Influence of psychological intervention on bad mood of diabetic patients and their blood glucose and lipid metabolism

Abstract

Objective To investigate the psychological intervention to control anxiety and depression mood of diabetic patients and blood glucose and lipid metabolism. Methods 200 patients were randomly divided into two groups, control group （n = 100） received routine treatment and care, the intervention group （n = 100） in the conventional treatment and care while providing psychological interventions, cognitive restructuring. Respectively, before intervention and 3 months after intervention in patients with anxiety scale measured two groups （HAMA）, self-rating anxiety scale （SAS）, depression scale （HAMD）, self-rating depression scale （ SDS）, symptom assessment table （SCL-90） score, and fasting plasma glucose （ FPG）, postprandial 2 h blood glucose （PG 2 h）, glycated hemoglobin （HbA1c）, total cholesterol （TC）, low-density lipoprotein cholesterol （HDL-c）, triglycerides （TG） levels. Results Difference of blood glucose and lipid metabolism and adverse mood score in patients of the two groups, before intervention was not statistically significant （ P 〉 0. 05 ）. 3 months after the intervention group were HAMD score （12.99 ±3.51 ）, HAMA score （14.15±3.92）, SAS score （ 35 ±12. 4）, lower than the control group [ （ 17.94± 4.92）, （ 18.64 ±4.19）, （49 ± 19.6 ）, （43± 19.6） respectively], the difference was statistically significance （t =9. 407, 7. 825, 6. 036, 6. 151;P 〈 0. 01 ） ; Before intervention, the difference was statistically significant （P 〈 0. 05）. HbAlc, FPG, PG 2 h, TC, HDL-c, TG levels are decreased in the intervention group （P 〈 0. 05 ）. Conclusions Psychological intervention can help improve diabetes anxiety and depression, improve glucose and lipid metabolism, and improve quality of life. Key words: Diabetes; Psychological intervention; Bad mood; Blood glucose; Lipid metabolism