Volume 13, Issue 3 (volume 13, number 3 2021)                   IJDO 2021, 13(3): 150-159 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ardeshirpey J, Bakhshayesh A R, Dehghan M, Zareei Mahmood Abadi H. Effect of Mindfulness-Based Cognitive Therapy on Cognitive Emotion Regulation, Perseverative Thinking, and Glycemic Index in Patients with Type 2 Diabetes- A Trial Study. IJDO 2021; 13 (3) :150-159
URL: http://ijdo.ssu.ac.ir/article-1-646-en.html
Department of Psychology & Educational Sciences, Faculty of Humanities & Social Sciences, Yazd University, Yazd, Iran.
Abstract:   (1512 Views)
Objective: Type 2 diabetes (T2DM) is a chronic disease associated with many psychological complications, which require psychological interventions. This study aimed to examine the effect of mindfulness-based cognitive therapy (MBCT) on cognitive emotion regulation, perseverative thinking, and glycemic index in patients with T2DM
Materials and Methods: This quasi-experimental study was done on T2DM patients visiting Yazd diabetes center in 2019, 30 men and women were randomly divided into experimental (n=15) and control (n=15) groups. The experimental group received 8 sessions (90 minutes) of MBCT and the control group received no interventions. In the pretest and posttest phase, data were collected using the cognitive emotion regulation questionnaire (CERQ), Perseverative Thinking Questionnaire and fasting blood sugar test. Data were analyzed in statistical package (SPSS 21) using multivariate analysis of covariance.
Results: Results showed a significant difference in mean scores of cognitive emotion regulation (F= 9.866 & P-value= 0.0001), perseverative thinking (F= 13.745 & P-value= 0.0001), and fasting blood sugar (FBS) (F= 3.679 & P-value= 0.034) in the experimental group before and after the intervention.
Conclusion: Based on findings of the study MBCT by specialists in public and private centers can help improve cognitive emotion regulation strategies, perseverative thinking, and ultimately blood sugar control in patients with T2DM.
Full-Text [PDF 472 kb]   (490 Downloads)    
Type of Study: Research | Subject: Special
Received: 2021/09/14 | Accepted: 2021/09/19 | Published: 2021/09/19

References
1. Herzog K, Ahlqvist E, Alfredsson L, Groop L, Hjort R, Löfvenborg JE, et al. Combined lifestyle factors and the risk of LADA and type 2 diabetes-Results from a Swedish population-based case-control study. Diabetes Research and Clinical Practice. 2021;174:108760. [DOI:10.1016/j.diabres.2021.108760]
2. J. Larry Jameson, Anthony S, Fauci, Dennis L, Kasper, Stephen L. Hauser, Dan L, Longo. Harrison's Principles of Internal Medicine. 2018.
3. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes research and clinical practice. 2010;87(1):4-14. [DOI:10.1016/j.diabres.2009.10.007]
4. Adili F, Larijani B, Haghighatpanah M. Diabetic patients: Psychological aspects. Annals of the New York Academy of Sciences. 2006;1084(1):329-49. [DOI:10.1196/annals.1372.016]
5. Longo D, Fauci A, Kasper D, Hauser S, Jameson J, Loscalzo J. Harrison's Principles of Internal Medicine.Mc Grow Hill. 2012.
6. Hatamloo Sadabadi M, Babapour Kheiroddin J, Poursharifi H. The Role of Health Locus of Control and Causality Orientations in Predicting Self-care Behaviors among Patients with Type II Diabetes. Journal of Modern Psychological Research 2011; 5 (19); 25-46. (in Persian)
7. Alizadeh A, Poursharifi H. Effectiveness of Mindfulness Based Cognitive Group Therapy in Cognitive Emotional Regulation for P atients with Type 2 Diabetes. Shenakht Journal of Psychology and Psychiatry. 2016; 3(2):44-55. (in Persian)
8. Werner KH, Goldin PR, Ball TM, Heimberg RG, Gross JJ. Assessing emotion regulation in social anxiety disorder: The emotion regulation interview. Journal of psychopathology and behavioral assessment. 2011;33(3):346-54. [DOI:10.1007/s10862-011-9225-x]
9. Roberton T, Daffern M, Bucks RS. Emotion regulation and aggression. Aggression and violent behavior. 2012;17(1):72-82. [DOI:10.1016/j.avb.2011.09.006]
10. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical psychology review. 2010;30(2):217-37. [DOI:10.1016/j.cpr.2009.11.004]
11. Rosenzweig S, Reibel DK, Greeson JM, Edman JS. Mindfulness-based stress reduction is associated with improved glycemic control in type 2 diabetes mellitus: a pilot study. Alternative therapies in health and medicine. 2007;13(5):36.
