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  1. Lu, Annie D.
  2. Bonder-Smith, Sheila
  3. Li, Xiaochun


BACKGROUND: Individuals with diabetic foot and ankle complications are at heightened risk for depression, anxiety, and stress.


PURPOSE: This study evaluated the effect of a stress management group education (SMGE) program in this population.


METHODS: The 21-question Depression Anxiety Stress Scales and the Problem Areas in Diabetes scale were administered prior to, upon completion of, and at approximately 6 weeks after the program.


RESULTS: Twenty-five patients from an urban diabetic foot and ankle center completed the study.


CONCLUSION: The SMGE program demonstrated decreased levels of anxiety, depression, and diabetes problem areas for our study population.