تعطیلات نوروزی مجله- ضمن تبریک فرارسیدن بهار و شروع سال جدید به اطلاع میرساند این نشریه از تاریخ ۲۵ اسفندماه ۱۴۰۲ لغایت ۱۳ فروردین ۱۴۰۳ تعطیل می باشد.

Volume 10 -                   MEJDS (2020) 10: 151 | Back to browse issues page

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Ghorbani M, Borjali M, Ahadi H. The Effects of Mindfulness-Based Cognitive-Behavioral Therapy on Psychological Wellbeing, Hope, and Quality of Life in Patients With Type 2 Diabetes. MEJDS 2020; 10 :151-151
URL: http://jdisabilstud.org/article-1-2146-en.html
1- Department of Psychology, Kish International Branch, Islamic Azad University
2- Department of Clinical Psychology, Kharazmi University
3- Department of Psychology, Karaj Branch, Islamic Azad University
Abstract:   (1551 Views)
Background & Objectives: Diabetes consists of a group of metabolic diseases. The incidence of diabetes disrupts the regular flow of life and affects individuals’ Quality of Life (QoL) in various dimensions. Therefore, improving the patients’ QoL is essential for numerous therapists, including psychologists. Psychological wellbeing is a psychological component of QoL, i.e., defined as individuals’ perception of their lives respecting emotional behaviors and mental functions, and mental health dimensions. Hope also significantly impacts stressful life events. It is necessary to assist individuals with diabetes to solve problems related to their condition, by recognizing the factors affecting psychological wellbeing, hope, and QoL; these elements can be improved by various approaches. The present study aimed to determine the effects of Mindfulness-Based Cognitive-Behavioral Therapy (MBCBT) on psychological wellbeing, hope, and QoL in patients with diabetes.
Methods: This was a quasi-experimental study with a pretest-posttest-follow-up and a control group design. The statistical population of the study included patients with type 2 diabetes referring to medical centers and the Tehran Diabetes Association, in 2019. The sample size of the present study was measured by Cohen's table to determine the sample size in experimental studies, and by considering the effect size of 0.7, test power of 0.91, and the significance level of 0.05; the minimum sample size for each group was 15 subjects. Considering sample dropout, 20 individuals were allocated per group. The study samples were selected by convenience sampling method and participated voluntarily in this research. They were randomly divided into two groups of MBCBT and control (n=15/group). The inclusion criteria were having type 2 diabetes with physician approval for ≥1 year, the age range of 20-50 years, having a minimum-cycle education, not receiving psychological treatment since diagnosis, the lack of acute or chronic medical diseases, like epilepsy and skeletal conditions (based on medical records), and not having severe mental illnesses (based on the diagnosis of a clinical psychologist). Severe complications of diabetes, leading to hospitalization (based on the diagnosis of a physician), absence from >2 treatment sessions, and major stresses caused by unconceived accidents were also considered as the exclusion criteria. MBCBT protocol was performed in eight 90-minute sessions (one weekly session) based on Kabat-Zinn’s (2011) training package. The required data were collected using the Ryff Psychological Well-Being Scale (1989), the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) (1996), and the Hope Scale (Schneider, 1991); then, they were analyzed by repeated-measures Analysis of Variance (ANOVA) in SPSS. The significance level of the tests was considered 0.05.
Results: ANOVA data regarding the QoL were significant for the intra-group factor (time) (p<0.001), and the inter-group factor (p<0.045). Besides, ANOVA results concerning psychological wellbeing was significant for intra-group (time) (p<0.001) and inter-group (p<0.019) factors. Moreover, ANOVA data on hope was significant for intra-group (time) (p<0.001), and inter-group (p<0.001) factors. The posttest scores of QoL in the experimental group were higher than those of the pretest (p<0.001). Furthermore, the follow-up QoL scores were significantly different from those of the pretest stage (p<0.001). There was no significant difference between the scores of the posttest and follow-up stages (p=0.105). The results also suggested that psychological wellbeing posttest scores in the experimental group were higher than those of the pretest step (p<0.001). Additionally, psychological wellbeing follow-up values were significantly different from the pretest stage (p<0.001). There was no significant difference between the scores of the posttest and follow-up stages (p=0.804). The obtained results revealed that hope posttest scores in the experimental group were higher than those of the pretest (p<0.001); hope follow-up values were significantly different from those of the pretest stage (p<0.001). There was no significant difference between the scores of the posttest and follow-up stages (p=0.804).
Conclusion: The present study findings suggested the effectiveness of MBCBT on psychological wellbeing, hope, and QoL in patients with type 2 diabetes.
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Type of Study: Original Research Article | Subject: Psychology