12. Osborne KJ, Mittal VA. Every-day coincidences and referential thinking: Differentiating normative experiences from symptoms in psychosis. Schizophrenia research. 2018;197:570-1. [DOI:10.1016/j.schres.2017.11.008]
13. Ghaedi F, Shabankareh E, Moghadam Barzegar M. Differentiation of Self and Repetitive Negative Thinking: The Mediating Role of Learned Helplessness. Quarterly Journal of Social Cognition2016; 5 (1):35-51. (in Persian)
14. Ehring T, Watkins ER. Repetitive negative thinking as a transdiagnostic process. International journal of cognitive therapy. 2008;1(3):192-205. [DOI:10.1521/ijct.2008.1.3.192]
15. McEvoy PM, Watson H, Watkins ER, Nathan P. The relationship between worry, rumination, and comorbidity: Evidence for repetitive negative thinking as a transdiagnostic construct. Journal of affective disorders. 2013;151(1):313-20. [DOI:10.1016/j.jad.2013.06.014]
16. Li Y, Li M, Wei D, Kong X, Du X, Hou X, et al. Self-referential processing in unipolar depression: distinct roles of subregions of the medial prefrontal cortex. Psychiatry Research: Neuroimaging. 2017;263:8-14. [DOI:10.1016/j.pscychresns.2017.02.008]
17. Kring AM, Sloan DM, editors. Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment. Guilford Press; 2009.
18. Hamilton JL, Burke TA, Stange JP, Kleiman EM, Rubenstein LM, Scopelliti KA, et al. Trait affect, emotion regulation, and the generation of negative and positive interpersonal events. Behavior Therapy. 2017;48(4):435-47. [DOI:10.1016/j.beth.2017.01.006]
19. Pereira AT, Chaves B, Castro J, Soares MJ, Roque C, Madeira N, Nogueira V, Macedo A. EPA-1664-Perseverative negative thinking mediates the relationship between perfectionism and negative affect. European Psychiatry. 2014;29 (4): 23-29. [DOI:10.1016/S0924-9338(14)78809-1]
20. Mills AC, Grant DM, Lechner WV, Judah MR. Relationship between trait repetitive negative thinking styles and symptoms of psychopathology. Personality and Individual Differences. 2014;71:19-24. [DOI:10.1016/j.paid.2014.07.022]
21. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy. 2006;44(1):1-25. [DOI:10.1016/j.brat.2005.06.006]
22. Kenny MA, Williams JM. Treatment-resistant depressed patients show a good response to mindfulness-based cognitive therapy. Behaviour research and therapy. 2007;45(3):617-25. [DOI:10.1016/j.brat.2006.04.008]
23. Yüksel A, Yılmaz EB. The effects of group mindfulness-based cognitive therapy in nursing students: A quasi-experimental study. Nurse education today. 2020;85:104268. [DOI:10.1016/j.nedt.2019.104268]
24. Marchand WR. Mindfulness-based stress reduction, mindfulness-based cognitive therapy, and Zen meditation for depression, anxiety, pain, and psychological distress. Journal of Psychiatric Practice. 2012;18(4):233-52. [DOI:10.1097/01.pra.0000416014.53215.86]
25. Whitebird RR, Kreitzer MJ, O'Connor PJ. Mindfulness-based stress reduction and diabetes. Diabetes Spectrum. 2009;22(4):226-30. [DOI:10.2337/diaspect.22.4.226]
26. Shomaker LB, Bruggink S, Pivarunas B, Skoranski A, Foss J, Chaffin E, et al. Pilot randomized controlled trial of a mindfulness-based group intervention in adolescent girls at risk for type 2 diabetes with depressive symptoms. Complementary therapies in medicine. 2017;32:66-74. [DOI:10.1016/j.ctim.2017.04.003]
27. van Son J, Nyklicek I, Pop VJ, Blonk MC, Erdtsieck RJ, Pouwer F. Mindfulness-based cognitive therapy for people with diabetes and emotional problems: long-term follow-up findings from the DiaMind randomized controlled trial. Journal of psychosomatic research. 2014;77(1):81-4. [DOI:10.1016/j.jpsychores.2014.03.013]
28. Nyklicek I, van Son J, Pop VJ, Denollet J, Pouwer F. Does Mindfulness-Based Cognitive Therapy benefit all people with diabetes and comorbid emotional complaints equally? Moderators in the DiaMind trial. Journal of Psychosomatic Research. 2016;91:40-7. [DOI:10.1016/j.jpsychores.2016.10.009]
29. Schuster K. Effect of mindfulness meditation on A1C levels in African American females with Type 2 diabetes (Doctoral dissertation, Adler School of Professional Psychology).2010; 82.
