Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

Comparison of the effectiveness of stress coping techniques and self-regulatory strategies on anxiety and stress in diabetic patients

Document Type : Research Paper

Authors
Leila Sadeghian 1
Mahbobeh chinaveh 2
Alireza Feily 3
1 Ph.D. Student, Department of General Psychology, Arsanjan Branch, Islamic Azad University, Arsanjan, Iran.
2 Assistant Professor, Department of General Psychology, Arsanjan Branch, Islamic Azad University, Arsanjan, Iran. (Corresponding Author)
3 Assistant Professor, Department of Psychology, Payame Noor University, Tehran, Iran.
10.22038/mjms.2022.20188
Abstract
Introduction: Research has shown that there is a correlation between diabetes and psychological disorders such as anxiety and stress, so; The aim of this study was to compare the effectiveness of stress coping techniques and self-regulatory strategies on anxiety and stress in diabetic patients..
Methods: The method was quasi-experimental research and pre-test-post-test design with a control group and the statistical population included 45 diabetic patients referred to Bushehr Diabetes Center. The statistical population was selected by purposive sampling with random substitution and divided into experimental (n = 15) and control (n = 15) groups. Diabetic patients in the experimental groups were trained in stress management techniques and self-regulatory strategies for 8 sessions of 90 minutes using the McNamara and Pinterridge protocol, and the follow-up phase was performed two months after the treatment intervention. Data were analyzed using covariance.
Results: teaching stress management techniques and self-regulatory strategies has a significant effect on reducing anxiety and stress in diabetic patients and training stress management techniques has a greater effect on anxiety and stress in diabetic patients. Findings in the follow-up phase also showed that therapeutic interventions were effective in controlling anxiety and stress in diabetic patients.
Conclusion: The results indicate that training stress management techniques and self-regulatory strategies can significantly reduce anxiety and stress in diabetic patients.
Keywords
Stress
Anxiety
Coping Techniques
Diabetes
Self-Regulatory Strategies
  1. Organization WH. The World Health Report 2001: Mental health: new understanding, new hope. 2001.
  2. Yeaw J, Lee WC, Aagren M, Christensen T. Cost of self-monitoring of blood glucose in the United States among patients on an insulin regimen for diabetes. Journal of Managed Care Pharmacy. 2012;18(1):21-32.
  3. Akushevich I, Yashkin AP, Kravchenko J, Fang F, Arbeev K, Sloan F, et al. Identifying the causes of the changes in the prevalence patterns of diabetes in older US adults: A new trend partitioning approach. Journal of Diabetes and its Complications. 2018;32(4):362-7.
  4. Tavakoli Z, kazemi zahrani H. Effect of Mindfulness-Based Stress Reduction Intervention on Distress Problems and Self-Regulation in Patients with Type 2 Diabetes. Iranian Journal of Nursing Research. 2018;13(2):41-9.
  5. Kharatzadeh H, Davazdah Emamy MH, Bakhtiary M, Kachuei A, Mahaki B. Effectiveness of mindfulness based stress reduction on glycemic control, stress, anxiety and depression in patients with type 2 diabetes mellitus. Studies in Medical Sciences. 2017;28(3):206-14.
  6. Vignoli E, Croity-Belz S, Chapeland V, de Fillipis A, Garcia M. Career exploration in adolescents: The role of anxiety, attachment, and parenting style. Journal of Vocational Behavior. 2005;67(2):153-68.
  7. Dadras S, Alizadeh S, Tavakkoli Mehr M, Ghavam F. THE STUDY OF THE EFFECT OF STRESS MANAGEMENT THROUGH BEHAVIORAL COGNITIVE GROUP THERAPY ON THE CONTROL OF DIABETES AND THE IMPROVEMENT OF QUALITY OF LIFE AND STRESS IN DIABETIC FEMALE PATIENTS IN URMIA. The Journal of Urmia University of Medical Sciences. 2015;26(8):705-14.
