روانشناسی سلامت

با همکاری مشترک دانشگاه پیام نور و انجمن روانشناسی سلامت

شماره جاری

بر اساس شماره‌های نشریه

بر اساس نویسندگان

بر اساس موضوعات

نمایه نویسندگان

نمایه کلیدواژه ها

درباره نشریه

اهداف و چشم انداز

اعضای هیات تحریریه

اصول اخلاقی انتشار مقاله

بانک ها و نمایه نامه ها

پیوندهای مفید

پرسش‌های متداول

فرایند پذیرش مقالات

اطلاعات آماری نشریه

اخبار و اعلانات

اثربخشی امید درمانی بر اجتناب شناختی- رفتاری و فعالیت‌های خودمراقبتی در بیماران مبتلا به دیابت نوع 2

نوع مقاله : علمی- پژوهشی

نویسندگان

1 دانشجوی دکتری رشته مشاوره، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران

2 استادیار، گروه روان‌شناسی، واحد دزفول، دانشگاه آزاد اسلامی، دزفول، ایران

3 استادیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران

4 استادیار، گروه روان‌شناسی، واحد اراک، دانشگاه آزاد اسلامی، اراک، ایران

چکیده

مقدمه: روان‌درمانی که امید را هدف اصلی تغییر قرار دهد، برای بیماران مبتلا به دیابت حائز اهمیت خواهد بود و سبب افزایش پیروی بیماران از رفتارهای خودمراقبتی و ایجاد احساس بهبودی و رضایت از کنترل بیماری خواهد شد. براین اساس هدف از پژوهش حاضر، بررسی اثربخشی امید درمانی بر اجتناب شناختی-رفتاری و فعالیت­های خودمراقبتی در بیماران مبتلا به دیابت نوع 2 می‌باشد.
روش: این پژوهش نیمه‌آزمایشی و از طرح پیش‌آزمون- پس­آزمون با گروه کنترل می‌باشد. جامعه آماری پژوهش شامل تمامی زنان و مردان متأهل مبتلا به دیابت نوع 2 شهر اهواز که در سال 1400 عضو انجمن دیابت این شهر بوده که از میان آن‌ها با استفاده از روش هدفمند و بر اساس نمرات مقیاس اجتناب شناختی- رفتاری (اتنبرگ و دابسون، 2004) و مقیاس فعالیت‌های خودمراقبتی دیابت (توبرت و همکاران، 2000) در پیش‌آزمون، 40 نفر انتخاب و به‌صورت تصادفی در دو گروه 20 نفره آزمایش و گواه تقسیم شدند. گروه آزمایشی، آموزش امیددرمانی را به مدت 8 جلسه 90 دقیقه‌ای دریافت کردند اما گروه گواه مداخله‌ای دریافت نکردند. پس از اجرای مداخله بار دیگر دو گروه پرسش‌نامه‌های پژوهش را تکمیل کردند و داده­ها از طریق تحلیل کوواریانس چندمتغیری و تک‌متغیری با استفاده از نرم‌افزار SPSS-24 تحلیل شدند.
یافته‌ها: نتایج نشان داد که امید درمانی بر اجتناب شناختی-رفتاری و فعالیت‌های خودمراقبتی در بیماران دیابتی نوع 2تأثیر معنی‌داری داشت (05/0>p).
نتیجه‌گیری: لذا بر اساس یافته‌های حاصل از این پژوهش، امید درمانی می‌تواند روشی مؤثر برای کاهش اجتناب شناختی-رفتاری و افزایش فعالیت‌های خودمراقبتی در بیماران مبتلا به دیابت نوع 2 باشد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effectiveness of Hope Therapy on Cognitive-Behavioral Avoidance and Self-Care Activities in Patients with Type 2 Diabetes

نویسندگان [English]

  • Fatemeh Baghereifard 1
  • Kobra Kazemiyan Moghadam 2
  • Sahar Safarzadeh 3
  • Farshad Bahari‎ 4

1 PhD student in Counseling, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

2 Assistant Professor, Department of Psychology, Dezful Branch, Islamic Azad University, Dezful, Iran

3 Assistant Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

4 Assistant Professor, Department of Psychology, Arak Branch, Islamic Azad University, Arak, Iran

چکیده [English]

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.

