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J Shahrekord Univ Med Sci. 2025;27(1): 34-40.
doi: 10.34172/jsums.1003
  Abstract View: 68
  PDF Download: 53

Original Article

Effect of mindfulness-based stress reduction on mental health and sleep quality in women with type 2 diabetes mellitus: A randomized controlled trial

Anahita Babak 1* ORCID logo, Seyed Mohammad Hasan Hakimi 2 ORCID logo, Seyedeh Zeinab Mousavi 3 ORCID logo, Narges Motamedi 4 ORCID logo

1 Department of Community and Family Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
3 Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
4 Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
*Corresponding Author: Anahita Babak, Email: babakanahita@yahoo.com

Abstract

Background and aims: Sleep disorders directly relate to diabetes and its management. The study objective was to examine the effect of the mindfulness-based stress reduction (MBSR) intervention on mental health and sleep quality (SQ) in women with type 2 diabetes mellitus (T2DM) in Isfahan health care centers in Iran.

Methods: Eighty women with T2DM were enrolled in this randomized clinical trial performed at Imam Ali Comprehensive Urban Health Center in Isfahan in 2019. The patients were randomly assigned to the intervention (8 sessions of 2 hours of MBSR training) and control (standard care) groups. SQ and mental health were assessed and compared via the Pittsburgh SQ Index and the Depression, Anxiety, and Stress Scale-21 before and after the intervention in both groups by SPSS 20 using the chi-square test, independent t-test, and paired-samples t-test.

Results: A post-intervention reduction in the overall quality of sleep index was observed in both intervention and control groups (0.7±0.2, P=0.1 and 0.17±0.07, P=0.6, respectively). There was a significant difference between the subjective SQ and the sleep duration before and after treatment in the intervention group (a score reduction of 0.2±0.09 and 0.3±0.12, respectively, P=0.03). Depression, anxiety, and stress scores also decreased significantly after treatment in the intervention group, indicating an improvement in mental health (4.3±2.1, P<0.001, 5±2.7, P<0.001, and 3.7±1.5, P<0.001, respectively).

Conclusion: Overall, mental health, subjective quality, and sleep duration improved in patients with T2DM undergoing MBSR training.


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Submitted: 23 Jul 2024
Accepted: 19 Oct 2024
ePublished: 26 Apr 2025
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