Comparison of the Effectiveness of Group Reality Therapy and Dialectical Behavior Group Therapy on Lifestyle and Adherence to Treatment in Women with Type 2 Diabetes

Jamali, Mandana; Dabbaghmanesh, Mohammad Hossein; Kraskian Mojmbarii, Adis; Bahrami Hidaji, Maryam

doi:10.30473/hpj.2025.72669.6134

Document Type : Scientific Research

Authors

¹ PhD student in psychology, department of psychology, Karaj branch, Islamic Azad University, Karaj, Iran

² Professor, Endocrinology and Metabolism Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

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

https://doi.org/10.30473/hpj.2025.72669.6134

Abstract

Objective: Diabetes is one of the common chronic endocrine diseases and is considered a significant and growing public health concern worldwide. The importance of diabetes is mainly due to its high prevalence and the numerous complications that arise as a result. Today, diabetes is regarded as one of the most important health, treatment, and socio-economic issues globally. One aspect that helps identify individuals with diabetes today is assisting patients and medical staff in better assessing the control of the disease. One of the factors related to blood sugar control is the concept of lifestyle and adherence to treatment, which is seen as a multidimensional and multifactorial phenomenon that ensures the individual's health. Various theoretical perspectives with different approaches have been proposed for the prevention and control of diseases. In recent decades, in addition to medication, behavioral and psychological interventions have been used for diabetic patients to reduce cognitive issues alongside other treatments. Among the psychological approaches that have been the focus of various studies regarding their effectiveness on the treatment process of patients with type 2 diabetes, the effectiveness of reality therapy and dialectical behavior therapy has been confirmed. The aim of this research was to compare group reality therapy and dialectical group therapy on lifestyle and treatment adherence in women with type 2 diabetes effectively. Method: The study method was semi-experimental with a pre-test, post-test, and two-month follow-up design with a control group. The statistical population of this research included all women with type 2 diabetes visiting a specialized diabetes clinic in Shiraz in the spring of 1403 (2024). Among women with type 2 diabetes, a sample of 45 individuals (15 in the first experimental group; 15 in the second experimental group; 15 in the control group) was selected using purposive sampling (based on the inclusion criteria of the study) and randomly assigned to the groups (using a random number table). The inclusion criteria for the study included: female gender, age of participants between 40 to 60 years, at least one year since the diagnosis of type 2 diabetes (based on medical records), consent to participate in the educational and therapeutic program, informed consent to participate in the research, at least literacy, no use of other psychological services simultaneously or within the past 6 months, absence of severe neurological diseases such as psychosis based on the physician's diagnosis, and physical ability to participate in the research. The exclusion criteria included: more than 2 absences in therapy sessions and unwillingness to continue therapy sessions. The questionnaires used were the lifestyle questionnaire by Lali et al. (2012) and the treatment adherence questionnaire by Madanlu (2013). Additionally, the first experimental group underwent dialectical group therapy training for 12 weekly sessions of 90 minutes each, while the second experimental group received reality therapy training for 12 weekly sessions of 90 minutes each. The data were analyzed using two-way analysis of variance with repeated measures on one factor (mixed ANOVA). Results: There was no significant difference between reality therapy and dialectical behavior therapy with the control group in lifestyle and treatment compliance in women with type 2 diabetes (P>0.05), but the mean difference indicates that reality therapy is better than dialectical behavior therapy. Analysis method (P>0/005). Conclusion: According to the findings of the present study, both reality therapy and dialectical behavior can be suggested as an efficient method in order to increase lifestyle and adherence to treatment in women with type 2 diabetes.

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Main Subjects

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Comparison of the Effectiveness of Group Reality Therapy and Dialectical Behavior Group Therapy on Lifestyle and Adherence to Treatment in Women with Type 2 Diabetes

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Volume 14, Issue 53June 2025Pages 149-165

Volume 14, Issue 53
June 2025
Pages 149-165