کلیدواژه‌ها [English]

  • Cognitive-Behavioral Avoidance
  • Hope Therapy
  • Self-Care Activities
  • type 2 Diabetes
مراجع
Abedini, E., Ghanbari-Hashem-Abadi, B., & Talebian-Sharif, J. (2016). Effectiveness of group therapy based on hope approach on hope and depression in women with multiple sclerosis. Journal of Clinical Psychology, 8(2), 1-11. (in Persian). https://doi.org/10.22075/JCP.2017.2231
Aghajani, S., Samadifard, H., & Narimani, M. (2017). The role of cognitive avoidance components and metacognitive belief in the prediction of quality of life in diabetic patients. Health Psychology, 6(21), 142-156. (in Persian) Dor:20.1001.1.23221283.1396.6.21.10.2
Aghakhani, S., & Bahari, F. (2018). The effectiveness of nerve planning group-languages cognitive expectancy and quality of life for children with cancer. Iranian Journal of Psychiatry and Clinical Psychology, 24(3), 256-269.‏ (in Persian)
https://doi.org/10.32598/ijpcp.24.3.256
Ayoubi, J., Bigdeli, I., & Mashhadi, A. (2020). The effect of mindfulness-integrated cognitive behavior therapy on quality of life, psychological distress and adherence in patients with Type 2 diabetes mellitus. Health Psychology, 9(34), 75-94. (in Persian) . https://doi.org/doi:10.30473/hpj.2020.48322.4533
Azari Ghahfarrokhi, Z., Ansari Shahidi, M., & Shahzamani, M. (2023). Efficacy of family-based social support training on the social adjustment and self-care behaviors of the cardiac patients with the signs of depression (After Open Surgery). Health Psychology, 12(45), 95-112. (in Persian) https://doi.org/10.30473/hpj.2023.62887.5476
Bagheri, H., Ebrahimi, H., Tagvi, N., & Hosni M.R. (1384). Investigating the quality of life of diabetic patients based on the complications of diabetes in patients referred to Imam Hossein (AS) Hospital, Shahrood. Journal of Shahrekord University of Medical Sciences, 7(2), 50-56. (in Persian) http://journal.skums.ac.ir/article-1-64-fa.html
Behari, F., Fatehizadeh, M., Ahmadi, S. A., Molavi, H., & Bahrami, F. (2010). The effect of hope, forgiveness and combined marital counseling on interpersonal cognitive distortions of divorcing couples. Journal of Research in Behavioural Sciences, 8(1), 25-33. (in Persian) https://doi.org/10.1037/e537902012-137
Behari, F., Tara, F., & Hamidipour, R. (2014). Effectiveness of group logo therapy on hope and general health of dialysis patients. Journal of Research in Behavioural Sciences, 13 (2), 288-299. (in Persian) DOR:20.1001.1.17352029.1389.8.1.3.3
Bogusch, L. M., & O'Brien, W. H. (2020). The effects of mindfulness-based interventions on diabetes related distress, quality of life, and metabolic control among persons with diabetes: A meta-analytic review. Behavioral Medicine, 23, 32-43.
 https://doi.org/10.1080/08964289.2018.1432549
Brands, A. M., Biessels, G. J., De Haan, E. H., Kappelle, L. J., & Kessels, R. P. (2015). The effects of type 1 diabetes on cognitive performance: A meta-analysis. Diabetes Care, 28(3), 726-737.https://doi.org/10.2337/diacare.28.3.726
Bullard, K. M., Cowie, C. C., Lessem, S. E., Saydah, S. H., & Menke, A., G. (2018). Prevalence of diagnosed diabetes in adults by diabetes type-united states. Morbidity and Mortality Weekly Report, 67(12), 359-377. https://doi.org/10.15585/mmwr.mm6712a2
Chatterjee, S., Khunti, K., & Davies, M. J. (2017). Type 2 diabetes. The Lancet, 389(10085), 2239-2251. https://doi.org/10.1016/S0140-6736(17)30058-2
