الرواق
Volume 12, Numéro 1, Pages 109-120
2026-06-05

Effectiveness Of Progressive Muscle Relaxation Sessions In Improving Body Image In An Adolescent With Type 1 Diabetes: A Case Study

Authors : Ahmed Fouatih Aisha .

Abstract

This single-case study examined the effectiveness of a Progressive Muscle Relaxation (PMR) programme in improving body image in a 13-year-old male adolescent diagnosed with Type 1 diabetes mellitus (T1DM) since early childhood. A pre–post clinical case design was employed, combining a semi-structured clinical interview and the Goodenough–Harris Draw-a-Person (DAP) test to evaluate body image before and after eight consecutive PMR sessions delivered over four weeks. Blood glucose levels were recorded immediately before and after each session as a concurrent physiological indicator. Post-intervention drawings revealed marked qualitative improvements, including greater bodily proportionality, completeness of body parts, clearer and more positive facial expressions, appropriate representation of hands and fingers, and a notable reduction in shading intensity and pencil pressure. A general trend toward more stable post-session blood glucose values was also observed. These findings suggest that PMR may serve as a viable supportive psychological intervention for reducing somatic–psychological tension and enhancing body image among adolescents living with T1DM, and may be integrated within comprehensive diabetes care plans.

Keywords

progressive muscle relaxation ; body image ; Type 1 diabetes ; adolescent ; case study