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Fatemeh Baghereifard; Kobra Kazemiyan Moghadam; Sahar Safarzadeh; Farshad Bahari‎
Abstract
Objective: one of the most common chronic diseases afflicting a wide range of human population is diabetes. In addition to the body, it also affects psychological characteristics, as well as personal and social functioning of the person. Since type II diabetes has many physical and psychological ...
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Objective: one of the most common chronic diseases afflicting a wide range of human population is diabetes. In addition to the body, it also affects psychological characteristics, as well as personal and social functioning of the person. Since type II diabetes has many physical and psychological complications, and meanwhile the prevalence of this disease is growing based on predictions, thus development of short-term therapeutic interventions that would promote self-care activities in these patients while also helping them use less of avoidant behaviors as they cause possible harms is essential. Accordingly, increasing hope through hope therapy in these patients can underlie positive transformations in the impaired areas of life. As such, the aim of the present research is to investigate the effectiveness of hope therapy on cognitive behavioral avoidance and self-care behavior among patients with type II diabetes. Method: this quasi-experimental research was performed based on pretest posttest design with control group. The statistical population consisted of all married women and men suffering from type II diabetes in Ahwaz city, who were a member of diabetes Association of this city in 2021. Then, 40 subjects from the applicant individuals and willing to participate in the research with lower scores compared to the mean value of diabetes self-care questionnaires (Tubert et al., 2000) and cognitive behavioral avoidance (Attenberg and Dabson, 2004) were chosen purposefully. After matching the subjects based on demographic characteristics such as age, gender, and history of disease, they were randomly assigned into two groups of 20: treatment group with hope therapy method (n=20) and control group (n=20). Results: the findings indicated that there was a difference between the hope therapy treatment group and control group regarding cognitive behavioral avoidance (F=75.680, p<0.001). Furthermore, for the variable of self-care activities, there was a significant difference between the hope therapy group and control group regarding self-care activities (F=40.240 and p<0.001). Thus, hope therapy had a significant impact on cognitive behavioral avoidance and self-care activities among type II diabetes patients (p<0.05). Conclusion: based on the findings of the present research, a significant difference was found between the treatment group and control in the variables of cognitive behavioral avoidance and self-care activities. In other words, hope therapy has been effective on reducing the extent of cognitive behavioral avoidance of type II diabetes patients in Ahwaz city, and hope therapy has been influential on enhancing self-care activities of these patients in Ahwaz city. Thus, based on these findings, hope therapy can be an effective method for reducing cognitive behavioral avoidance and enhancing self-care activities among patients with type II diabetes. It is suggested that this therapeutic method be used as a complement to pharmacotherapy in governmental and private centers who deal with treating type II diabetes patients.
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Zahra Dehghani; Zahra Mardani; Hasan Rezvanian
Abstract
Objective: Chronic diseases, including diabetes mellitus, have become increasingly prevalent, posing significant physical, psychological, and economic challenges. Type 2 diabetes, accounting for approximately 90% of diabetes cases, is characterized by insulin resistance and impaired insulin production. ...
