نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روان‌شناسی سلامت، واحد امارات، دانشگاه آزاد اسلامی، دبی، امارات متحده عربی.

2 استاد، گروه روان‌شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

3 استادیار، گروه روان‌شناسی، دانشگاه علامه طباطبائی، تهران، ایران.

4 دانشیار، گروه روان‌شناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران.

چکیده

هدف این پژوهش، تعیین میزان اثربخشی درمان مبتنی بر تعهد و پذیرش بر سطح قند خون و خودکارآمدی در زنان مبتلا به دیابت نوع II بود. روش پژوهش نیمه‌آزمایشی با پیش و پس‌آزمون و پیگیری، با گروه کنترل بود. جامعه آماری، شامل همۀ زنان دیابتی مراجعه کننده به بیمارستان امام خمینی (ره) شهر تهران در پاییز 1397 بودند. روش نمونه‌گیری بصورت دردسترس (30 زن دیابتی) انتخاب شدند و به صورت تصادفی در دو گروه آزمایش (n=15) و گواه (n=15) قرار گرفتند. مرحله پیش‌آزمون، مقیاس پرسشنامه خودکارآمدی عمومی (شرر و همکاران؛ 1982) و تست قند خون ناشتا انجام شد. سپس گروه آزمایش 8 جلسه تحت درمان قرار گرفتند و گروه گواه هیچ مداخله‌ای دریافت نکردند و در پایان هر دو گروه تحت پس‌آزمون و دوره پیگیری (3 ماه) قرار گرفتند. تحلیل داده‌ها، برای متغیر خودکارآمدی، از روش تحلیل کوواریانس تک‌متغیره و برای اندازه گیری قند خون ناشتا از تحلیل واریانس با اندازه‌گیری مکرر استفاده شد. یافته‌ها نشان دادند بین دو گروه آزمایش وگواه، پس از اجرای درمان تفاوت معناداری وجود دارد. بطوریکه، میانگین نمره خودکارآمدی گروه آزمایش نسبت به گروه کنترل افزایش و سطح قند خون ناشتا کاهش یافت (001/0>P).

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Acceptance and Commitment Therapy on Fasting Plasma sugar and Self-efficacy in women with type 2 diabetes

نویسندگان [English]

  • Leila Mohaddes Shakouri Ganjavi 1
  • Hasan Ahadi 2
  • farhad jomehri 3
  • Javad Khalatbari 4

1 Ph.D. Student of Health Psychology, UAE Branch, Islamic Azad University, Dubai, United Arab Emirates.

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

3 Assistant Professor, Department of Psychology, Allameh Tabataba'i University, Tehran, Iran.

4 Associate Professor, Department of Psychology, Tonekabon Islamic Azad University, Tonekabon, Iran.

چکیده [English]

This research aimed to assess the effect of acceptance and commitment therapy on fasting blood sugar level and self-efficacy in type II diabetic women. Research methodology was quasi-experimental with pre & post-test, and follow-up (3 months) with a control group. Statistical population was all type II diabetic women, who referred to the Imam Khomeini Hospital in Tehran. Thirty female diabetic patients were selected by convenient sampling method and randomly assigned into two groups, experimental group (n = 15) and control group (n = 15). General Self-efficacy Scale (Sherer and Maddux, 1982) and Fasting Blood Sugar Test were used in the pre-test stage. Then, the experimental group participated in 8 sessions of therapy while the control group received no intervention. Finally, both groups were subjected to post-test and follow-up (3 months). Data analysis for the self-efficacy variable was done using the univariate analysis of covariance and repeated measures ANOVA was used to analyze the data obtained through pre and post-meal blood sugar tests. Findings showed that after treatments there was a significant difference between test and control group. So that in experimental group, the mean score of self-efficacy and fasting blood sugar level increased and decreased, respectively, compared to the control (p < 0.001).

