Volume 13, Issue 2 (volume 13, number 2 2021)                   IJDO 2021, 13(2): 88-94 | Back to browse issues page


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Shegarf Nakhaei M R, Akbari Oryani T, Bayazi M H, Shomoossi N, Hoseini B L. Influence of Cognitive Behavioral Therapy on Psychological Wellbeing and Ego-Resiliency in Type 2 Diabetes Patients in Sabzevar. IJDO. 2021; 13 (2) :88-94
URL: http://ijdo.ssu.ac.ir/article-1-630-en.html
Department of Midwifery, Nursing and Midwifery School, Sabzevar University of Medical Sciences, Sabzevar, Iran. MSc in Midwifery, Iranian Research Center on Health Aging, School of Nursing and Midwifery.
Abstract:   (111 Views)
Objective: Psychological wellbeing and ego-resiliency are highly affected in a chronic disease like type 2 diabetes mellitus (T2DM), where psychological interventions are considered as an option. The present study, therefore, aimed to investigate the effectiveness of cognitive-behavioral therapy (CBT) on psychological wellbeing and ego-resiliency of T2DM in Sabzevar, Iran.
Materials and Methods: This experimental pretest-posttest design was conducted on T2DM patients admitted to Diabetes Center in Sabzevar, Iran. The sample included 30 patients, selected by convenient sampling, and randomly assigned into control (n=15) and experimental groups (n=15). Ryff’s Psychological Wellbeing Scale and Klohnen's Ego-resiliency Inventory were used to collect data. CBT was conducted for the experimental group. Statistical analyses were performed in SPSS17 using ANCOVA.
Results: The findings indicated that CBT had considerable impact on psychological wellbeing (and its six components: self-acceptance, personal growth, purpose in life, environmental mastery, autonomy, and positive relations with others), and ego-resiliency, in T2DM (P-value ≤ 0.01).
Conclusion: The application of CBT, in T2DM patients can be an effective, applicable and promising intervention to enhance the psychological wellbeing and ego-resiliency, two highly affected constructs in chronic diseases leading to serious comorbidities for health.
Full-Text [PDF 423 kb]   (80 Downloads)    
Type of Study: Research | Subject: Special
Received: 2021/06/16 | Accepted: 2021/06/20 | Published: 2021/06/20

