Document Type : research
Authors
1 Ph.D Candidte of Halth Psychology, Islamic Azad University, Central Tehran Branch, Tehran, Iran
2 Assosiate Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran,
3 Assosiate Professor, Department o Psychology, Payame Nour University, Tehran, Iran
4 Assistante Professor, Department o Psychology, Sari Branch, Islamic Azad University, Sari, Iran
Abstract
Objectives: Diabetes is a chronic, multifaceted and threatening disease which has significant psychological complications. The purpose of this study was comparing the efficacy of Acceptance and Commitment Therapy (ACT) and Dialectical Behavioral Therapy Skills Training (DBT-ST) on cognitive emotion regulation in patients with type II diabetes.
Method: The design of this quasi-experimental research was a pretest-posttest with a control group. The statistical population of the study included all patients with type II diabetes referred to Baghban (Touba) Medical Clinic in Sari in 2019, among whom 45 patients were selected through the convenience sampling method and then randomly assigned into three groups. The first group received ACT, the second group received DBT-ST, and the third group was considered as a control group. Data were collected using a 36-item Cognitive Emotion Regulation Questionnaire (Garnefsky et al., 2001) in three stages of pre-test, post-test, and follow-up, and were analyzed by repeated measurement variance analysis.
Results: The results showed that ACT and DBT-ST were significantly more effective on cognitive emotion regulation for the experimental groups compared to the control group (effect sizes 0.911 & 0.967, respectively). The effectiveness of DBT-ST compared to ACT was more significant on cognitive emotion regulation scores (effect sizes 0.967) at (P>0.01).
Conclusion: Based on the results of this study, it can be concluded that ACT improved psychological indexes and mental health of patients with type II diabetes due to acceptance of unfavorable emotions and thoughts, commitment, and DBT-ST for emotion regulation and mindfulness components.
Keywords
Article Title [Persian]
مقایسه اثر بخشی درمان مبتنی بر پذیرش و تعهد ACT و مهارت اموزی مبتنی بر رفتار درمانی دیالکتیکی (DBT-ST) برتنظیم شناختی هیجان در بیماران مبتلا به دیابت
Authors [Persian]
- بهاره منتظرنیا 1
- شیرین کوشکی 2
- محمد اورکی 3
- بهرام میرزاییان 4
1 Ph.D Candidte of Halth Psychology, Islamic Azad University, Central Tehran Branch, Tehran, Iran
2 Assosiate Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran,
3 Assosiate Professor, Department o Psychology, Payame Nour University, Tehran, Iran
4 Assistante Professor, Department o Psychology, Sari Branch, Islamic Azad University, Sari, Iran
Abstract [Persian]
دیابت بیماری با ماهیت مزمن، چند وجهی، تهدیدکننده و دارای پیامدهای روانشناختی قابل ملاحظه است. هدف این مطالعه مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و مهارت آموزی مبتنی بر رفتار درمانی دیالکتیکی بر تنظیم شناختی هیجان در بیماران مبتلا به دیابت نوع 2 بود. روش: طرح پژوهش حاضر نیمه آزمایشی، از نوع پیش آزمون_ پس آزمون با گروه کنترل بود. جامعة آماری پژوهش حاضر تمامی بیماران مبتلا به دیابت نوع 2 مراجعه‌کننده به کلینیک پزشکی باغبان( طوبی) در شهر ساری بودند. از بین آن‌ها 45 نفر به شکل در دسترس انتخاب شدند و به طور تصادفی در دو گروه آزمایشی ACT و DBT-ST و یک گروه کنترل جای داده شدند.داده ها با استفاده از پرسشنامه تنظیم شناختی هیجان (گارنفسکی، 2001) گردآوری و با روش تحلیل ورایانس با اندازه گیری مکرر تجزیه و تحلیل شدند. یافته ها: نتایج نشان داد که هم ACT و هم DBT-ST منجر به افزایش تنظیم شناختی هیجان شده است(اندازه اثر به ترتیب 0/991 و 0/967 ). تاثیر DBT-ST نسبت به ACT بر نمرات تنظیم شناختی هیجان بیشتر بود( اندازه اثر 0/967 با P>0.01 ). نتیجه: بر اساس نتایج این مطالعه، می توان گفت ACT از طریق پذیرش احساسات و افکار ناخوشایند و تعهد و DBT-ST از طریق تنظیم هیجانی و ذهن آگاهی می توانند منجر به بهبود شاخص های روانشناختی و ارتقاء سلامت روانی بیماران مبتلا به دیابت نوع 2 شود.
Keywords [Persian]
- ACT
- DBT
- تنظیم شناختی هیجان
- دیابت
- سلالمت
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