کلیدواژه‌ها [English]

  • Self-efficacy
  • acceptance and commitment therapy
  • type II diabetes
  • fasting plasma sugar
  • women with diabetes type II
Amanzadeh, Z., & Hoseinian, S. (2018). The effectiveness of group counseling based on existential approach on life attitude and spiritual health of patients with type 2 diabetes. Journal of women and family studies. 6 (1), 49-67 [Persian].
Atashzadeh Shorideh, H., Arshi, Sh., & Atashzadeh Shorideh, F. (2017). The effect of implementing family-centered empowerment model on lifestyle, self-efficacy and glycosylated hemoglobin in patients with diabetes. Iranian Journal of endocrinology and metabolism. 19 (4), 238-244 [Persian].
Azadi, M., Manshei, Gh., & Golparvar, M. (2019). Comparison of the effectiveness of mindfulness interventions based on mobile social networks with group acceptance and commitment (ACT) and group mindfulness interventions on depression, anxiety and stress in patients with type 2 diabetes. Journal of diabetes nursing. 7 (2), 775-792 [Persian].
Bogusch, L. M., & O'Brien, W. H. (2019). The effects of Mindfulness-based interventions on diabetes-related distress, quality of life, and metabolic control among persons with diabetes: A meta-analytic review. Behavioral Medicine, 45(1), 19-29.
Cherrington, A., Wallston, K. A., & Rothman, R. L. (2015). Exploring the relationship between diabetes self-efficacy, depressive symptoms, and glycemic control among men and women with type 2 diabetes. Journal of behavioral medicine, 33(1), 81-89.
Dong, C., Kou, T., Liu, Y., Zou, Y., Sun, L., Tian, H., & Wang, Q. (2019). Study on the effect of smoking on the risk of active pulmonary tuberculosis in patients with type 2 diabetes mellitus. Chronic Diseases Prevention Review. 10 (6), 36-41.
Ellis, D. A., Carcone, A. I., Slatcher, R., Naar‐King, S., Hains, A., Graham, A., & Sibinga, E. (2019). Efficacy of Acceptance and Commitment Therapy (ACT) in emerging adults with poorly controlled, type 1 diabetes: A pilot randomized controlled trial. Pediatric diabetes, 20(2), 226-234.
Ghafari, M., & Safari, N. (2018). The effect of implicit theories of intelligence on general self-efficacy in students: The mediating role of self-assessed and conscientious perfectionism. Knowledge and research in applied psychology. 19 (2), 77-87 [Persian].
Gregg JA, Callaghan GM, Hayes SC, Glenn-Lawson JL.Improving diabetes self-management through acceptance, mindfulness, and values: A randomized controlled trial. J Consult Clin Psychol. 2014; 75(2):336-43.
Harrington, C., Carter-Templeton, H., & Appel, S. (2017). Diabetes self-management education and self-efficacy among African American women living with type 2 diabetes in rural primary care. Journal of Doctoral Nursing Practice, 10(1), 11-16.
Hadlandsmyth, K., White, K. S., Nesin, A. E., & Greco, L. A. (2013). Proposing an Acceptance and Commitment Therapy intervention to promote improved diabetes management in adolescents: A treatment conceptualization. International Journal of Behavioral Consultation and Therapy, 7(4), 12.
Hayes SC and Duckworth MP. (2006). Acceptance and Commitment Therapy and Traditional Cognitive Behavior Therapy Approaches to Pain. Cognitive and Behavioral Practice. 13:185–187.
 