30. Faude-Lang V, Hartmann M, Schmidt EM, Humpert P, Nawroth P, Herzog W. Acceptance-and mindfulness-based group intervention in advanced type 2 diabetes patients: therapeutic concept and practical experiences. Psychotherapie, Psychosomatik, medizinische Psychologie. 2010;60(5):185-9. [DOI:10.1055/s-0030-1248420]
31. Scherpiet S, Herwig U, Opialla S, Scheerer H, Habermeyer V, Jäncke L, Brühl AB. Reduced neural differentiation between self-referential cognitive and emotional processes in women with borderline personality disorder. Psychiatry Research: Neuroimaging. 2015;233(3):314-23. [DOI:10.1016/j.pscychresns.2015.05.008]
32. Aminabadi Z. Factor structure and validation of the Cognitive Emotion Regulation Questionnaire. International Journal of Behavioral Sciences. 2012;5(4):365-71. (in Persian)
33. Ehring T, Watkins ER. Repetitive negative thinking as a transdiagnostic process. International journal of cognitive therapy. 2008;1(3):192-205. [DOI:10.1521/ijct.2008.1.3.192]
34. Grylli V, Wagner G, Hafferl-Gattermayer A, Schober E, Karwautz A. Disturbed eating attitudes, coping styles, and subjective quality of life in adolescents with type 1 diabetes. Journal of psychosomatic research. 2005;59(2):65-72. [DOI:10.1016/j.jpsychores.2005.02.010]
35. Teasdale JD, Segal ZV. The mindful way through depression: Freeing yourself from chronic unhappiness. Guilford Press; 2007.
36. Stanley S, Kortelainen I. Assembling mindful bodies: mindfulness as a universal 'laboratory of practice'. InAssembling Therapeutics 2019; 13: 20-42. [DOI:10.4324/9781351233392-2]
37. Raki S, Naderi F. Effectiveness of mind-fullness based cognitive therapy on emotional cognitive regulation, resiliency and competitive anxiety in female athletes. Iranian Journal of Psychiatric Nursing. 2019;6(6):18-26. (in Persian) [DOI:10.21859/ijpn-06063]
38. Mirmahdi SR, Razaali M. The Effectiveness of Mindfulness-based Cognitive Therapy on Resilince, Emotion Regulation and Life Expectancy among Women with Diabetes2. Quarterly Journal of Health Psychology. 2019;7(28):167-83. (in Persian)
39. Barnhofer T, Crane C, Hargus E, Amarasinghe M, Winder R, Williams JM. Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study. Behaviour research and therapy. 2009;47(5):366-73. [DOI:10.1016/j.brat.2009.01.019]
40. Kabat-Zinn J. Mindfulness-based interventions in context: past, present, and future. Clinical Psychology. Science and Practice 2003; 10: 144-156. [DOI:10.1093/clipsy/bpg016]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Iranian Journal of Diabetes and Obesity

Designed & Developed by : Yektaweb