Mindfulness: a Novel Approach for the Management of Diabetes-related Distress

Fecha de inicio: 1 de enero de 2012

Inclusion Criteria: Age > 30 years Male or female Duration of diabetes 1-15 years from time of initial diagnosis Diagnosis of T2DM made/confirmed by physician Completed diabetes education in the past Most recent HgA1c >7%; measurement must be within the past 6 months either in physicians office or at the Thriving with Diabetes Boot Camp Class Treatment for diabetes must include any or all of the following modalities: diet, exercise, oral medications, insulin or other injectable diabetic medication Score > 30 on the Problem Area in Diabetes (PAID) Questionnaire Able to use a glucometer for self-monitoring of blood glucose values Most recent clinic blood pressure less than 180/95 Exclusion Criteria: History of ketoacidosis Age at diagnosis of T2DM < 30 years Score >15 on the PHQ-9 Previous training in relaxation or meditation techniques Current practice of yoga, tai chi or any other mind-body movement for > 60 minutes per week Current use of a psychoactive drug for less than 3 months or not yet on a stable dose Inability to participate fully or behave appropriately in the group treatment setting, as observed by baseline acknowledgement of substance abuse, psychotic episode(s), psychiatric hospitalization or history of self- harm within the past 2 years, or current suicidal or homicidal ideation Inability to complete standardized instruments because of a cognitive deficit or language barrier Current use or use within the past 3 months of oral glucocorticoids, excluding intraocular, topical or inhaled preparations History of inflammatory diseases including rheumatoid arthritis and inflammatory bowel disease Use of immune modulating agents Night shift work or other type of schedule in which sleep wake cycle is disrupted Women who consume > 7 alcoholic drinks per week and men who consume > 14 drinks per week Current use or history of daily tobacco use within the past 1 year End stage renal failure on dialysis Pregnancy or post partum <3 months Subjects with known secondary causes of hypertension including renal artery stenosis, pheochromocytoma, coarctation of aorta, hyperaldosteronemia Non-dominant arm circumference > 46cm Unwilling to accept randomization