Support Group Therapy and Type 2 Diabetes: Evaluation of the Effectiveness of Support Group Therapy on Glycemic Control in Diabetes

Document Type : Original article

Authors

1 PhD in Clinical Psychology, Assistant Professor of Shahid Beheshti University, Department of Clinical Psychology, Tehran, Iran

2 PhD in Psychology, Payame Noor University, Tehran, Iran

3 Department of Psychology, Payame Noor University, Tehran, Iran

4 PhD in Psychology, Tarbiat Modares University, Tehran, Iran

Abstract

Background and Aim: Diabetes is a type of metabolic disorder characterized by limited or no insulin secretion or function, which leads to high blood glucose levels. Individuals with diabetes can have a high quality of life if their glycemic levels are well controlled. Taking part in support groups and social support may play a key role in supporting the ability of patients to maintain glycemic control. The purpose of the current study was to evaluate the effectiveness of support group participation on the glycemic control of patients with diabetes.
Methods and Materials: A total of 60 patients with type 2 diabetes (20 recently diagnosed patients and 40 patients living with diabetes for more than 5 years, 20 of whom had adequate glycemic control and 20 did not have adequate control of their glycemic levels) from Shahriyar city, Iran, were invited to participate in the study. Patients participated in support group therapy sessions held over eight weeks. Glycated hemoglobin was assessed as the outcome indicator of glycemic control prior to and after the intervention. One-way ANOVA was used for data analysis.
Results: The results indicated that there was a significant difference between pre-test and post-test glycated hemoglobin levels prior to and after group therapy. Further results indicated that the length of illness and previous successful management of illness did not affect the impact of the effect of participation in support group therapy.
Conclusion: We found that support group therapy was an effective treatment for maintaining glycemic control in patients with diabetes. Such therapy can be included as a psychological intervention in treatment plans for patients with diabetes.