Cheavens, S. J., Feldman, B. D., Woodward, J. T., & Snyder, C. R. (2006). Hope in cognitive psychotherapies: on working with client strengths. Journal of Cognitive Psychotherapy: An International Quarterly, 20, 135-145. https://doi.org/10.1891/jcop.20.2.135
Dehestani, M. (2015). Evaluating the Effectiveness of Group Hope Therapy on Quality of Life of Family Members of Patients with Schizophrenia. Journal of Family Research, 10(3), 345-356. (in Persian) https://jfr.sbu.ac.ir/article_96532.html
Dehghani, F., & Bakhtiari Sharif-Abad, M. (2018). Hope therapy in palliative care: a review article. The third national conference on lifestyle and health, March 1, 2018, Tehran. (in Persian) https://civilica.com/l/116374/
Ebadi, P., Bahari, F. A. R. S. H. A. D., & Mirzaei, H. R. (2013). The effectiveness of reality therapy on the hope of breast cancer patients. Breast Cancer, 2(6), 26-34.‏ (in Persian) Dor:20.1001.1.17359406.1392.6.2.2.5
Etodike Chukwuemeka, E., Okeke Afamefuna, O., Emma-Echeagu Nkechi, B.,Obayi Okwudili, N., Eze Christian, N., Ezeh Leonard, N., & Eze- Ufodiama, C. (2017). Healthy lifestyle and self-esteem as correlates of diabetes distress among university employees: Implication for thriving at work. World Journal of Medical Sciences, 14‌(3), 69-76. https://doi.org/10.5829/idosi.wjms.2017.69.76
Faal, M., Vahid, T. A., Taime, Z. M., Shaban, N., & Amani, O. (2019). The effectiveness of Accepted and Commitment Group Therapy on psychological flexibility and family communication patterns in women with type 2 Diabetes. Iranian Journal of Psychiatric Nursing, 7(4), 41-49.‏ (in Persian)https://doi.org/10.21859/ijpn-07406
Fehm, L., & Margraf, J. (2002). Thought suppression: specify in agrophobia versus broad impairement in social phobia? Behav Res Ther, 40, 57-66. https://doi.org/10.1016/S0005-7967(01)00002-X
Gallagher, M. W., & Lopez, Sh J. (2018). The oxford hand book of hope. 1nd ed. University of oxford. Published in the United States of America by oxford university press. https://psycnet.apa.org/record/2017-55500-000
Gezelseflo, M., & Esbati, M. (2012). Effectiveness of Hope-oriented group therapy in improving quality of life of male HIV+ patients. Thought & Behavior in Clinical Psychology, 6(22), 89-97. https://doi.org/10.1016/j.sbspro.2013.06.599
Gregg, J. A., Callaghan, G. M., & Hayes, S. (2007). Improving diabetes self-management through acceptance, mindfulness, and values: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 75, 336-343.https://doi.org/10.1037/0022-006X.75.2.336
Holaway, R. M., Heimberg, R. G., & Coles, M. E. (2010). A comparison of intolerance of uncertainty in analogue obsessive-compulsive disorder and generalized anxiety disorder. Journal of Anxiety Disorders, 20, 158-174. https://doi.org/10.1016/j.janxdis.2005.01.002
Jaarsma, T. A., Pool, G., Ranchor, A. V., & Sanderman, R. (2017). The concept and measurement of meaning in life in Dutch cancer patients. Psycho‐Oncology, 16(3), 241-248. https://doi.org/10.1002/pon.1056
Karimi, S., Delavar, A., khaemi, F., & Dortaj, F. (2019). The effect of hope therapy on self-care in patients with type II diabetes. Community Health Journal, 13(2), 33-44. (in Persian) https://doi.org/10.22123/CHJ.2019.192445.1318
Khamsa, F. (2017). Structural modeling of life expectancy based on perceived stress and lifestyle with the mediation of self-care in type 2 diabetes patients. The 11th International Conference on Psychology and Social Sciences, 11 July 2017, Tehran. (in Persian) https://civilica.com/l/9241/
Khorammakan, R., Totonchilar, S., Pourahmad, M., Tarrahi, M. J., & Ghadami, A. (2023). The effect of teaching the principles of self-care based on motion graphics on the quality of life and hope of people with covid-19 in home quarantine.‏ https://doi.org/10.21203/rs.3.rs-2692149/v1
