Keywords
mental health
physical therapy modalities
phychological techniques
exercise therapy
How to Cite
Abstract
Diabetic patients are around twice as likely to suffer from anxiety and depression symptoms as the general population. When these symptoms are related to concurrent conditions they should be treated. The objective of this study has been to examine the effects of a physical therapy exercises and psychological techniques program, in mental wellness of a diabetic population. The twelve weeks program was applied in 25 patients. Pain, arterial pressure, anthropometry, blood samples and mental wellness (with 28 items Goldberg questionnaire: GHQ-28) were evaluated. Though they were relatively young (84 % < than 65 years), only 12 % were working, due to the high cardiovascular risk clinical situation, the existence of comorbidities (96 %) and the associated pain. These facts negatively affected the mental wellness of the people, so they scored high in GHQ questionnaire: social dysfunction (14.8 ± 2.2), somatic symptoms (13.5 ± 3.6), anxiety and insomnia (11.9 ± 3.4) and severe depression (9.2 ± 4.4). The clinical situation determined the design of the program, which showed good treatment effects for pain and general mental wellness, with high effect sizes, in GHQ total score, in somatic symptoms and in social dysfunction, though in anxiety and insomnia and severe depression the effect size was small. In conclusion, the program improved physical and psychological wellness of our patients. The evidence for inclusion of physical therapy and psychology techniques in the management of concurrent conditions in diabetes, source of mental discomfort, had been reinforced.
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