Comparison of the Effectiveness of Two Classic Cognitive-Behavioral Therapies (CBT) and Reduction of Mindfulness-Based Stress (MBSR) on Self-Care Behaviors of Patients with Type 2 Diabetes in Shiraz

Document Type : Research Paper


1 Department of Psychology, Yasuj Branch, Islamic Azad University, Yasuj, Iran

2 Department of Psychology, Arsanjan Branch, Islamic Azad University, Arsanjan, Iran

3 Department of Clinical Psychology, Bushehr Branch, Islamic Azad University, Bushehr, Iran

4 Department of Psychology, Zand Faculty, Shiraz University, Shiraz, Iran

5 Department of Clinical Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran

6 Department of Psychology, Nain Branch, Islamic Azad University, Nain Iran

7 Department of Social Work, Red Crescent University of Applied Sciences, Shiraz, Iran


Background: Numerous studies have examined the effectiveness of cognitive-behavioral therapy and mindfulness-based stress reduction on Self-Care Behaviors . But there is research gaps between comparing the effectiveness of two classic cognitive-behavioral therapies (CBT) and reducing mindfulness-based stress (MBSR) on Self-Care Behaviors in patients with type 2 diabetes. Thirty-six diabetic patients were selected by simple random sampling and randomly assigned to three 12-person groups (two experimental groups and one contrast group). Research tools Cohen's Self-Care Behaviors Questionnaire (2000), Mindfulness-Based Stress Reduction Therapy (Mouse et al., 2015) and Cognitive Behavioral Therapy (Moloudi and Fattahi, 2011; Samadzadeh and Hamkaran, 2018). Data analysis was performed using multivariate analysis of covariance. Results: The two cognitive-behavioral therapies of classical behavior and mindfulness-based stress reduction therapy have had a significant effect on Self-Care Behaviors in the sample (P <0.001). Mindfulness-Based Stress Reduction Therapy has been more effective than classical cognitive-behavioral therapy in examining students' perceived stress (P <0.001); Anxiety has been studied in the sample (P <0.001). There was no significant difference between the two treatments in terms of the effect on Self-Care Behaviors (P <0.001). Conclusion: Patients who participated in cognitive-behavioral therapy sessions and mindfulness-based stress reduction therapy experienced perceptual stress and experienced less anxiety sensitivity.


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