Kohsarian, P., & Golzari, M. (2013). Investigating the effect of hope therapy on reducing depression in diabetic women at the Semnan Diabetes Research Center. Annual research conference of Semnan University of Medical Sciences, 20 January 1401, Educational Complex of Semnan University of Medical Sciences, Semnan. (in Persian)https://civilica.com/l/7823/
Mensing, C., Boucher, J., Cypress, M., Weinger, K., Mulcahy, K., Barta, P., ... & Adams, C. (2005). National standards for diabetes self-management education. Diabetes Care, 28(1), 72-79.‏ https://doi.org/10.2337/diacare.28.suppl_1.S72
Moghtaderi, M., Saffarinia, M., Zare, H., & Alipour, A. (2020). effectiveness of the package of hope therapy based on positivist approach on the self-efficacy and loneliness of parkinson patients. Health Psychology, 8(32), 73-92. (in Persian) https://doi.org/10.30473/hpj.2020.45983.4376
Mohammadzadeh, M., & Ramezani Zare, S. (2016). The effectiveness of hope therapy on the anxiety of patients with type 2 diabetes. The 5th national conference on strategies for the development and promotion of educational sciences, psychology, counseling and education in Iran, Tehran. (in Persian) . https://www.symposia.ir/PCCONF05
Ottenbreit, N. D., & Dobson, K. S. (2004). Avoidance and depression: The construction of the cognitive-behavioral avoidance scale. Behaviour Research and Therapy, 42(3), 293-313. https://doi.org/10.1016/S0005-7967(03)00140-2
Pearson, S., Wills, K., Woods, M., & Warnecke, E. (2018). Effects of mindfulness on psychological distress and HbA 1c in people with diabetes. Mindfulness, 9, 1615-1626.‏ https://doi.org/10.1007/s12671-018-0908-1
Peyravi, M., Tahmouresi, N., Nasli, E. E., & Moghimbeigi, A. (2021). Comparing the effects of hope therapy and spiritual therapy on self-care, depression, and hba1c in middle-aged women with type 2 diabetes.‏ Journal of Disability Studies, 11(1), 1-9. (in Persian) . https://doi.org/10.29252/mejds.0.0.210
Rahimian Boogar, E., Ali Besharat, M., Mohajeri Tehrani, M., & Talepasand, S. (2011). Predictive role of self-efficacy, belief of treatment effectiveness and social support in diabetes mellitus self-management. Iranian Journal of Psychiatry & Clinical Psychology, 17(3), 232-240. (in Persian) https://ijpcp.iums.ac.ir/article-1-1419-fa.html
Rawal, L. B., Tapp, R. J., Williams, E. D., Chan, C., Yasin, S., & Oldenburg, B. (2012). Prevention of type 2 diabetes and its complications in developing countries: a review. International Journal of Behavioral Medicine, 19, 121-133.‏ https://doi.org/10.1007/s12529-011-9162-9
Retnowati, S., Ramadiyanti, D. W., Suciati, A. A., Sokang, Y. A., & Viola, H. (2015). Hope intervention against depression in the survivors of cold lava flood from Merapi mount. Procedia-Social and Behavioral Sciences, 165, 170-178. https://doi.org/10.1016/j.sbspro.2014.12.619‏
Reynolds, M. A. H. (2008). Hope in adults, ages 20-59, with advanced stage cancer. Palliative & Supportive Care, 6(3), 259-264. https://doi.org/10.1017/S1478951508000394
Richardson, A. L. (2023). Hope and anxiety. Current Opinion in Psychology, 101664.‏ https://doi.org/10.1016/j.copsyc.2023.101664
Sanatani, M., Schreier, G., & Stitt, L. (2008). Level and direction of hope in cancer patients: an exploratory longitudinal study, Support Care Cancer; 16(5), 493-9.https://doi.org/10.1007/s00520-007-0336-6
