JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (5): 89-94.doi: 10.6040/j.issn.1671-7554.0.2014.568

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Effects of group psychological intervention on the physiological and psychological state of elderly patients with diabetes

YU Huihui1, LEI Zhen2, LU Cuiyan1, JIANG Hong1, WANG Shukang1, PAN Fang1   

  1. 1. Department of Medical Psychology, School of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Laiwu City People's Hospital, Laiwu 27110, Shandong, China
  • Received:2014-09-02 Revised:2014-12-23 Online:2015-05-10 Published:2015-05-10

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Abstract: Objective To explore the effects of group psychological intervention on physiological and psychological state of elderly patients with diabetes. Methods A total of 71 elderly patients with diabetes living in one community were randomly divided into the intervention group and control group. The intervention group received 5 sessions of group psychological intervention, while the control group had no intervention. All patients were assessed with rating scales including the Geriatric Anxiety Inventory (GAI), Geratric Depression Scale (GDS), Social Support Rating Scale (SSRS) and Type D personality scale (DS). Fasting blood-glucose (FBG) and saliva cortisol (SC) before and after intervention were detected. All patients were retested with mental rating scales 6 months after intervention. Results After intervention, the scores of GDS, GAI, negative affectivity (NA) and SC level were significantly lower, while SSRS score was higher than that of the control group. Immediately after intervention, the scores of GAI, GDS and two dimensions of DS decreased and the SSRS score increased. Furthermore, the decreased negative emotions and increased social support of the intervention group persisted after 6 months. The level of blood glucose was positively related with DS score, and SC level was significantly positively correlated to GAI but negatively to SSRS score. Conclusion Group psychological intervention can improve the mental and physiological status of elderly diabetic patients, and the improved state can maintain at least six months.

Key words: Diabetes, Elderly, Group psychological intervention, Psychological state, Cortisol

CLC Number: 

  • R395.1
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