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Objective: Chronic diseases, including diabetes mellitus, have become increasingly prevalent, posing significant physical, psychological, and economic challenges. Type 2 diabetes, accounting for approximately 90% of diabetes cases, is characterized by insulin resistance and impaired insulin production. In Iran, over 1.5 million individuals are affected by diabetes, a condition associated with a doubled risk of mood disorders. To comprehensively address this complex issue, a biopsychosocial model has been adopted to explain the disease and its contributing factors. Adherence to diabetes treatment (The degree to which a patient follows a prescribed healthcare plan, including taking medications as directed, attending follow-up appointments, and making lifestyle changes) is crucial, yet it varies widely among patients, ranging from 23% to 93%. Non-adherence is associated with increased health risks and hospitalizations. Furthermore, diabetic patients often experience elevated cholesterol levels, emphasizing the importance of effective management. Psychological interventions, such as Compassion-Focused Therapy (CFT is a therapeutic approach that combines elements of mindfulness, cognitive-behavioral therapy, and evolutionary psychology to foster compassion, helps individuals develop a more balanced and compassionate relationship with themselves and others by addressing underlying fears and insecurities) have demonstrated potential in improving treatment adherence and overall well-being in diabetic patients. Self-compassion, encompassing self-kindness, shared humanity, and mindfulness, is central to CFT and can enhance resilience and self-care. Research has consistently shown that CFT positively impacts treatment adherence, quality of life, and stress reduction. Method: This research was semi-experimental using pretest, posttest and quarterly follow-up with control group. The statistical population consisted of patients with type 2 diabetes referred to Isfahan Endocrine and Metabolism Research Center in the autumn of 2021 that 46 of them were selected via purposive sampling and randomly allocated to experimental and control group (23 people in each group). The members of the experimental group underwent eight sessions of compassion-focused therapy (two 90-minute sessions per week) and the control group was waiting for intervention. Modanloo Adherence to Treatment Questionnaire (2013) and evaluation of blood lipids by specialist doctor was done in pre-test, post-test and three-month follow-up stages in both experimental and control groups. Data were analysed by using Mixed Model ANOVA with SPSS software version 24. Results: The findings indicated an improvement in adherence to treatment (F=36.132, P=0.001) and the balancing of blood lipids (triglycerides, cholesterol, LDL and HDL) in the experimental group compared to the control group, as well as the stability of the results in the follow-up phase (F=70.306, P=0.001). Conclusion: These results align with both domestic and international research, supporting the role of self-compassion in improving self-care and treatment adherence. By cultivating mindfulness and self-compassion, CFT empowers patients to reduce negative emotions, increase motivation to follow medical advice, and develop effective coping mechanisms. Self-compassion plays a crucial role in enhancing treatment adherence among individuals with diabetes. When individuals cultivate kindness and understanding towards themselves, they are more likely to engage in healthy behaviors and make choices that support their long-term well-being. By practicing self-compassion, individuals with diabetes can reduce feelings of self-blame and guilt associated with treatment failures, which can be a significant barrier to adherence. Furthermore, self-compassion can help individuals develop a more positive outlook on life, which can increase motivation and empower them to take an active role in managing their condition. Despite limitations such as the COVID-19 pandemic and reliance on self-report measures, this study highlights the value of CFT as a complementary approach to diabetes care. By addressing the psychological dimensions of the disease, CFT enhances treatment adherence, Healthcare providers are encouraged to incorporate CFT into their treatment plans to optimize the physical and psychological well-being of diabetic patients. Continued research is warranted to further explore the long-term effects of CFT and its applicability to diverse populations.
amineh jalali; Reza Pourhosein; Ahmed Alipour; Gholam Ali Afrooz
Abstract
Objective: Living with diabetes limitations is associated with special psychological distress. Therefore, the study aimed to determine the effectiveness of stress management method based on cognitive behavioral approach and self-care training and the combination of both on quality of life in people with ...
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Objective: Living with diabetes limitations is associated with special psychological distress. Therefore, the study aimed to determine the effectiveness of stress management method based on cognitive behavioral approach and self-care training and the combination of both on quality of life in people with type 2 diabetes. Method: The present study is a randomized four-group double-blind clinical trial with mixed between-and within-subjects design. The research sample included 60 people with type 2 diabetes selected purposefully among the members of the Kerman Diabetes Association by considering the inclusion and exclusion criteria for the study. The participants, after matching in terms of age and gender, were randomly replaced in 4 groups of 15 people and the experimental groups received the relevant interventions in 8 sessions and the control group did not receive any intervention. Pre-test, post-test and 2-month follow-up of the members of all 4 groups were performed by 36-item quality of life questionnaire. Findings: According to the results of the SPANOVA analysis, the mean scores of quality of life (physical and mental health) in the post-test and follow-up phases were increased compared to the pre-test phase and the occurred increase remained stable until the follow-up phase. Conclusion: although medical training and self-care and psychological interventions are solely necessary and useful for people with diabetes, the combination of medical and psychological interventions are necessary to improve the quality of life and stability of the obtained results.
