Impact of a psychological follow-up of diabetics in the management of diabetes in Morocco

• Main Authors: Zeghari, Lotfi, Youssef, Aboussaleh, Samir, Bikri, Abdallah, Abouayyad, Mohamed, Wael Mohamed Yousef
• Format: Book Chapter
• Language: English
• Published: Springer 2022
• Subjects: R Medicine (General)
• Online Access: http://irep.iium.edu.my/97342/1/97342_Impact%20of%20a%20psychological%20follow-up.pdf; http://irep.iium.edu.my/97342/; https://link.springer.com/chapter/10.1007/978-981-16-8158-5_5

Several studies revealed that people with diabetes are at high risk of decreasing the psycho-emotional well-being that is already present in the majority of diabetic patients at the time of diagnosis. The study aim is to study the impact of psychological follow-up by a psychologist on the glycemic control of diabetics. Population of study is composed of 70 diabetics. The sample is selected based on Rosenberg’s self-esteem scale. Glycemic control was carried out, by the three most widely used blood tests for diabetes, viz. fasting blood glucose, post-prandial glucose, and glycated hemoglobin, twice (t0), first visit and (tf) at the end of the psychological intervention. Depression was determined using the “patient health questionnaire (PHQ-9).” The body mass index (BMI) was calculated based on the WHO standard recommendation (Weight/Height2). The whole population is overweight (BMI > 25), for women (26.21 ± 5.65) and for men (26.42 ± 3.44), as well as the values of the three blood tests (HbA1c, PPG, and FBG) are above standards. We found that the difference is significant (P < 0.01) for the means of HbA1c (%) from t0 to tf; fasting glucose from t0 at tf, and post-prandial glucose at t0 and tf. The difference is significant (P < 0.05) for the PHQ-9 averages from t0 to t1; and from PHQ0 to t1 and t2. For the correlational analysis we found: a highly significant between PHQ value at (t2) and FBG value at (tf) (r = 0.314, P < 0.01), a significant between the PHQ value at (t2) and the PPG value (tf) (r = 0.274, P < 0.01), a significant between the PHQ value at (t2) and the value of HbA1c at (tf) (r = 0.449, P < 0.01) and a highly significant between the value of PPG at (tf) and the value of HbA1c at (tf) (r = 0.618, P < 0.01). This study confirmed the positive role of psychological followed a diabetic and therefore its establishment is required in the management of diabetes.