Sexton, K. A., & Dugas, M. J. (2008). The cognitive avoidance questionnaire: validation of the English translation. Journal of Anxiety Disorders, 22(3), 355-370.https://doi.org/10.1016/j.janxdis.2007.04.005
Seyed Nour, S., & Homaei, R. (2019). Effectiveness of group cognitive-behavioral therapy on the self-care behaviors. psychological wellbeing, and hope of patients with Type II diabetes. Journal of Clinical Nursing and Midwifery, 8(1), 265-275.‏ (in Persian)http://jcnm.skums.ac.ir/browse.php?a_code=A-10-926-2&slc_lang=fa&sid=1
Shabani, J., & Mahmoudi-Tabar, R. (2017). The effectiveness of meaning therapy training on psychological well-being and life expectancy of patients with type 2 diabetes in Salas city. Psychological Studies and Educational Sciences, 8(9), 65-88. (in Persian) https://doi.org/10.18502/ijdo.v13i4.7997
Snorgaard, O., Poulsen, G. M, Andersen, H. K, & Astrup, A. (2017). Systematic review and meta-analysis of dietary carbohydrate restriction in patients with type 2 diabetes. BMJ Open Diabetes Research and Care, 5(1), 77-87. https://doi.org/10.1136/bmjdrc-2016-000354
Snyder, C. R. (2000). Handbook of hope: Theory, measures, and applications. 1nd ed. University of Kansas: Academic press.
 https://doi.org/10.1016/B978-012654050-5/50007-5
Snyder, C. R., Feldman, D. B., Shorey, H. S., & Rand, K. L. (2002). Hopeful choices: A school counselor's guide to hope theory. Professional School Counseling, 5(5), 298-306. https://www.proquest.com/docview/213331345?sourcetype=Scholarly%20Journals
Steinsbekk, A., Rygg, L. O., Lisulo, M., Rise, M. B., & Fretheim, A. (2018). Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus: A systematic review with meta-analysis. BMC Health Services Research, 12, 1-19. https://doi.org/10.1186/1472-6963-12-213
Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000). The summary of diabetes self-care activities measure. Diabetes Care, 23(7), 943-950. https://doi.org/10.2337/diacare.23.7.943
Trief, P. M., Grant, W., Elbert., K, & Weinstock, R. S. (2016). Family environment, glycemic control, and the Wienand, I., Rakic, M., Shaw, D., & Elger, B. (2018). The beneficence of hope: findings from a qualitative study with gout and diabetes patients. Journal of Bioethical Inquiry; 15(2), 211-218. https://doi.org/10.1007/s11673-018-9853-x
Valiyan, A. M., Sodani, M., Shiralinia, Kh., & Khojasteh Mehr, R. (2017). The effectiveness of behavioral activation therapy in reduction of depression symptoms, cognitive-behavioral avoidance and quality of life in students. Contemporary Psychology, Biannual Journal of the Iranian Psychological Association, 12(1), 73-84.‏ (in Persian) . https://bjcp.ir/article-1-1209-fa.html
Van Kuiken, D. M. (2008). The role of hope in self-care in persons with heart failure. united vinter-repalust, N., Petricek, G., & Katic, M. (2014). Obstacles which patients with type 2 diabetes meet while adhering to the therapeutic regimen in everyday life: qualitative study. Croatian Medical Journal, 45(5), 630-636. https://api.semanticscholar.org/CorpusID:72008134
World Health Organization. (2018). Cause of death. center for global. Into Regional Studies at the University of California Santa C: 120­140.
Zardoshtian Moghadam, V., & Mansouri, A. (2017). Comparison of anxiety disorders symptoms and related transdiagnostic factors in individuals with type 2 diabetes and healthy individuals. Journal of Fundamentals of Mental Health, 19(4), 497-507. (in Persian) https://doi.org/10.22038/jfmh.2017.9013
روانشناسی سلامت
دوره 13، شماره 50
شهریور 1403
صفحه 7-22
فایل ها
هم رسانی
ارجاع به این مقاله
آمار