Abstract
ABSTRACTObjectiveThe purpose of the study was to assess the acceptability and feasibility of Mindfulness-Based Stress Reduction (MBSR), a group-delivered intervention, to reduce stress and improve illness management among urban, older adolescents, and young adults with poorly controlled type 1 diabetes (T1D).MethodTen older adolescents and young adults (9 females, 1 male) were recruited to participate in an MBSR group. Acceptability and feasibility were assessed based on recruitment and retention, treatment satisfaction, and changes in stress, diabetes management, and health status using a mixed-methods approach.ResultsSatisfaction with MBSR was high based on both quantitative and qualitative data. Preliminary evidence was found to suggest that MBSR reduced stress and improved blood glucose levels.ConclusionsFindings from a small feasibility study suggest that MBSR could be delivered to urban older adolescents and young adults with T1D with high rates of satisfaction. Additional testing in adequately powered controlled clinical trials appears warranted.
Highlights
The field of mind–body research has expanded exponentially in the past decade
Most were on intensive insulin, 20% used an insulin pump and 50% used basal-bolus injection therapy, and 30% used a regimen of 2–3 daily injections of mixed short and intermediate acting insulin
Results of the present study suggested that participants may have experienced reductions in stress after receipt of Mindfulness-Based Stress Reduction (MBSR) (Fjorback et al, 2011)
Summary
Among the most important findings from the mind–body literature is the observation that exposure to psychological stress significantly increases vulnerability to poor health outcomes across a wide variety of physical conditions (Cohen, Janicki-Deverts, & Miller, 2007; Morey, Boggero, Scott, & Segerstrom, 2015) For persons with type 1 diabetes (T1D), stress has the potential to affect metabolic control directly through its impact on cortisol and other catecholamine hormones that affect insulin metabolism (Helgeson, Siminerio, Escobar, & Becker, 2008).
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