مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و واقعیت درمانی بر استرس ناشی از مرگ، شاخص‌های زیستی FBS و HbA1c در سالمندان مبتلا به دیابت نوع دو

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکترای روانشناسی سلامت، گروه روانشناسی سلامت، واحد کرج، دانشگاه آزاد اسلامی ، کرج، ایران

2 گروه روانشناسی سلامت، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران(نویسنده مسئول)

3 گروه روانشناسی سلامت، واحد کرج، دانشگاه آزاد اسلامی،کرج، ایران

4 استادیار و عضو هیئت علمی ، واحد علوم پزشکی، دانشگاه آزاد اسلامی، تهران. ایران

چکیده

مقدمه: ﭘﮋوﻫﺶ حاضر ﺑﺎ ﻫﺪف تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد و واقعیت درمانی بر استرس ناشی از مرگ و شاخص‌های زیستی FBS و HbA1c در سالمندان مبتلا به دیابت نوع II بود.
روش کار: طرح پژوهش به لحاظ هدف کاربردی از نظر ماهیت یک پژوهش نیمه‌آزمایشی، از نوع پیش‌آزمون پس‌آزمون با گروه کنترل و با گمارش تصادفی بود. از جامعه بیماران سالمند دیابتی (نوع II) مراجعه کننده به کلینیک‌های تخصصی بیماران دیابتی شهر شیراز در سال 1399-1400 به روش نمونه گیری هدفمند تعداد 60 نفر انتخاب شده و در 3 گروه 20 نفره جایگزین شدند. به منظور بررسی فرضیه‌های تحقیق از روش ﺗﺤﻠﻴﻞ وارﻳﺎﻧﺲ چند متغیره و آزمون t برای دو گروه مستقل استفاده شد.
نتایج: یافته‌های بدست آمده نشان داد که درمان مبتنی بر پذیرش و تعهدو واقعیت درمانی بر استرس ناشی از مرگ و شاخص‌های زیستی FBS و HbA1c در سالمندان مبتلا به دیابت نوع II تاثیر معنی‌دار و پایداری داشته است (05/0>P). آزمون تعقیبی توکی نشان دهنده اختلاف میانگین استرس ناشی از مرگ و شاخص‌های زیستی FBS و HbA1c بین گروه کنترل و گروه درمان مبتنی بر تعهد و پذیرش و گروه واقعیت درمانی بود.
نتیجه‌گیری: می‌توان درمان مبتنی بر پذیرش و تعهد و و واقعیت درمانی برای کاهش استرس ناشی از مرگ استفاده کرد و از این روش‌‌های درمانی برای بهبود شاخص‌های زیستی FBS و HbA1c در سالمندان مبتلا به دیابت نوع II می‌توان سود جست.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of the effectiveness of acceptance and commitment therapy and reality therapy on death Stress, biomarkers of FBS and HbA1c in the elderly with type 2 diabetes

نویسندگان [English]

  • Soudabe Behzadi 1
  • Biuok Tajeri 2
  • Sheyda Sodagar 3
  • Zahra Shariati 4
1 PhD Student in Health Psychology, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran
2 Department of Health Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran
3 Department of Psychology, Karaj Branch, Islamic Azad University, Karaj , Iran
4 Assistant Professor and Faculty Member, Medical Sciences Branch, Islamic Azad University, Tehran. Iran
چکیده [English]

Introduction: The present study was used to determine the effectiveness of acceptance and commitment and reality therapy based on death stress and biomarkers of FBS and HbA1c in the elderly with type II diabetes.
Methods: The research design in terms of practical purpose in terms of the nature of a quasi-experimental study was pre-test-post-test with a control group and random assignment. From the community of elderly diabetic patients (type II) referring to specialized clinics of diabetic patients in Shiraz in 2020-2021, 60 people were selected by purposive sampling method and were replaced in 3 groups of 20 people. Participants in acceptance, commitment, and fact-based group therapy were trained in 8 sessions of 1.5 hours, and the control group did not receive any training. In order to test the research hypotheses, multivariate method and t-test were used for two independent groups.
Results: The results showed that acceptance and commitment therapy and reality therapy had a significant and lasting effect on death stress and biomarkers of FBS and HbA1c in the elderly with type II diabetes (P <0.05). Tukey post hoc test showed the difference between the mean stress of death and FBS and HbA1c biomarkers between the control group and the commitment and acceptance treatment group and the reality therapy group.
Conclusion: Acceptance and commitment and reality therapy can be used to reduce the stress of death and these therapies can be used to improve the biomarkers of FBS and HbA1c in the elderly with type II diabetes.

