Volume 13, Issue 4 (volume 13, number 4 2021)                   IJDO 2021, 13(4): 194-201 | Back to browse issues page

XML Print

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

Moghareh Abed M, Azadi M, Dehghan M, Ardeshirpey J. Effectiveness of Mindfulness-Based Stress Reduction Training on Emotional Expressiveness and Fear of Hypoglycemia in Patients with Type 2 Diabetes. IJDO 2021; 13 (4) :194-201
URL: http://ijdo.ssu.ac.ir/article-1-663-en.html
MA in General Psychology, Faculty of Education and Psychology, Islamic Azad University, Arak Branch, Arak, Iran.
Abstract:   (1066 Views)
Objective: Diabetes is a common chronic disorder in which there is a high risk of physical complications and psychological problems such as hypoglycemia and inability to express emotions. Psychological interventions can be effective in this regard. The aim of this study was to investigate the effectiveness of mindfulness-based stress reduction (MBSR) training on emotional expressiveness and fear of hypoglycemia (FOH) in patients with type 2 diabetes visiting Yazd Diabetes Center.
Materials and Methods: This study was a quasi-experimental study with a pretest and posttest design. The statistical population was all patients with type 2 diabetes visiting Yazd Diabetes Center in 2020. Forty men and women were selected using purposeful sampling and were randomly allocated to case and control groups. The case group received 8 sessions of MBSR training, 2 hours each and the control group received no interventions. Emotional Expressiveness Questionnaire (EEQ) and the Hypoglycemia Fear Survey (HFS) were used to collect data.
Results: Results of ANCOVA showed that MBSR training significantly increases emotional expressiveness and its components (P-value< 0.0001) and decreases the fear of hypoglycemia (P-value< 0.0001) in patients with type 2 diabetes (P-value< 0.035).
Conclusion: Based on the results of the study, MBSR training could improve emotional expressiveness, prevent hypoglycemia and reduce the fear of it.
Full-Text [PDF 457 kb]   (499 Downloads)    
Type of Study: Research | Subject: Special
Received: 2021/07/15 | Accepted: 2021/10/6 | Published: 2021/11/1

