بررسی اثربخشی درمان فراتشخیصی یکپارچه بر اجتناب شناختی- رفتاری و فعالیت‌های خودمراقبتی در بیماران مبتلا به دیابت نوع 2

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه مشاوره، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران

2 استادیار، گروه روان شناسی، واحد دزفول، دانشگاه آزاد اسلامی، دزفول، ایران (نویسنده مسئول)

3 استادیار، گروه روان شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران

4 استادیار، گروه مشاوره، واحد اراک، دانشگاه آزاد اسلامی، اراک، ایران

چکیده

مقدمه: با توجه به اینکه دیابت عوارض روانی، جسمانی، ارتباطات فردی، خانوادگی و اجتماعی و درک افراد از سلامت خود را به همراه دارد بنابراین هدف از پژوهش حاضر، بررسی اثربخشی درمان فراتشخیصی یکپارچه بر اجتناب شناختی-رفتاری و فعالیت‌های خودمراقبتی در بیماران مبتلا به دیابت نوع 2 می‌باشد.
روش کار: روش پژوهش آزمایشی بوده و از طرح پیش‌آزمون- پس‌آزمون با گروه کنترل استفاده شد. جامعه آماری پژوهش شامل کلیه زنان و مردان متأهل مبتلا به دیابت نوع 2 شهر اهواز می‌باشد که در سال 1400 عضو انجمن دیابت این شهر بودند. برای گردآوری اطلاعات از این جامعه آماری، 40 نفر از این بیماران با استفاده از مصاحبه تشخیصی، مصاحبه شفاهی و بر اساس ملاک‌های ورود و خروج، غربال‌گری و به صورت هدفمند انتخاب شدند و بعد از همسان‌سازی به روش زوج و فرد، به صورت گمارش تصادفی در 2 گروه 20 نفره، (گروه آزمایش با روش درمان فراتشخیصی یکپارچه (20 نفر) و گروه کنترل (20 نفر) جایگزین شدند. ابزارهای تحقیق شامل مقیاس اجتناب شناختی- رفتاری (اتنبرگ و دابسون، 2004) و مقیاس فعالیت‌های خودمراقبتی دیابت (توبرت و همکاران، 2000) بود. داده‌ها از طریق تحلیل کوواریانس چندمتغیری(MANCOVA) و تک متغیری (ANCOVA) مورد تجزیه‌و‌تحلیل قرار گرفتند.
نتایج: نتایج نشان داد که درمان فراتشخیصی یکپارچه بر اجتناب شناختی-رفتاری و فعالیت‌های خودمراقبتی مؤثر می‌باشد (05/0>p).
نتیجه‌گیری: به نظر می رسد که این مداخله می‌تواند باعث کاهش اجتناب شناختی-رفتاری و افزایش فعالیت‌های خودمراقبتی در بیماران مبتلا به دیابت نوع 2 گردد.

کلیدواژه‌ها

عنوان مقاله [English]

Investigating the effectiveness of unified transdiagnostic treatment on reducing cognitive-behavioral avoidance and self-care activities in patients with type 2 diabetes

نویسندگان [English]

  • Fatemeh Baghereifard 1
  • Kobra Kazemian Moghadam 2
  • Sahar Safarzadeh 3
  • Farshad Bahari 4
1 PhD student, Department of Consulting, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
2 Assistant Professor, Department of Psychology, Dezful Branch, Islamic Azad University, Dezful, Iran. (Corresponding Author)
3 Assistant Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
4 Assistant Professor, Department of Consulting, Arak Branch, Islamic Azad University, Arak, Iran.
چکیده [English]

Introduction: Considering that diabetes brings mental, physical, personal, family and social relationships and people's understanding of their health, so the purpose of this research is to investigate the effectiveness of integrated transdiagnostic treatment on cognitive-behavioral avoidance and self-care activities in patients with diabetes. It is type 2 diabetes.
Methods: The research method was experimental and a pre-test-post-test design was used with a control group. The statistical population of the research includes all married men and women suffering from type 2 diabetes in Ahvaz, who were members of the Diabetes Association of this city in 1400. To collect information from this statistical population, 40 of these patients were selected using diagnostic interview, oral interview and based on the entry and exit criteria, screening and purposefully and after matching by pairwise method and Individuals were randomly assigned to 2 groups of 20 people, (experimental group with integrated meta-diagnostic treatment method (20 people) and control group (20 people). Research tools include cognitive-behavioral avoidance scale (Ettenberg and Dobson, 2004) and The scale of diabetes self-care activities was (Tobert et al., 2000). The data were analyzed through multivariate (MANCOVA) and univariate (ANCOVA) analysis of covariance.
Results: The results showed that integrated transdiagnostic treatment on avoidance Cognitive-behavioral and self-care activities are effective (p<0.05).
Conclusion: It seems that this intervention can reduce cognitive-behavioral avoidance and increase self-care activities in patients with type 2 diabetes.

کلیدواژه‌ها [English]

  • Integrated Transdiagnostic Treatment
  • Cognitive-Behavioral Avoidance
  • Self-Care Activities
  • Diabetes

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 66، شماره 2
خرداد-تیر 1402
خرداد و تیر 1402
صفحه 278-290

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