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Volume 12, Issue 47 (9-2013)
Abstract

This study aims to investigate the effect of cognitive-behavioral trainings on the quality of life of the patients with type 1 diabetes. For this purpose, 16 patients with type 1 diabetes, who were members of the Iranian Diabetes Society in Islamshahr, were randomly selected and divided into control and experimental groups. The subjects of the experimental group were trained in cognitive-behavioral techniques for 10 sessions, but the members of the control group were not trained. Before and after the implementation of the intervention, both groups were assessed by the Quality of Life questionnaire. The results of the analysis of covariance showed that cognitive-behavioral techniques had a significant effect on the physical and psychological dimensions of the quality of life however, no significant effect was observed on social and environmental dimensions.


Dr Fateme Khakshoorshandiz, Dr Shiva Sodagar, Dr Fgolamreza Anani, Dr Saeid Malihiazkr, Dr Asgar Zarban,
Volume 19, Issue 75 (12-2020)
Abstract

Aim: The aim of this study was to compare the effectiveness of dialectical behavior therapy and mindfulness-based cognitive therapy on cognitive components (fusion, avoidance and cognitive flexibility) and oxidative stress in women with type-2 diabetes. Methods: The research method was quasi-experimental with pre-test/post-test design and control group on 60 female patients with type-2 diabetes referred to public health centers in Birjand (Iran) during 2016. Participants in the two experimental groups (40 subjects) and one control group (20 subjects) were recruited through convenient sampling and the tests administered randomly. Data collection tools included Gilander et al. (2014) Cognitive Integration Questionnaire, Sexton and Ducas (2008) Cognitive Avoidance Questionnaire, and Dennis and Vanderwall (2010) Cognitive Flexibility Questionnaire. Also, the experimental group was presented with Fendaic (2017) Dialectical Behavior Therapy protocol, Ghahari Dialectical Behavioral Therapy (2016) and cognitive therapy based on Seagal, Williams & Tizdell (2002) mindfulness, which was not presented to the control group. Data analysis was performed using univariate and multivariate analysis of covariance. Findings: The results showed that dialectical behavior therapy, in comparison with mindfulness-based cognition therapy on reducing cognitive components, and oxidative stress and mindfulness-based cognitive therapy on thought-suppression and emotional components in patients with diabetes is effective (P <0.05). Conclusion: According to the findings, dialectical behavior therapy can be used as a complementary therapy to improve the emotional and cognitive components of diabetic patients compared to mindfulness-based cognitive therapy.
Ghaffar Nasiri Hanis, Masoud Sadeghi, Simin Gholamrezae,
Volume 20, Issue 78 (8-2021)
Abstract

Aim: The purpose of this research was to study the comparison of the effectiveness of existential, cognitive-existential, and humanistic-existential group psychotherapy on sexual satisfaction among women with type-2 diabetes. Methods: The research was a randomized controlled trial conducted through an experimental method and its experimental design included a pre-test, post-test, with two-month follow-up test with parallel experimental groups and a control group. The research sample population included women with type 2 diabetes referred to Towhid diabetes hospital during the first quarter of 2019. Thirty-two subjects were selected from this population through random sampling and assigned to the two experimental and the control group using random assignment. Data was collected using the Sexual Satisfaction Scale (Meston & Trapnell, 2005). Experimental groups' subjects participated in 9 separate 120-minute weekly groups sessions. Findings: The results of the general linear model with repeated measures test showed that interventions of cognitive-existential and humanistic-existential significantly increased sexual satisfaction compared to the control group (F= 4; P<0/05). The results also showed the greater effect of the cognitive-existential (MD= 6; P<0/05) and humanistic-existential groups (MD= 1; P<0/05) on the post-test and a greater effect of the existential group on the follow-up test (MD= 12; P<0/05). Conclusion: The application of cognitive-existential and humanistic-existential group psychotherapy to increase sexual satisfaction among women with type-2 diabetes is more effective than existential psychotherapy for successful counseling and psychotherapy.
Tayebeh Madanifar, Parisa Seyed Mousavi, Mahin Hashemipour, Mahdi Tabrizi, Majid Koohi Esfahani5,
Volume 23, Issue 89 (6-2024)
Abstract

Aim: This research was conducted with the aim of designing and validating the Mentalization promoting program for parents of a child with type 1 diabetes and investigating its effectiveness on parents' reflective Functioning and emotional-behavioral problems of the child. Methods: A mixed method was used in this research. In the qualitative part, the mentalization problems of 18 children with T1D and 22 of their parents were extracted through the analysis of interviews with the method of transcendental phenomenology, and three general themes,18 main sub-themes and 50 sub-themes were obtained. Then, based on these themes and within the framework of the concepts of mentalization theory, a program to promote the mentalization of parents with a child with type 1 diabetes was designed. After confirming the content validity based on the CVI, with a semi-experimental method and a single-subject design of the type (A-B) with different subjects, 5 parents of children with diabetes who met the criteria for entering the research, were selected with a purposeful sampling method and participated in the program. The effectiveness of this program was assessed in four phases (baseline, during intervention, after intervention and follow-up) using the Child Behavior Checklist (CBCL) and the Parental Reflective Functioning Questionnaire (PRFQ) and indicators of program goals. Then data was checked based on visual analysis indicators. Results: The final outcome of this phenomenological study is the extraction of three general themes, including the underlying factors of breakdowns in mentalizing, types of common mentalizing problems, and the consequences of breakdowns in mentalizing which became the basis for design the program to promote the mentalization of parents with a child with type 1 diabetes The results showed that the designed program, while having sufficient validity, was effective in increasing the parents reflective Functioning and reducing the emotional-behavioral problems of the child, and this effectiveness continued in the follow-up phase. Conclusion: Considering the validity of this program and its effectiveness, it is suggested that this program be widely implemented to help improve the physical and mental health of children with diabetes and their families, and also for children with other chronic diseases should also be adapted.

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