Reyhaneh Moslehi; zohreh latifi
Abstract
Objective: Diabetes is one of the most common diseases caused by metabolic disorders with devastating effects. The present study aimed to investigate the effects of self-healing (the healing codes) training on emotional well-being, psychological hardiness, and recovery in patients with type 2 diabetes. ...
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Objective: Diabetes is one of the most common diseases caused by metabolic disorders with devastating effects. The present study aimed to investigate the effects of self-healing (the healing codes) training on emotional well-being, psychological hardiness, and recovery in patients with type 2 diabetes. Method: The research method was quasi-experimental with a pre-test, post-test, and follow-up design and a control group. The study population comprised all women with type 2 diabetes who referred to the health centers of Isfahan. Thirty patients were selected based on inclusion and exclusion criteria and randomly divided into experimental (n=15) and control (n=15) groups. The research instruments included Keys and Magyar-Mae Emotional Well-Being Questionnaire (2003) and Kiamarsi Psychological Hardiness Questionnaire (1998) which were completed by the participants in three stages: pre-test, post-test, and follow-up. Patients' blood sugar was measured and recorded by a specialist in three stages. The experimental group underwent fourteen sessions (60-minute sessions per week) of self-healing training and the control group was waiting for intervention. The repeated measures ANOVA was used for analyzing the data by using SPSS software (version 24). Findings: Self-healing training effectively increased emotional well-being and psychological hardiness in patients with type 2 diabetes (p< 0.01). In terms of improving social well-being and the disease process, there was no significant difference between the experimental and control groups in the pre-test stage. Conclusion: Self-healing can be used as a new approach in positive psychology to increase the emotional well-being and psychological hardiness in patients with type 2 diabetes.
Mohsen Rahjerdi; Mansour Sodani; Maryam Gholamzade Jofre; Parviz Asgari
Abstract
Objective: The aim of this study was to study the effectiveness of well-being therapy on depression, sexual satisfaction and quality of life in type 2 diabetic patients. Method: The research method was asynchronous multiple baseline single-case experimental design. The statistical population of this ...
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Objective: The aim of this study was to study the effectiveness of well-being therapy on depression, sexual satisfaction and quality of life in type 2 diabetic patients. Method: The research method was asynchronous multiple baseline single-case experimental design. The statistical population of this study was all type 2 diabetic patients in the city of Mashhad in 2019. In this study, 4 people were selected by purposive sampling method, they responded to the depression, sexual satisfaction scales and the quality of life questionnaire. Data were analyzed by visual chart analysis and using the reliable change index. Findings: Data analysis results showed that well-being therapy is effective in reducing depression, improving sexual satisfaction and quality of life in type 2 diabetic patients. Conclusion: Well-being therapy as a short-term psychotherapy strategy with positive consequences in individual and interpersonal life can be used to reduce depression, improve sexual satisfaction and quality of life in type 2 diabetic patients
Farideh Ramezani moghadam; reza rostami; r Abbas Rahiminezhad; hojat allah farahani
Abstract
Objective: The purpose of the present study wasto investigate the efficacy of health literacy group therapy on the improvement of glycosylated hemoglobin and self-care activities in patients with type 2 diabetes. Method: The current research was a quasi-experimental of pretest- posttest and control group ...
