Rohini Patil; Kamal Shah; Deepak Bhosle
Abstract
Background: Evaluation of the impact of stress on glycaemic control in hospitalized type-2 diabetes (T2DM) patients with coronavirus disease (COVID-19).Methods: In this retrospective study conducted at a single centre in Maharashtra from May to July 2020 on hospitalized COVID-19 patients with T2DM who ...
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Background: Evaluation of the impact of stress on glycaemic control in hospitalized type-2 diabetes (T2DM) patients with coronavirus disease (COVID-19).Methods: In this retrospective study conducted at a single centre in Maharashtra from May to July 2020 on hospitalized COVID-19 patients with T2DM who reported having stress of pandemic; they were selected using purposive sampling. DASS-12 stress sub-scale was used to estimate the severity of their stress. Fasting blood glucose (FBG) and post-prandial blood glucose (PPBG) before admission and at the time of discharge were compared.Results: One hundred and ninety-nine patients (mean age 54 years; 61.30% females) were included. Mean±SD FBG before admission was 168.4±30.6 mg/dl which increased to 195.9±28.8 mg/dl at the time of discharge (P<0.001). Also, Mean±SD PPBG before admission was 312±62.3 mg/dl which increased to 351.6±61.9 mg/dl (P<0.001). A total of 73 (36.7%) participants had perceived stress. Moderate and severe/extremely severe stress was found in 44 (27.1%) and 19 (9.6%) patients, respectively. A significant difference was observed in the mean FBG before and during discharge in patients who had no stress and those with moderate stress (P<0.001). There was no difference in FBG in patients with severe/extremely severe stress (P=0.43). Similar observations were seen for PPBG (no stress P<0.001; moderate stress P<0.001; severe/extremely severe stress P=0.06).Conclusion: There was a rise in the glucose level in T2DM patients discharged after COVID-19 treatment. The increase was significant in T2DM without stress and those with moderate stress. In addition to traditional treatment, measures for psychological stress control should also be taken for such patients.
Somayeh Panahpouri; Sara Arshi
Abstract
Background: One of the most stressful experiences for any family is managing a child with a disability, disorder, or chronic illness. The present study was conducted to evaluate the effectiveness of acceptance and commitment-based therapy on psychological flexibility and resilience among mothers with ...
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Background: One of the most stressful experiences for any family is managing a child with a disability, disorder, or chronic illness. The present study was conducted to evaluate the effectiveness of acceptance and commitment-based therapy on psychological flexibility and resilience among mothers with autistic children in Shiraz.Methods: This is a quasi-experimental pretest-posttest study with a control group. The statistical population of the present study included mothers with autistic children referring to the autism community in Shiraz city at 1398. According to the semiexperimental design and the criteria for research, a sample of 36 patients (each group of 18) was selected randomly. Samples were randomly assigned to two experimental and control groups. The experimental group received 8 sessions of “acceptance and commitment therapy”. The instrument for collecting information included the Cognitive Flexibility Questionnaire (CFI) and Connor & Davidson Resilience Questionnaire. Data were analyzed through SPSS software using covariance.Results: The results showed that Commitment-based Therapy is effective in increasing the mental flexibility and resilience of mothers of children with autism (P=0.001).Conclusion: Based on the findings, it can be concluded that acceptance and commitment therapy is effective in improving the mental health of mothers with childhood autism.