Journal of Diabetes and Endocrinology
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Article Number - 316D89D42281

Vol.5(1), pp. 3-8 , January 2014
DOI: 10.5897/JDE2013.0072
ISSN: 2141-2685

Case Report

Conjunctive group therapy: A case study of an adult type I diabetes mellitus patient

Siousioura Dimitra
  • Siousioura Dimitra
  • Psychiatric Department, Evaggelismos General Hospital, Athens, 43-45 Ipsilantou St., Greece.
  • Google Scholar

 Accepted: 06 December 2013  Published: 31 January 2014

Copyright © 2014 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0

A 30-year-old woman diagnosed with type 1 diabetes mellitus attended 2-year Conjunctive Group Therapy in parallel with medical treatment at a Greek state hospital. The study focuses on the patient’s changes in terms of attitudes and metabolic control after termination of the intervention. Qualitative data was collected from focused interviews before and after the intervention and thematic analysis was performed; blood samples were collected for the measurement of glucose levels. Findings showed that by termination of the group therapy, the patient improved her adjustment to diabetes, engaged in self-care behaviors, and achieved better stress management; her overall mood, social relationships and quality of life were improved; she redefined the role of diabetes in her life and achieved good metabolic control.

Key words: Type 1 diabetes mellitus, group therapy, conjunctive group therapy, psychological adjustment, self-care, stress, quality of life, social environment, diabetes redefinition, metabolic control.


DM, Diabetes mellitus; DM1, type 1 diabetes mellitus; CGT, conjunctive group therapy.

Jörgens V, Grüber M, Berger M (2002). To vivlio mou gia ton Sakcharodi Diaviti Typou 1 (My book about type 1 Diabetes Mellitus). Athens: Roche Hellas A.E. (n.d.). 
Cox DJ, Gonder FL (1992). Major developments in behavioral diabetes research. J. Consult. Clin. Psychol. 60(4):628-638.
Shilitoe RW (1994). Counseling people with diabetes. Leicester: British Psychological Society Books.
Siousioura D (2012b). Psychological group intervention for type 1 diabetes mellitus patients. Clinical applications. Athens: Iatrikes Ekdoseis Vita.
Stenström U, Wikby A, Hörnquist JO, Andersson PO (1993). Recent life events, gender, and the control of diabetes mellitus. Gen. Hosp. Psychiatry 15:82-88.
Charmaz K (1987). Struggling for a self: Identity levels of the chronically ill. In: Roth J, Conrad P (Eds.), Research in the Sociology of Health Care: A Research Annual. The Experience and Management of Chronic Illness, London: JAI Press Inc. 6:283-321.
Penn P (2001). Trauma, language, and writing: Breaking the silence. Fam. Process 40(1):33-52.
Weigner K, Jacobson AM (2001). Psychosocial and quality of life correlates of glycemic control during intensive treatment of type 1 diabetes. Patient Educ. Couns. 42:123-131.
Gliedman J, Roth W (1980). The unexpected minority: Handicapped children in America. New York: Harcourt Brace Jovanovich.
Sachs G, Spiess K, Moser G, Kautzky A, Luger A, Pietschmann P, Prager R (1993). Hormonal and blood glucose responsiveness as an indicator of specific emotional arousal in type 1 diabetics. J. Psychosom. Res. 37(8):831-841.
Yalom I (2006). Theoria kai praksi tis omadikis psychotherapeias (Theory and practice of group psychotherapy). Athens: Ekdoseis Agra.
Yiannitsi S (1997). Psychosomatiki kai omadiki Psychotherapeia (Psychosomatic and Group Psychotherapy). Athens: Ellinika Grammata.
Mensing CR, Norris SL (2003). Group education in Diabetes: Effectiveness and implementation. Diabetes Spectr. 16(2):96-103.
Van der Ven N (2003). Psychosocial group interventions in diabetes care. Diabetes Spectr. 16:88-95.
Weigner K (2003). Group interventions: Emerging applications for diabetes care: Preface. Diabetes Spectr. 16:86-87.
Mannucci E, Pala L, Rotella CM (2005). Long-term interactive group education for type 1 diabetic patients. Acta Diabetol. 42(1):1-6.
Siousioura D (2012a). Review of therapeutic groups for type 1 diabetes mellitus patients. J. Diabetes Endocrinol. 3(2):11-21.
Snoek FJ, Van der Ven NC, Lubach CC, Chatrou M, Adèr HJ, Heine RJ, Jacobson AM (2001). Effects of cognitive behavioural group training (CBGT) in adult patients with poorly controlled insulin-dependent (type 1) diabetes: A pilot study. Patient Educ. Couns. 45(2):143-148.
Tsamparli A, Siousioura D (2009a). Prevailing session agendas of group psychoeducational intervention on adult type 1 diabetes mellitus patients: A qualitative analysis. Tetradia Psychiatrikis 108:67-74.
Tsamparli A, Siousioura D (2009b). Primary application of Conjunctive Group Therapy in adult type 1 diabetes mellitus patients. Diabetol. Croatica 38(3):51-62.
Cohen L, Manion L (1994). Methodologia Ekpaideftikis Erevnas (Educational Research Methodology). Athens: Metaichmio.
Kumagai AK, Murphy EA, Ross PT (2009). Diabetes stories: Use of patient narratives of diabetes to teach patient-centered care. Adv. Health Sci. Educ. 14:315-326.
Lundin CS (2008). Living with diabetes during transition to adult life - Relationships, support of self-management, diabetes control and diabetes care. Sweden: Intellecta Docusys AB Västra Frölunda.
Strauss A, Corbin J (1998). Basics of Qualitative Research. California: Sage Publication. (n.d.). Retrieved from Diabetes UK. 
Shillitoe RW (1988). Psychology and diabetes. Psychological factors in management and control. London: Chapman and Hall.
Zalokostas H (1996). Socrates: o prophitis tis archaeotitas (Socrates: the prophet of antiquity). 10th ed., Athens: Estia Modern Greek Literature Series.
Greer S, Moorey S, Bartuch JR, Watson M, Robertson BM, Manson A, Bliss JM (1992). Adjuvant psychological therapy for patients with cancer: A perspective randomized trial. Brit. Med. J. 304:675-680.
Cain EN, Kohom EI, Quinian DM, Latimer K, Schwartz PE (1986). Psychosocial benefits of a cancer support group. Cancer 57:183-189.
Anderson BJ, Wolpert HA (2004). A developmental perspective on the challenges of diabetes education and care during the young adult period. Patient Educ. Couns. 52:347-352.
Meleis AI, Sawyer LM, Messias DH, Schumacher K (2000). Experiencing transitions: An emerging middle range theory. Adv. Nurs. Sci. 23(1):12-28.


APA Dimitra, S. (2014). Conjunctive group therapy: A case study of an adult type I diabetes mellitus patient. Journal of Diabetes and Endocrinology, 5(1), 3-8.
Chicago Siousioura Dimitra. "Conjunctive group therapy: A case study of an adult type I diabetes mellitus patient." Journal of Diabetes and Endocrinology 5, no. 1 (2014): 3-8.
MLA Siousioura Dimitra. "Conjunctive group therapy: A case study of an adult type I diabetes mellitus patient." Journal of Diabetes and Endocrinology 5.1 (2014): 3-8.
DOI 10.5897/JDE2013.0072

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