Abstract

Background: The increased amount of depression among people with diabetes is a burden on society. Biofeedback and meditation can impact the self-regulation of this group. Objective: This study aims to study the effect of combining meditation with a biofeedback training program on the stress and depression among diabetes people with mild depression. Methods: This study is based on a randomized controlled trial approach. One hundred two participants were divided into three groups of 34 participants each, involving meditation, a combination of meditation and Skin Conductance (SC) with Skin Temperature (ST) biofeedback, and a control group. All three groups received routine nursing. Measurements were made using the Symptoms of Stress Inventory (SOSI) and the Beck Depression Inventory (BDI). Data were analyzed using frequency, percentage, mean, standard deviation, and MANOVA and MANCOVA. The duration of the study was from June 2018 to October 2019. Results: There were statistically significant differences in stress and depression among the three groups. Those receiving both meditation and biofeedback had the greatest reduction in the linear combination of stress and depression. Accordingly, the biofeedback program is a program that is capable of helping people learn how to relax, as biofeedback instruments feed information back to people through on-screen visual signals, thus enabling them to learn about their progress and success. Conclusion: In summary, a combination of meditation and SC and ST biofeedback can reduce stress and depression in people with mild depression diabetes.

Highlights

  • The number of people with diabetes is continually increasing, globally

  • This study aims to study the effect of combining meditation with a biofeedback training program on the stress and depression levels among DM people with mild depression

  • When using the chi-squared test, the findings showed that sex, age, level of education, marital status, monthly household income, income sufficiency, occupation, and medical rights and symptom diagnoses did not have a statistically significant level of 0.05

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Summary

Introduction

The number of people with diabetes is continually increasing, globally. The World Health Organization [1] has reported that type 2 diabetes is considered a severe challenge for the healthcare system of countries and it includes approximately 90% of diabetic people [1]. Among the psychological impacts of diabetes are the effects it has on one’s self-esteem and self-image [4]. These individuals are less aware of their values because they cannot work hard and feel fatigued because of their high blood glucose levels. There are many reasons for stress in people with diabetes, including, for example, conditions of the chronic disease, treatment received, lifestyle changes, economic situations, and changes in social roles. Significant negative impacts can occur after DM These major negative impacts cause tension arising from the nature of those diseases, such as suffering for months, years or even a lifetime while receiving treatment in a hospital regularly, as well as feeling depressed or having subsequent complications [8, 9]. Biofeedback and meditation can impact the self-regulation of this group

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