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Objective: The purpose of the present study wasto investigate the efficacy of health literacy group therapy on the improvement of glycosylated hemoglobin and self-care activities in patients with type 2 diabetes. Method: The current research was a quasi-experimental of pretest- posttest and control group design. The statistical population of this study included all patients with type 2 diabetes who referred to the subspecialty clinic for diabetes and metabolic diseases in Kashan, and 30 patients with type 2 diabetes were randomly selected and assigned to two experimental (n=15) and control (n=15) groups. The experimental group intervention program was performed in eight 120-minute sessions but the control group did not receive any intervention during this period. Data was collected using The summary of Diabetes Self-Care Activities Measure and Hemoglobin A1c Test and also were analyzed using mean, standard deviation, and univariate analysis of covariance. Findings: The present study confirmed the effectiveness of health literacy-based group therapy on glycosylated hemoglobin improvement and self-care activities. The findings showed that the effect of the health literacy group therapy led to decreased glycosylated hemoglobin (p= 0.71) and also increased self-care activities in type 2 diabetic patients (p= 0.76). Conclusion: The results suggest that in addition to medical treatments, health literacy-based group therapy can be used to improve type 2 diabetes control indices to prevent complications of the disease
Mehdi ShomaliAhamadabadi; naser mohammadi ahmadabadi; atefe barkhordariahmadabadi
Abstract
Objective: diabetes2 is one of the most common chronic and progressive metabolic diseases in the world. The purpose of this study was to evaluate The Effectiveness of Group Reality Therapy on Depression, Anxiety and Stress in Type 2 diabetes patients. Method: This study was a quasi-experimental study ...
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Objective: diabetes2 is one of the most common chronic and progressive metabolic diseases in the world. The purpose of this study was to evaluate The Effectiveness of Group Reality Therapy on Depression, Anxiety and Stress in Type 2 diabetes patients. Method: This study was a quasi-experimental study using a pretest-posttest-control design with a control group. The statistical population consisted of all type 2 diabetics in Yazd in 1398. Using convenience sampling method, 22 individuals were selected and randomly divided into two groups (experimental and control). Participants responded to the standard Levibond Anxiety, Stress and Depression Inventory in pre-test, post-test and follow-up. The experimental group received group reality therapy for two months, two sessions per week for 8 months, 90 minutes. Finally, the data were analyzed by repeated measure at the significant level of 0.05. Findings: The results showed that the mean scores of depression, anxiety and stress in the experimental group were significantly decreased in the post-test compared to the control group and this decrease remained stable at the follow-up (p <0.001). Conclusion: Based on the results of this study, group reality therapy can be considered as an effective intervention method in reducing the psychological problems of type 2 diabetes mellitus
Sanaz eyni; zohreh hashemi; matineh ebadi kasbakhi
Abstract
Objective: Patients with type 2 diabetes had low levels of associated psychological well-being, which may exacerbate their symptoms. The purpose of this study was to determine the relationship between psychological hardiness, sense of cohesion, and coping strategies with psychological well-being in patients ...
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Objective: Patients with type 2 diabetes had low levels of associated psychological well-being, which may exacerbate their symptoms. The purpose of this study was to determine the relationship between psychological hardiness, sense of cohesion, and coping strategies with psychological well-being in patients with type 2diabetes. Method: In this descriptive-correlational study, 120 patients with type 2 diabetic who referred to the diabetes clinic of Imam Khomeini Hospital in Ardabil in the first half of 2019 were selected as the target sample and evaluated. Data collection tools consisted of Psychological Well-being Scale (Ryff, 1989), Hardiness (Kobasa, 1979), 13-item Cohesion Sense Questionnaire (Antonovsky, 1987), and Coping Strategies (Lazarus & Folkman, 1985). Data analysis was performed using Pearson correlation coefficient and regression analysis. Findings: There were a positive and significant relationship between the psychological well-being of patients with type 2 diabetes with psychological hardiness (β=0/36: p<0/001), sense of cohesion (β=0/53: p<0/003), and problem-based coping strategy (β=0/12: p<0/03), and negative and significant relationship with emotion-based coping strategy (β=-0/43: p<0/001). Psychological hardiness, sense of cohesion, and coping strategies predicted 76% of the variance in psychological well-Being scores of patients with type 2 diabetes (p<0/01). Conclusion:According to the findings, psychological hardiness, sense of cohesion, and coping strategies are associated with the psychological well-being of patients with type 2 diabetes and can explain one's attitude toward illness. Therefore, educating patients to empower them in these areas is recommended.
hassan Shafiei; Shadi Nasiri
Abstract
Objective: The purpose of the present research was to prediction the quality of life in patients with type 2 diabetes based on psychological well-being, health literacy and self-efficacy. Method: This study was a descriptive correlational study. The statistical population of this study consisted of all ...