1. Fagot-Campagna A, Pettitt DJ, Engelgau MM, Burrows NR, Geiss LS, Valdez R, et al. Type 2 diabetes among North adolescents: An epidemiologic health perspective. The Journal of pediatrics. 2000;136(5):664-72. [DOI:10.1067/mpd.2000.105141]
2. Soleimani Z, Barati H, Mozaffari A, Ershadi Moghaddam H, Mohammadi M. The Quality of Life of Patients with Diabetes from the City of Sabzevar During Year 2016.Journal of Military caring sciences. 2017; 3(4):264-271.(in Persian) [DOI:10.18869/acadpub.mcs.3.4.264]
3. Baum K, Votteler T, Schiab J. Efficiency of vibration exercise for glycemic control in type 2 diabetes patients. International journal of medical sciences. 2007;4(3):159. [DOI:10.7150/ijms.4.159]
4. Pettersson B, Rosenqvist U, Deleskog A, Journath G, Wändell P. Self-reported experience of hypoglycemia among adults with type 2 diabetes mellitus (Exhype). diabetes research and clinical practice. 2011;92(1):19-25. [DOI:10.1016/j.diabres.2010.12.005]
5. Ahmadi A, Hasanzadeh JA, Rajaefard A. Metabolic control and care assessment in patients with type 2 diabetes in Chaharmahal & Bakhtiyari Province 2008. Iranian Journal of Endocrinology and Metabolism.2009;11(1):33-9.(in Persian)
6. Hazavehei SM, Khani Jeihooni A, Hasanzadeh A, Amini S.The effect of educational program based on BASNEF model for eyecare in non-insulin dependent diabetic patients. Journal of Research in Health Sciences. 2010;10(2):81-90.
7. Martyn-Nemeth P, Quinn L, Penckofer S, Park C, Hofer V, Burke L.Fear of hypoglycemia: influence on glycemic variability and self-management behavior in young adults with type 1 diabetes. Journal of Diabetes and its Complications. 2017;31(4):735-41. [DOI:10.1016/j.jdiacomp.2016.12.015]
8. Williams SA, Pollack MF, DiBonaventura M. Effects of hypoglycemia on health-related quality of life, treatment satisfaction and healthcare resource utilization in patients with type 2 diabetes mellitus. Diabetes research and clinical practice. 2011;91(3):363-70. [DOI:10.1016/j.diabres.2010.12.027]
9. Gupta G, Dahiya R, Singh M, Tiwari J, Sah S, Ashwathanarayana M, et al. Role of liraglutide in a major complication of diabetes: A critical review of clinical studies. Bull Pharm Res. 2018;8(1):155-64.
10. Momeni M, Ziaee A, Ghorbani A. Predictors of hypoglycemia fear in patients with type 2 diabetes under treatment of oral anti hyperglycemic agents. Iranian Journal of Endocrinology and Metabolism. 2016 Jun 10;18(1):28-36.(in Persian)
11. Erol O, Enc N. Hypoglycemia fear and self-efficacy of Turkish patients receiving insulin therapy. Asian nursing research. 2011;5(4):222-8. [DOI:10.1016/j.anr.2011.12.001]
12. Gonder-Frederick L, Nyer M, Shepard JA, Vajda K, Clarke W. Assessing fear of hypoglycemia in children with type 1 diabetes and their parents. Diabetes Management (London, England). 2011;1(6):627-39. [DOI:10.2217/dmt.11.60]
13. Driscoll KA, Raymond J, Naranjo D, Patton SR. Fear of hypoglycemia in children and adolescents and their parents with type 1 diabetes. Current diabetes reports. 2016;16(8):1-9. [DOI:10.1007/s11892-016-0762-2]
14. Leiter LA, Yale JF, Chiasson JL, Harris S, Kleinstiver P, Sauriol L. Assessment of the impact of fear of hypoglycemic episodes on glycemic and hypoglycemia management. Canadian Journal of Diabetes .2005;29(3):186-92.
15. Barendse S, Singh H, Frier BM, Speight J. The impact of hypoglycaemia on quality of life and related patient‐reported outcomes in Type 2 diabetes: a narrative review. Diabetic medicine. 2012;29(3):293-302. [DOI:10.1111/j.1464-5491.2011.03416.x]
16. Ahmadi Bajestani S, Asghari EbrahimAbad M, Kimiyayi S, Asghari EbrahiAbad M. The effectiveness of emotionally-focused group therapy on improving emotional expressiveness and sexual functioning of women with type 2 diabetes. Thoughts and Behavior in Clinical Psychology. 2018;13(50):47-56.(in Persian)
17. Hajializadeh K, Norizadeh B. The effectiveness of dialectical behavioral therapy on reducing anxiety and improving social functioning of patients with diabetes. Iranian Journal of Diabetes and Metabolism. 2018;17(3):130-8.(in Persian)
18. Khojasteh MR, Parsi E, Shiralinia K. The moderating role of positive emotion on the relationship between negative emotion and destructive marital exchanges in women. 2015; 2(1):49-58.(in Persian)
19. Zarrinbakhsh ZB, Zare H, Mahdavian A. The effect of the emotional expressiveness styles on recall and recognition memory bias. Journal of Psychology. 2013(17):53-66.(in Persian)
20. Ghiasvand M, Ghorbani M. Effectiveness of emotion regulation training in improving emotion regulation strategies and control glycemic in type 2 diabetes patients. Iranian journal of endocrinology and metabolism. 2015;17(4). (in Persian)
21. Ghashghaie S, Farnam R. The effectiveness of mindfulness-based cognitive therapy on quality-of-life in outpatients with diabetes. Iranian Journal of Diabetes and Metabolism. 2014;13(4):319-30. (in Persian)
22. Fekri A, Issazadegan A, Manee FM. Comparison of cognitive emotion regulation strategies and alexithymia in individuals with and without essential hypertension. Contemporary Psychology. 2015;10(1):85-94.(in Persian)
23. Vala M, Razmandeh R, Rambol K, Nasli Esfahani E, Ghodsi Ghasemabadi R. Mindfulness-based stress reduction group training on depression, anxiety, stress, self-confidence and hemoglobin A1C in young women with type 2 diabetes. Iranian Journal of Endocrinology and Metabolism. 2016 Feb 10;17(5):382-90.(in Persian)
24. Hayes SC, Wilson KG. Mindfulness: method and process. Clinical Psychology: Science and Practice. 2003;10(2):161-165. [DOI:10.1093/clipsy.bpg018]
25. Kabat-Zinn J. Mindfulness-based interventions in context: past, present, and future.2003. [DOI:10.1093/clipsy.bpg016]
26. Labbé EE. Psychology moment by moment: A guide to enhancing your clinical practice with mindfulness and meditation. New Harbinger Publications; 2011.
27. Keyvan S, Khezri Moghadam N, Rajab A. The Effectiveness of Mindfulness Based Stress Reduction (Mbsr) on Psychosocial Adjustment to Illness in Patient with Type 2 Diabetes. Iranian Journal of Diabetes and Metabolism. 2018;17(2):105-16. (in Persian)
28. Khosravi E, Ghorbani M. Effectiveness of mindfulness-based stress reduction on perceived stress and blood pressure among the hypertensive women. Journal of Kashan University of Medical Sciences (FEYZ).2016;20(4):361-8.(in Persian)
29. 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):36-38.
30. Harandi TF, Taghinasab MM, Nayeri TD. The correlation of social support with mental health: A meta-analysis. Electronic physician. 2017;9(9):5212. [DOI:10.19082/5212]
31. Shahgholian M, Moradi AR, Kafi SM. Relationship of alexithymia with emotional expression styles and general health among university students. Iranian Journal Of Psychiatry And Clinical Psychology. 2007;13(3):238-248.(in Persian)
32. Amiel SA, Dixon T, Mann R, Jameson K. Hypoglycaemia in type 2 diabetes. Diabetic medicine. 2008;25(3):245-54. [DOI:10.1111/j.1464-5491.2007.02341.x]
33. Stargardt T, Gonder-Frederick L, Krobot KJ, Alexander CM. Fear of hypoglycaemia: defining a minimum clinically important difference in patients with type 2 diabetes. Health and quality of life outcomes. 2009;7(1):1-8. [DOI:10.1186/1477-7525-7-91]
34. Shi L, Shao H, Zhao Y, Thomas NA. Is hypoglycemia fear independently associated with health-related quality of life?. Health and quality of life outcomes. 2014;12(1):1-9. [DOI:10.1186/s12955-014-0167-3]
35. Rostami M, Taheri A, Abdi M, Kermani N. The effectiveness of instructing emotion-focused approach in improving the marital satisfaction in couples. Procedia-Social and Behavioral Sciences. 2014;114:693-8. [DOI:10.1016/j.sbspro.2013.12.769]
36. Greenberg LJ, Warwar SH, Malcolm WM. Differential effects of emotion-focused therapy and psychoeducation in facilitating forgiveness and letting go of emotional injuries. Journal of Counseling Psychology. 2008;55(2):185-196. [DOI:10.1037/0022-0167.55.2.185]

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

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