Mohammad Ali Barzegar Damadi, Bahram Mirzaian, Ozra Akha, Seyed Hamzeh Hosseini, Mohsen Jadidi,
Volume 27, Issue 158 (3-2018)
Abstract
Background and purpose: Today, cognitive-behavioral group therapy is empirically supported in treatment of emotional disorders and in some chronic diseases such as diabetes. The aim of the present research was to study the effect of cognitive-behavioral group therapy on glycosylated hemoglobin (HbA1c), self-efficacy, depression, illness perception, and quality of life in patients with type II diabetes.
Materials and methods: In this clinical trial, 43 patients were found eligible, of whom 30 were selected using simple random sampling and were divided into two groups: experimental and control. HbA1c was measured in all participants and they completed the Beck Depression Inventory (BDI), Self-efficacy in diabetic patients (DMSES), Illness Perception Questionnaire (IPQ), and Diabetes D-39. The experimental group attended 10 training sessions based on cognitive-behavioral therapy (Beck approach), for 1.5 hours, twice a week. The scales were completed again, after the intervention and a month later. The HbA1c was also measured again.
Results: The mean age of participants was 46.5±7.21 years. At first, both groups were heterogeneous in dependent variables. Cognitive behavioral group therapy decraesed depression (P=0.049) and increased illness perception (P=0.005) in patients with type II diabetes, but HbA1c, self efficacy, and quality of life did not change significantly.
Conclusion: In this study, cognitive-behavioral group therapy was found to have positive effects on reducing depression and increasing the illness perception in diabetic patients. Hence, it is suggested along with current treatments in type II diabetes.
Maryam Ghasem Kouhikheili, Abolfazl Hosseinnataj, Tahereh Yaghoubi, Yadolah Janati,
Volume 34, Issue 232 (4-2024)
Abstract
Background and purpose: Aging is a physiological process, but during this period, with the passage of time and the influence of environmental factors and unhealthy lifestyles, the prevalence of diseases, especially chronic diseases, increases. One of these chronic diseases is diabetes. It has negative effects on their physical and mental health and as a result, reduces their quality of life. A relatively new issue that is raised today regarding the quality of life is hope. Because hope can ease the process of facing life's adversities and improve the quality of life. Hope therapy is based on the hope theory of Schneider and colleagues and is based on a positive psychology approach. This study aimed to determine the effect of group hope therapy on the quality of life of elderly women with diabetes.
Materials and methods: The study was designed experimentally with a before and after design in two control and intervention groups. Eligible elderly women with diabetes were selected from the diabetes clinic of Imam Khomeini Medical Education Center in Sari and were randomly assigned to intervention (20 people) and control (20 people) groups. The group hopes therapy training was conducted in 8 sessions twice a week for 90 minutes. The quality-of-life questionnaire of Thomas diabetic patients (DQOL) of two groups was measured before, immediately, and one month after the intervention. Data analysis was done using the Mann-Whitney, Friedman, Wilcoxon test and SPSS software version 16 and P<0.05.
Results: The level of high quality of life increased from 35% to 50% in the control group and from 45% to 100% in the intervention group. The comparison of the average quality of life in the pre-intervention phase in the two intervention and control groups did not show a statistically significant difference (P=0.472). Comparison of the average quality of life immediately after the intervention in the two intervention groups (59.55±2.84) and control (45.90±3.69) and one month after the intervention in the two intervention groups (60.00±2.714) and the control (45.75±3.75) showed a statistically significant difference (P=0.001). Based on the results of the present study, the average quality of life of the control group was lower than the intervention group at the end of the intervention and one month after the intervention.
Conclusion: The results of the research showed that group hope therapy is effective in improving the quality of life of elderly women with type 2 diabetes. Elderly women with diabetes learned that they can find the meaning of life even in the suffering and pain caused by the disease. The concept of hope in people causes their perspective to widen from the current difficult and suffering conditions. Increasing hope leads to happiness, peace, adaptation to the current situation, increased energy, meaningfulness, and success in life. As a result, group hope therapy can be implemented to increase the quality of life in the daily care programs of the elderly, especially women.
(Clinical Trials Registry Number: IRCT20240130060857N1)