References
1. Gunther MP, Winker P, Wudy SA, Brosig B. New methods in exploring old topics: case studying brittle diabetes in the family context. Journal of diabetes research. 2016;2016. [DOI:10.1155/2016/6437452]
2. International Diabetes Federation, 2016, available online at http://www.idf.org/regions/middle-east-north-africa
3. Asadnia S, Issazadeghan A, Ansari B. Evaluation of the effectiveness of cognitive behavioral therapy on decreasing depression levels and improving the lifestyle of patients with type 2 diabetes. Studies in Medical Sciences.2013;24(10):812-22. (in Persian)
4. Vazquez C, Hervas G, Rahona JJ, Gomez D. Psychological well-being and health. Contributions of positive psychology. Annuary of clinical and health psychology. 2009;5(2009):15-27.
5. Mazlom Bafroe N, Shams Esfand Abadi H, Jalali MR, Afkhami Ardakani M, Dadgari A. The Relationship between Resilience and Hardiness in Patients with Type 2 Diabetes in Yazd. SSU_Journals. 2015;23(2):1858-65. (in Persian)
6. Tovote KA, Fleer J, Snippe E, Bas IV, Links TP, Emmelkamp PM, et al. Cognitive behavioral therapy and mindfulness-based cognitive therapy for depressive symptoms in patients with diabetes: design of a randomized controlled trial. BMC psychology. 2013;1(1):1-0. [DOI:10.1186/2050-7283-1-17]
7. Ryff CD. Psychological well-being in adult life. Current directions in psychological science. 1995;4(4):99-104. [DOI:10.1111/1467-8721.ep10772395]
8. Keys CL, Shmotkin D, Ryff CD. Optimizing well-being: The empirical encounter of two traditions. Journal of Personality and Social Psychology. 2002;82(6):1007-22. [DOI:10.1037/0022-3514.82.6.1007]
9. Farkas D, Orosz G. Ego-resiliency reloaded: a three-component model of general resiliency. PloS one. 2015;10(3):e0120883. [DOI:10.1371/journal.pone.0120883]
10. Block J. Personality as an affect-processing system: Toward an integrative theory. Psychology Press; 2002. [DOI:10.4324/9781410602466]
11. Letzring TD, Block J, Funder DC. Ego-control and ego-resiliency: Generalization of self-report scales based on personality descriptions from acquaintances, clinicians, and the self. Journal of research in personality. 2005;39(4):395-422. [DOI:10.1016/j.jrp.2004.06.003]
12. Cicchetti D. Resilience under conditions of extreme stress: a multilevel perspective. World Psychiatry. 2010;9(3):145. [DOI:10.1002/j.2051-5545.2010.tb00297.x]
13. Britneff E, Winkley K. The role of psychological interventions for people with diabetes and mental health issues. Journal of Diabetes Nursing. 2013;17(8).
14. Keogh KM, Smith SM, White P, McGilloway S, Kelly A, Gibney J, et al. Psychological family intervention for poorly controlled type 2 diabetes. The American journal of managed care. 2011;17(2):105-13.
15. Harvey JN. Psychosocial interventions for the diabetic patient. Diabetes, metabolic syndrome and obesity: Targets and therapy. 2015;8:29-43. [DOI:10.2147/DMSO.S44352]
16. De Groot M, Doyle T, Kushnick M, Shubrook J, Merrill J, Rabideau E, et al. Can lifestyle interventions do more than reduce diabetes risk? Treating depression in adults with type 2 diabetes with exercise and cognitive behavioral therapy. Current diabetes reports. 2012;12(2):157-66. [DOI:10.1007/s11892-012-0261-z]
17. Hampson SE, Skinner TC, Hart J, Storey L, Gage H, Foxcroft D, Kimber A, Shaw K, Walker J. Effects of educational and psychosocial interventions for adolescents with diabetes mellitus: a systematic review. Database of Abstracts of Reviews of Effects (DARE):Quality-assessed Reviews [Internet].2001.;5(10):1-79. [DOI:10.3310/hta5100]
18. Ismail K, Winkley K, Rabe-Hesketh S. Systematic review and meta-analysis of randomized controlled trials of psychological interventions to improve glycemic control in patients with type 2 diabetes. Lancet. 2004; 363:1589-1597. [DOI:10.1016/S0140-6736(04)16202-8]
19. Yousefy A, Nekouei ZK. Basis of Cognitive-Behavioral Trainings and its Applications in Recovery of Chronic Diseases. Iranian Journal of Medical Education. 2011;10(5)792-800. (in Persian)
20. White CA. Cognitive behaviour therapy for chronic medical problems: A guide to assessment and treatment in practice. John Wiley & Sons Ltd; 2001.
21. Bayani AA, Mohammad Koochekya A, Bayani A. Reliability and validity of Ryff's psychological well-being scales. Iranian journal of psychiatry and clinical psychology. 2008;14(2):146-51. (in Persian)
22. Besharat M, Jahed HA, Hosseini A. Investigating the moderating role of satisfaction with life in the relationship between resiliency and general health. Counseling Culture and Psycotherapy. 2014 21;5(17):67-87. (in Persian)
23. Dela F, von Linstow ME, Mikines KJ, Galbo H. Physical training may enhance β-cell function in type 2 diabetes. American Journal of Physiology-Endocrinology and Metabolism. 2004;287(5):E1024-31. [DOI:10.1152/ajpendo.00056.2004]
24. Shim YT, Lee J, Toh MP, Tang WE, Ko Y. Health‐related quality of life and glycaemic control in patients with Type 2 diabetes mellitus in Singapore. Diabetic Medicine. 2012;29(8):e241-8. [DOI:10.1111/j.1464-5491.2012.03689.x]

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