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Objective: The purpose of the present research was to prediction the quality of life in patients with type 2 diabetes based on psychological well-being, health literacy and self-efficacy. Method: This study was a descriptive correlational study. The statistical population of this study consisted of all diabetic patients referring to diabetes clinic of Imam Sadegh Hospital in Delijan City in 1396. The research sample consisted of 150 patients with type 2 diabetes who were selected by random sampling method. The data for the research were collected through Quality of life Test (WHOQOL-BREF), Psychological well-being Test, Health Literacy for Iranian Adults & Diabetes Management Self-efficacy Scale. Pearson correlation and multiple regression analysis were used to analyze the data. Findings: Data analysis showed that 59% of the quality of life of diabetic patients is predictable by psychological well-being (β = 0.59, p = 0.001), health literacy (β =0.42, p=0.001) and Self-efficacy (β=0.34, p= 0.001). Conclusion: Health literacy, psychological well-being and self-efficacy in diabetes management play an important role in increasing the quality of life of patients with type 2 diabetes, and this finding has important implications for the education and promotion of mental health in diabetic patients.
Mozghan Sepahmansour; Mona katebi
Abstract
Introduction: The aim of this study was to compare the health hardness and life expectancy in patients with diabetes and cancer. The research was descriptive and causal-comparative. The statistical population of the study included all patients with breast cancer and type 2 diabetes referred to Kashani ...
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Introduction: The aim of this study was to compare the health hardness and life expectancy in patients with diabetes and cancer. The research was descriptive and causal-comparative. The statistical population of the study included all patients with breast cancer and type 2 diabetes referred to Kashani and Alzahra hospitals in Isfahan. A total of 468 patients (234 cancer patients and 234 diabetic patients) were selected by available sampling method. The research tools were Healthy Hardiness Questionnaire (Gibbart et al., 2001) and Life expectancy inventory (Miller, 1998). Data were analyzed using descriptive statistics (mean and standard deviation) and analysis of variance with SPSS software version 21. The results showed that there is a significant difference between the mean of health hardiness and each of its subscales including health value, internal and external health control and health competence of two groups with type 2 diabetes and breast cancer (P
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Mahsa Assarzadegan; Zohreh Raeisi
Abstract
Objective: The purpose of this study was to investigate the effectiveness of training based on positive- psychology on Quality of life and happiness of patients with type 2 diabetes. Method: This Quasi-Experimental study was a pretest- posttest and follow-upwith control group. The statistical population ...
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Objective: The purpose of this study was to investigate the effectiveness of training based on positive- psychology on Quality of life and happiness of patients with type 2 diabetes. Method: This Quasi-Experimental study was a pretest- posttest and follow-upwith control group. The statistical population of the study included patients with type 2 diabetes who referred to Hazrat Ali Health center (Isfahan, 2017) Of these, 30 members of the diabetic patients were selected by convenient sampling ,and were then randomly assigned into two 15-member group (experimental and control groups). The experimental group received a positive psychological approach for 8 sessions of 90 minutes, and The control group did not receive any treatment. Both groups were evaluated before and after the intervention and in the follow up using the World Health Organization Quality of Life Questionnaire (1996) and Oxford Happiness (1989). Results: Analysis of deta by variance with repeated measurements Showed that positive-psychological education had significant influence on the quality of life and happiness in patients with type 2 diabetes and There is a significant difference between the experimental and control (P <0.001). Conclusion: Positive psychological education effectively improves the quality of life and happiness of patients with type 2 diabetes. Therefore, it is recommended that this treatment approach be used to help improve the quality of life and happiness of these patients.