  8. Lazarus RS, Folkman S. Stress, appraisal, and coping: Springer publishing company; 1984.
  9. Lin YM, Chen FS. A stress coping style inventory of students at universities and colleges of technology. World Transactions on Engineering and Technology Education. 2010;8(1):67-72.
  10. 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):299-307.
  11. Pintrich PR, De Groot EV. Motivational and self-regulated learning components of classroom academic performance. Journal of educational psychology. 1990;82(1):33.
  12. Karlsen B, Oftedal B, Bru E. The relationship between clinical indicators, coping styles, perceived support and diabetes‐related distress among adults with type 2 diabetes. Journal of advanced nursing. 2012;68(2):391-401.
  13. Mirmahdi A, Ansari Jaberi A, Shafiepour M, Sayadi A. The Effect of Psychological Training with Progressive Muscle Relaxation on the Stress, Anxiety, and Depression in Diabetes Type 2 Patients. Community Health Journal. 2019;13(4):32-43.
  14. madadkar s, Noorian‎ k, Doosti Irani m, Azari‎ pr. THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION TECHNIQUE AND AROMATHERAPY WITH DAMASK ROSE ON ANXIETY, STRESS, AND DEPRESSION IN GENERAL SURGERY CANDIDATES. Nursing and Midwifery Journal. 2020;17(12):930-7.
  15. Ahmadian S, Rasouli A. Stress Management Training on Reducing Anxiety and Promoting Happiness and Sexual Integrity in Women with Breast Cancer. Iranian Journal of Nursing Research. 2018;13(1):18-25.
  16. Jalilzadeh H, Zarei HA. The Effect of Self-Regulation Strategies on Academic Motivation and Test Anxiety in Students. Journal of Instruction and Evaluation. 2018;11(42):13-36.
  17. Ghasemzadeh S, Bayati B, Nooripoor Liavoli R. Effectiveness of Coping Skills on Depression, Anxiety and Stress in Mothers of Adolescents with Type I Diabetes. Bimonthly of Education Strategies in Medical Sciences. 2017;10(1):74-9.
  18. Manning-Geist B, Meyer F, Chen J, Pelletier A, Kosman K, Johnson NR. Pre-clinical stress management workshops increase medical students’ knowledge and self-awareness of coping with stress. Medical Science Educator. 2019:1-7.
  19. Amanvermez Y, Rahmadiana M, Karyotaki E, de Wit L, Ebert DD, Kessler RC, et al. Stress management interventions for college students: A systematic review and meta‐analysis. Clinical Psychology: Science and Practice. 2020:e12342.
  20. Baqutayan S. How can anxiety be better managed. Depression, Anxiety, and Coping Mechanisms among Cancer Patients World Cancer Research Journal. 2019;6:e1350.
  21. Russell A, Anderson SF. The relationship between self-regulatory strategies, daily stress, and negative affect in college females: An analysis of typical levels and intraindividual variability. Emerging Adulthood. 2019;7(5):319-30.
  22. Guo Y, Xu J, Liu X. English language learners’ use of self-regulatory strategies for foreign language anxiety in China. System. 2018;76:49-61.
  23. Chinaveh M. The effectiveness of multiple stress management intervention on the level of stress, and coping responses among Iranian students. Procedia-Social and Behavioral Sciences. 2013;84:593-600.
  24. Fathi Ashtiani A. Psychological Tests: : Assessing Personality and Mental Health. Tehran: Besat Publishing; 2018.
  25. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology. 1988;56(6):893.
  26. Everly GS, Girdano DA. The stress mess solution: The causes and cures of stress on the job: RJ Brady Company; 1980.
  27. Karami Moghadam P, Entesar Foumani G. The effectiveness of stress management training on improving self-efficacy and blood pressure regulation in women with hypertension. Third National Conference on Psychology and Educational Sciences2016.
Medical Journal of Mashhad university of Medical Sciences
Volume 64, Issue 6 - Serial Number 6
March and April 2022
Pages 4112-4127