Volume 13, Issue 2 (6-2021)                   IJDO 2021, 13(2): 88-94 | Back to browse issues page


XML Print


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:   (2365 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]   (939 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]

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