کلیدواژه‌ها [English]

  • Commitment and Acceptance
  • Reality Therapy
  • Death Stress
  • Biomarkers of FBS and HbA1c
  • Elderly With Type 2 Diabetes

مراجع

  1. Ocampo, J. M. Self-rated health: Importance of use in elderly adults. Colombia Médica, 2010; 41(3), 275-
    289.
    2. Shokohifar M, Falahzadeh H. Determination quality of lifein patients with type II diabetes andpresentation
    a structural model. J Mazandaran Univ Med Sci. 2014; 24 (116) :84-92
    3. Banisi, P. The Effectiveness of Positivism Training on Subjective Well-being, Positive Meta-emotion
    and Self-management Ability in the Elderly Women. Aging Psychology, 2019; 5(3): 217-227.
    4. Esmaeilishad, B. The Effectiveness of Self-Care Training on Quality of Life, Self-Care Behaviors and
    Blood Sugar in Elderly Without Self-Care Behaviors. Aging Psychology, 2020; 6(1): 1-11. doi:
    10.22126/jap.2020.5158.1411
    5. Ghasemi M, Hosseini H, Sabouhi F. The effect of peer group training on self-care of elderly with diabetes
    mellitus. Journal of Clinical Nursing and Midwifery. 2017; 6 (3) :33-43
    6. Keough, ME, Riccardi CJ, Timpano KR, Mitchell MA, Schmidt NB. Anxiety symptomatology: The
    association with distress tolerance and anxiety sensitivity. Behavior Therapy, 2010; 41 (4): 567– 74.
  2. 7. Wu SY, Sainfort F, Tomar RH, Tollios JL, Fryback DG, Klein R and et al. Development and
    applicationof a model to estimate the impact of type 1 diabeteson health-related quality of life. Diabetes
    Care, 2015; 21(5): 725- 731.
    8. Dehghani, Y. The Effectiveness of Acceptance and Commitment Group Therapy on Depression and
    Quality of Life in Women with Dialysis Patients. Journal of Clinical Psychology, 2016; 8(3): 1-10.
    9. Herbert, E., & Forman, M Acceptance and Mindfulness in cognittive behavior Therapy: understancding
    and applying the New Therapies. Published by john Wiley & Sons, Inc, Hoboken, New Jersey. Published
    simultaneously in Canada, 2011.
    10. Jones, L, C & Parish, T, S. Choice Theory and Reality Therapy. International Journal of Reality
    Therapy., 2015;179, Number 1.
    11. Heretish, L., & Lyang, S. Evolution of Reality Therapy to Choose Theory. International Journal of
    Reality Therapy, 2013; 54, 121-165.
    12. Gutierrez J, Magallon E, Ruscalafell M, Penaloza C. Virtual reality exposure therapy for school phobia.
    Anuario De Psicol, 2010; 40:22336.
    13. Templer, D. I. The construction and validation of a death anxiety scale. The Journal of general
    psychology, 1970; 82(2), 165-177.
    14. Sharif Nia H, Pahlevan Sharif S, Goudarzian A H, Haghdoost A A, Ebadi A, Soleimani M A. An
    evaluation of psychometric properties of the Templer’s Death Anxiety Scale-Extended among a sample
    of Iranian chemical warfare veterans. Journal of Hayat. 2016; 22 (3) :229-244
    15. Hayes, S. C., Wilson, K. G., Gifford, E. V., Bissett, R., Piasecki, M., Batten, S. V., ... & Gregg, J. A
    preliminary trial of twelve-step facilitation and acceptance and commitment therapy with polysubstanceabusing methadone-maintained opiate addicts. Behavior therapy, 2004; 35(4), 667-688.
    16. Ghanbari, H., Touzandeh Jani, H., Nejat, H. Comparison of the effectiveness of Acceptance and
    Commitment-Based Therapy (ACT) and Quality of Life therapy (QOLT) on self-destructive behaviors
    and emotional cognitive regulation in substance abusers. Journal of Fundamentals of Mental Health,
    2019; 22(1): 47-55.
    17. Glasser, W. Reality therapy in action. HarperCollins Publishers, 2000.
    18. Loyd BD. The effects of reality therapy/choice theory principles on high school students' perception of
    needs satisfaction and behavioral change. International Journal of Reality Therapy. 2005 Sep 1;25(1).
    19. World Health Organization. World health statistics 2015. World Health Organization, 2015.
    20. Heidari, F., Amiri, A., & Amiri, Z. The Effect of Person-Centered Narrative Therapy on Happiness and
    Death Anxiety of Elderly People. Abnormal and Behavioral Psychology, 2016; 2(3), 1-5
    21. Flaxman, P. E., Blackledge, J. T., & Bond, F. W. Acceptance and commitment therapy: Distinctive
    features. Routledge, 2010.
    22. Harris, R. ACT made simple: An easy-to-read primer on acceptance and commitment therapy. New
    Harbinger Publications, 2019.
    23. Thompson EM, Destree L, Albertella L, Fontenelle LF. Internet-based acceptance and commitment
    therapy: a transdiagnostic systematic review and meta-analysis for mental health outcomes. Behavior
    Therapy. 2021 Mar 1;52(2):492-507.
    24. Monshei G, R., Zarei M., Jafari H. Effectiveness of Acceptance and Commitment Therapy on the
    Reduction of Early Maladaptive Schemas in Patients Undergoing Hemodialysis. RBS. 2016; 14 (2) :204-
    209
    25. Caterin,l.C. The effect of reality therapy-based group counseling on the self-esteem, 2008.
    26. Amani, A. The Efficacy of Reality Therapy on Marital Commitment and Self Esteem of Couples. Family
    Counseling and Psychotherapy, 2015; 5(2), 1-23.
    27. Supeni I, Jusoh AJ. Choice Theory and Reality Therapy to Prevent Sexual Misconduct among Youth: A
    Current Review of Literatu
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 65، شماره 3
مرداد-شهریور1401
مرداد و شهریور 1401
صفحه 1246-1258

فایل ها

اشتراک گذاری

ارجاع به این مقاله

آمار