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy, 44(1), 1-25.
Honarparvaran, N., Mirzaeikia, H., Nayeri, A., Lotfi, M. (2015). Practical guide Therapists in acceptance and commitment-based therapy. Publisher: Omid Mehr [Persian].
Hor, M., Aghaei, A., Abedi, A., & Golparvar, M. (2018). Effectiveness of integrated therapy package (health lifestyle based on acceptance and commitment therapy) with mind-based therapy on self-awareness and glycosylated hemoglobin in patients with type 2 diabetes. Journal of Islamic lifestyle with a focus on health. 2 (2), 57-65 [Persian].
Hor, M., & Mansheei, Gh. (2017). The effectiveness of acceptance and commitment based therapy on mental health of patients with type 2 diabetes in Isfahan. Iranian Journal of Diabetes and Metabolism. 16 (6), 309-316 [Persian].
Izadi, R., Abedi, M, (2015), Acceptance and Commitment therapy. Jangal Publications, Kavoshyar [Persian].
Kamody, R. C., Berlin, K. S., Rybak, T. M., Klages, K. L., Banks, G. G., Ali, J. S., & Diaz Thomas, A. M. (2018). Psychological flexibility among youth with type 1 diabetes: Relating patterns of acceptance, adherence, and stress to adaptation. Behavioral Medicine, 44(4), 271-279.
Jan, S. M. (2019). The effect of non-surgical phase on fasting sugar level in type 2 diabetic patients with generalized chronic periodontitis. Paripex-Indian Journal of Research, 8(4).
Jesse, C. D., Creedy, D. K., & Anderson, D. J. (2019). Effectiveness of psychological interventions for women with type 2 diabetes who are overweight or obese: a systematic review protocol. JBI database of systematic reviews and implementation reports, 17(3), 281-289.
Lin, L. Y., Hsu, C. Y., Lee, H. A., Wang, W. H., Kurniawan, A. L., & Chao, J. C. J. (2019). Dietary patterns in relation to components of dyslipidemia and fasting plasma glucose in adults with dyslipidemia and elevated fasting plasma glucose in Taiwan. Nutrients, 11(4), 845.‌
McNamara, R. K., & Strawn, J. R. (2014). Role of long-chain omega-3 fatty acids in psychiatric practice. PharmaNutrition, 1(2), 41-49.
Messina, R., Rucci, P., Sturt, J., Mancini, T., & Fantini, M. P. (2018). Assessing self-efficacy in type 2 diabetes management: validation of the Italian version of the Diabetes Management Self-Efficacy Scale (IT-DMSES). Health and quality of life outcomes, 16(1), 71.
Mirmahdi, S., & Rezaali, M. (2018). The effectiveness of mindfulness-based cognitive therapy on resilience, emotion regulation and life expectancy in women with type 2 diabetes. Quarterly Journal of Health Psychology. 7 (28), 167-183 [Persian].
Patton J H, Stanford M S, Barratt E S. (1995). Factor structure of the Barratt Impulsiveness Scale.
Rafeei, F., Masror, D., Haghani, H., & Azimi, H. (2017). The effect of 8 weeks of tai chi exercise on fasting blood sugar in people with type 2 diabetes. Journal of Complementary Medicine Quarterly. 7 (2), 1874-1886 [Persian].
Rahimi, P., & Ghobari, S. (2011). The effect of intervention based on Gardner theory on general self-efficacy of deaf high school students in Isfahan. Journal of Cognitive and Behavioral Sciences Research. 1(1), 73-86 [Persian].
Sabor, S., & Kakabaraei, K. (2016). The effectiveness of acceptance and commitment group therapy on depressive symptoms, stress and pain indicators in women with chronic pain. Journal of Rehabilitation Research in Nursing. 2 (4), 1-9 [Persian].
Sargazi, Sh., Kerman Maravi, F., & Navidian, A. (2017). The effect of family-centered empowerment model on quality of life and self-efficacy of adolescents with type 1 diabetes referred to Hazrat Ali Asghar Zahedan Clinic in 2016. Iranian Journal of Endocrinology and Metabolism. 19 (5), 330-339 [Persian].
Seifallahi, M., Monfaredi, A., Mohtashemi, J., & Mohamadi, H. (2016). The effectiveness of acceptance and commitment group therapy on reducing anxiety, depression and increasing the quality of life and self-efficacy of patients with multiple sclerosis. Journal of Principles of Mental Health, 18 (Special Issue of the Third International Conference on Psychology and Educational Sciences). 596-605 [Persian].
Shayghian, Z., Amiri, P., Agilar Vafaei, M., & Besharat, M, A. (2015). The effectiveness of acceptance and commitment-based group therapy on improving glycosylated hemoglobin and self-care activities in patients with type 2 diabetes. Journal of Contemporary Psychology. 10 (2), 41-50 [Persian].
Sherer, M., Maddux, J. E., Mercandante, B., & Rogers, R. W. (1982). The Self-Efficacy Scale: Construction and validationPsychological Reports, 51(2), 663-671.
Taheri, N., Ghajari, H., & Shahbazi, H. (2018). The relationship between health literacy and self-efficacy and self-care in patients with type 2 diabetes. Iranian Journal of Endocrinology and Metabolism. 20 (3), 135-141 [Persian].