The Effect of Mindfulness-Based Stress Reduction Counseling on Blood Glucose and Perceived Stress in Women with Gestational Diabetes

Abstract

Objective Gestational diabetes can cause maternal and neonatal morbidity. Psychological factors, especially stress, play a meaningful role in diabetes management. Therefore, the present study aimed to investigate the effect of Mindfulness-Based Stress Reduction counseling on blood sugar and perceived stress in women with gestational diabetes.

Methods The present quasi-experimental interventional study was performed on 78 women with gestational diabetes. In the intervention group, a Mindfulness-Based Stress Reduction counseling program was conducted by the researcher in 8 sessions of 90 minutes twice a week. The Cohen stress questionnaire was filled in both groups. Also, fasting blood sugar and 2-hour blood sugar levels were measured in both groups. Statistical analysis was performed using the independent T-Test, the paired T-Test, the Mann-Whitney and Wilcoxon Tests using IBM SPSS Statistics for Windows version 20 version (IBM Corp., Armonk, NY, USA).

Results The mean age of pregnant women in the intervention group was 28.84 ± 6.20 years old and 29.03 ± 5.42 years old in the control group. There was a significant mean difference between the fasting blood sugar score (p = 0.02; - 6.01; and - 11.46) and the 2-hour fasting blood sugar score (p < 0.001;12.35; and - 5.3) and the perceived stress score (p < 0.001; 35.57; and - 49.19) existed between the intervention and control groups after the intervention.

Conclusion The results of the present study showed that mindfulness-based stress reduction counseling is effective in reducing blood sugar levels and reducing perceived stress in women with gestational diabetes treated with diet.

Keywords

perceived stress - mindfulness-based stress reduction - gestational diabetes - blood sugar

Contributions

ZM, KA, AA, MS and MGH contributed to conceiving and designing the research. The data were collected, analyzed, and interpreted by ZM, TD, and KA. ZM, AA, MGH and KA contributed equally to writing and revising the manuscript and approved the final manuscript.

Publication History

Received: 11 May 2022

Accepted: 01 August 2023

Article published online:
16 October 2023

• References

• 1 Longo Dan ea. Harrison's principles of internal medicine. 18th ed.. E DAe, editor. Tehran: Andisheh rafi; 2020
• 2 Khadivzadeh T, Azhari S, Esmaily H, Akhlaghi F, Sardar MA. Effects of self-care education on perceived stress in women with gestational diabetes under insulin treatment. Evidence Based Care. 2015; 5 (03) 7-18
• 3 Zareipour M, Jadgal K, Zare F, Valizadeh R, Ghelichi Ghojogh M. The relationship between perceived stress and blood sugar levels in patients with type 2 diabetes. Rahavard Salamat Magazine 2017; 2 (04) 1-13
• 4 Vala M, Razmandeh R, Rambol K, Nasli Esfahani E, Ghodsi Ghasemabadi R. Mindfulness-based stress reduction group training on depression, anxiety, stress, self-confidence and hemoglobin A1C in young women with type 2 diabetes. Majallah-i Ghudad-i Darun/Riz va Mitabulism-i Iran 2016; 17 (05) 382-390
• 5 Validi Pak AKS, Moeni Manesh K. Efficacy of mindfulness traning on enhancing optimism in women with pregnancy diabetes quarterly. J Health Psychol 2015; 4 (14) 62-78
• 6 Zare H, Zare M, Amirabadi F, Shahriari H. Mindfulness and diabetes: evaluation of effectiveness of Mindfulness Based Stress Reductionon glycemic control in diabetes. Majallah-i Ulum-i Pizishki-i Razi 2013; 20 (108) 40-52
• 7 Nejad FK, Shahraki KA, Nejad PS, Moghaddam NK, Jahani Y, Divsalar P. The influence of mindfulness-based stress reduction (MBSR) on stress, anxiety and depression due to unwanted pregnancy: a randomized clinical trial. J Prev Med Hyg 2021; 62 (01) E82-E88
• 8 Woolhouse H, Mercuri K, Judd F, Brown SJ. Antenatal mindfulness intervention to reduce depression, anxiety and stress: a pilot randomised controlled trial of the MindBabyBody program in an Australian tertiary maternity hospital. BMC Pregnancy Childbirth 2014; 14 (01) 369
• 9 Kiselev S, Volik I. Effect of mindfulness training on stress reduction during pregnancy. Psychoneuroendocrinology 2017; 83: 45
• 10 Guth S, Wood S, Ivanova M, Hudziak JJ. Eds. Mindfulness Training in Pregnancy, and PostPartum Internalizing Symptoms. 64th Annual Meeting; 2017: AACAP.
• 11 Beattie J, Hall H, Biro MA, East C, Lau R. Effects of mindfulness on maternal stress, depressive symptoms and awareness of present moment experience: A pilot randomised trial. Midwifery 2017; 50: 174-183
• 12 Vieten C, Laraia BA, Kristeller J, Adler N, Coleman-Phox K, Bush NR. et al. The mindful moms training: development of a mindfulness-based intervention to reduce stress and overeating during pregnancy. BMC Pregnancy Childbirth 2018; 18 (01) 201
• 13 Epel E, Laraia B, Coleman-Phox K, Leung C, Vieten C, Mellin L. et al. Effects of a Mindfulness-Based Intervention on Distress, Weight Gain, and Glucose Control for Pregnant Low-Income Women: A Quasi-Experimental Trial Using the ORBIT Model. Int J Behav Med 2019; 26 (05) 461-473
• 14 Kharatzadeh H, Davazdahemami M, Bakh M, Kachuei A, Mahaki B. Effectiveness of mindfulness based stress reduction on glycemic control, stress, anxiety and depression on patients with type 2 diabetes mellitus. Majallah-i Pizishki-i Urumiyyah 2017; 28 (03) 207-214
• 15 Mohammadi Shirmahaleh F, Jomehri F, Keraskian A, Malihi Alzakerini S. The effect of mindfulness-based stress reduction in depression and blood sugar reduction diabetic patients with BIS type of personality. Journal of Research and Health. 2017; 7 (06) 1111-1119
• 16 Ni Y, Ma L, Li J. Effects of Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy in People With Diabetes: A Systematic Review and Meta-Analysis. J Nurs Scholarsh 2020; 52 (04) 379-388