the MBSR intervention group in per-protocol analysis (d = 0.64).

"MBSR intervention achieved a prolonged reduction in psychosocial distress. The effects on albuminuria will be followed up further," the authors write.

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