Keywords

Main Subjects


  1. Barnard K.D., Lloyd C.E. &  Holt R.I.G. , Psychological Burden of Diabetes and What It Means to People with Diabetes. Psychology and Diabetes Care , 2012.##
  2.  Klein H.A., &  Lippa K.D., Assuming control after system failure: type II diabetes self-management. Cognition, Technology & Work , 2012, DOI: 10.1007/s10111-011-0206-3. ##
  3. Sal I., Papp I., Perczel F.D., Possibilities of behavioral therapy in diabetes mellitus and obesity. Orv Hetil, 2012, 153(11):410-7.##
  4. Ford M.E.,  Tilley B.C., &  McDonald P.E. ,Social support among African-American adults with diabetes, Part 2: A review. J Natl Med Assoc, 1998, 90(7): 425–432. ##
  5. Winefield H.R., Psychotherapy and social support: parallels and differences in the helping process.Clinical Psychology Review, 1987, 7(6): 631–644.##
  6. Harris M.A., Freeman K.A.,Duke D.C. , Getting (the Most) Out of the Research Business: Interventions for Youth with T1DM. Current Diabetes Reports, 2010, 10 (6): 406-414.##
  7. 7- Baker Morris D., A Rural Diabetes Support Group. The Diabetes Educator, 1998, 24(4): 493-497.##
  8. Toth E.L., James I., Description of a Diabetes Support Group: Lessons for Diabetes Caregivers. Diabetic Medicine. 1992, 9(8): 773–778.##
  9. Caditz J. , An education-support-group program for visually impaired people with diabetes. Journal of Visual Impairment & Blindness, 1992, 86(1): 81-83. ##
  10. Oren M.L., Carella M. &  Helma T. , Diabetes Support Group-Study Results and Implications. Employee Assistance Quarterly, 1996, 11(3): 1-20.##
  11. Simmons D. , Diabetes Self Help Facilitated by Local Diabetes Research: The Coventry Asian Diabetes Support Group. Diabetic Medicine, 1992, 9(9): 866–869.##
  12. Zrebiec J.F., Jacobson A.M., What attracts patients with diabetes to an internet support group? A 21-month longitudinal website study. Diabetic Medicine, 2001, 18(2): 154–158.##
  13. Barrera Jr. M., Glasgow R.E., McKay H.G., Boles S.M.,  Feil E.G., Do Internet-Based Support Interventions Change Perceptions of Social Support?: An Experimental Trial of Approaches for Supporting Diabetes Self-Management. American Journal of Community Psychology, 2002, 30(5): 637-654.##
  14. Adolfsson A. & Jansson M., Prototype for Internet support of pregnant women and mothers with type1 diabetes: focus group testing, Psychol Res Behav Manag. 2012, 5: 97–103. ##
  15. Markowitz J. T., Laffel L. M. B. ,Transitions in care: support group for young adults with Type 1 diabetes. Diabetic Medicine, 2012, 29(4): 522–525.##
  16. Fortmann A. L., Gallo L.C., Philis-Tsimikas A. ,Glycemic control among Latinos with type 2 diabetes: The role of social-environmental support resources. Health Psychology, 2011,  30(3), 251-258. ##
  17. Tang T.S.,  Brown M.B., Funnell M.M. &  Anderson R.M. , Social Support, Quality of Life, and Self-Care Behaviors Among African Americans With Type 2 Diabetes. The Diabetes Educator , 2008, 34(2): 266-276.##
  18. Løding R.N., Wold J.E., Skavhaug Å., Graue M., Evaluation of peer-group support and problem-solving training in the treatment of adolescents with type 1 diabetes. European Diabetes Nursing,2007, 4(1): 28–33.##
  19. Zhang X., Norris S.L., Gregg E.W., Beckles G., Social Support and Mortality Among Older Persons With Diabetes. The Diabetes Educator, 2007, 33(2): 273-281.##
  20. van Dam H.A., van der Horst F.G., Knoops L., Ryckman R.M., Crebolder H.F.J.M., van den Borne B.H.W., Socialsupport in diabetes: a systematic review of controlled intervention studies. Patient Education and Counseling, 2005, 59(1):1–12.##
  21. Rosselló J., Pérez D., Anxiety and social support in a group of young people with insulin-dependent diabetes. Boletin de la Asociacion Medica de Puerto Rico, 2003, 95(3):7-10, 13-5. ##
  22. Eriksson B.S.  & Rosenqvist U. , Social Support and Glycemic Control in Non-Insulin Dependent Diabetes Mellitus patients. Women & Health, 2003, 20(4): 59-70. ##
  23.  Alley G.R. & Brown L.B. , A Diabetes Problem Solving Support Group:Issues, Process and Preliminary Outcomes. Social Work in Health Care, 2002,36(1): 1-9 . ##
  24. Skinner T. C., Hampson S. E., Social support and personal models of diabetes in relation to self-care and well-being in adolescents with type I diabetes mellitus. Journal of Adolescence, 1998, 21(6): 703-715. ##
  25. Fisher E.B., La Greca A.M., Greco P., Arfken C., Schneiderman N., Directive and nondirective social support in diabetes management. international Journal of Behavioral Medicine, 1997, 4(2):131-144. ##
  26. Garay-Sevilla M.E., Nava L.E., Malacara J.M., Huerta R., de León J.D., Mena A., Fajardo M.E. , Adherence to treatment and socialsupport in patients with non-insulin dependent diabetes mellitus.Journal of Diabetes and its Complications, 1995, 9(2): 81–86.##
  27. Maxwell A.E., Hunt I.F., Bush M.A., Effects of a Social Support Group, as an Adjunct to Diabetes Training, on Metabolic Control and Psychosocial Outcomes. The Diabetes Educator, 1992, 18 (4): 303-309.##
  28. Kaplan R. M., Hartwell S. L., Differential effects of social support and social network on physiological and social outcomes in men and women with Type II diabetes mellitus. Health Psychology, 1987, 6(5): 387-398.##
  29. Chew B.H., Khoo E.M,, Chia Y.C., Social Support and Glycemic Control in Adult Patients With Type 2 Diabetes Mellitus. Asia Pac J Public Health, 2011, doi: 2011 1010539511431300.##
  30. Wysocki T.,  Harris M.A., Greco P., Harvey L.M., McDonell K.,  Elder Danda C.L., Bubb & J., White N.H. , Social Validity of Support Group and Behavior Theraphy Intervetions for Families of Adolescents with Insulin-Dependent Diabetes Mellitu. J. Pediatr. Psychol, 1997, 22 (5): 635-649. ##
  31. Tillotson L.M.,Shelton Smith M., Locus of Control, Social Support, and Adherence to the Diabetes Regimen. The Diabetes Educator, 1996, 22 (2): 133-139.##
  32. Hanestad B.R., Albrektsen G., The effects of participation in a supportgroup on self-assessed quality of life in people with insulin-dependent diabetes mellitus. Diabetes Research and Clinical Practice, 1993, 19(2):163–173.##
  33. Mostafa Jafari, Guards Yahya, Mansour Rezaei, Mehdi H., Ashtryan H., compared the effect of nutrition education using blog, collaboration and SMS on sugar and blood lipids in patients with type II diabetes. Journal of Mashhad University of Medical Sciences, 2013, 52 (5): 261-266. [In Persian]##
  34. Shirazi M. Anooshe M. Rajab A., The effect of education on self-care program through group discussion diabetic adolescent girls referred to the Iranian Diabetes Association. Nursing Research. 2011, 22 (6): 40-52. [In Persian]##
  35. Heitzmann C.A., Kaplan R. M., Interaction between sex and social support in the control of Type II diabetes mellitus. Journal of Consulting and Clinical Psychology, 1984, 52(6):1087-1089. ##
  36. DeCoster V.A. &  George L., An Empowerment Approach for Elders Living With Diabetes: A Pilot Study of a Community-Based Self-Help Group—The Diabetes Club. Educational Gerontology, 2005,  31(9): 699-713.##
  37. Tattersall R.B.,McCulloch D.K. & Aveline M. , Group Therapy in the Treatment of Diabetes. Diabetes Care, 1985, 8(2): 180-188.##
  38. .Rahimian Isaac, immigrants Reza Tehrani, Basharat Ali, Talepasand S., Determine the psychological, social and structural diabetes self-management. Journal of Endocrinology and Metabolism, 2011, 13 (5 (59)): 467-478. [In Persian]##
  39. Skinner T.C., John M. & Hampson S.E. ,Social Support and Personal Models of Diabetes as Predictors of Self-Care and Well-Being: A Longitudinal Study of Adolescents With Diabetes. J. Pediatr. Psychol, 2000, 25 (4): 257-267.##
  40. Littlefield C.H., Rodin G.M., Murray M.A., Craven J. L. , Influence of functional impairment and social support on depressive symptoms in persons with diabetes.Health Psychology, 1990, 9(6):737-749. ##
  41. Due-Christensen M., Zoffmann V., Hommel E., Lau M., Can sharing experiences in groups reduce the burden of living with diabetes, regardless of glycaemic control? Diabetic Medicine, 2012, 29 (2): 251–256.##
Volume 6, Issue 1
March and April 2017
Pages 28-35
  • Receive Date: 26 October 2015
  • Revise Date: 28 February 2016
  • Accept Date: 01 March 2016
  • First Publish Date: 21 March 2017