References
1. Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical activity/exercise and diabetes: a position statement of the american diabetes association. Diabetes Care. 2016;39(11):2065–79. [DOI]
2. American Diabetes Association. Executive summary: standards of medical care in diabetes--2014. Diabetes Care. 2014;37(Supplement_1):S5–13. [DOI]
3. Polonsky WH, Hessler D, Ruedy KJ, Beck RW, DIAMOND Study Group. the impact of continuous glucose monitoring on markers of quality of life in adults with type 1 diabetes: further findings from the DIAMOND randomized clinical trial. Diabetes Care. 2017;40(6):736–41. [DOI]
4. Dawson AZ, Walker RJ, Campbell JA, Egede LE. Effect of perceived racial discrimination on self-care behaviors, glycemic control, and quality of life in adults with type 2 diabetes. Endocrine. 2015;49(2):422–8. [DOI]
5. Silverstein MP, Miller JA, Xiao R, Lubelski D, Benzel EC, Mroz TE. The impact of diabetes upon quality of life outcomes after lumbar decompression. Spine J. 2016;16(6):714–21. [DOI]
6. Cefalu WT, Kaul S, Gerstein HC, Holman RR, Zinman B, Skyler JS, et al. cardiovascular outcomes trials in type 2 diabetes: where do we go from here? reflections from a diabetes care editors’ expert forum. Diabetes Care. 2018;41(1):14–31. [DOI]
7. Landon BE, Zaslavsky AM, Souza J, Ayanian JZ. Trends in diabetes treatment and monitoring among medicare beneficiaries. J Gen Intern Med. 2018;33(4):471–80. [DOI]
8. Hofmann M, Dack C, Barker C, Murray E. The impact of an internet-based self-management intervention (help-diabetes) on the psychological well-being of adults with type 2 diabetes: a mixed-method cohort study. J Diabetes Res. 2016;2016:1476384. [DOI]
9. Washington ED, Williams AE. An exploratory phenomenological study exploring the experiences of people with systemic disease who have undergone lower limb amputation and its impact on their psychological well-being. Prosthet Orthot Int. 2016;40(1):44–50. [DOI]
10. Kuyken W, Warren FC, Taylor RS, Whalley B, Crane C, Bondolfi G, et al. Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse: an individual patient data meta-analysis from randomized trials. JAMA Psychiatry. 2016;73(6):565–74. [DOI]
11. Parsons CE, Crane C, Parsons LJ, Fjorback LO, Kuyken W. Home practice in Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction: A systematic review and meta-analysis of participants’ mindfulness practice and its association with outcomes. Behav Res Ther. 2017;95:29–41. [DOI]
12. Noordali F, Cumming J, Thompson JL. Effectiveness of Mindfulness-based interventions on physiological and psychological complications in adults with diabetes: A systematic review. J Health Psychol. 2017;22(8):965–83. [DOI]
13. Tovote KA, Fleer J, Snippe E, Peeters ACTM, Emmelkamp PMG, Sanderman R, et al. Individual mindfulness-based cognitive therapy and cognitive behavior therapy for treating depressive symptoms in patients with diabetes: results of a randomized controlled trial. Diabetes Care. 2014;37(9):2427–34. [DOI]
14. Askari M, Radmehr H, Mohammadi H, Jahangir Amir H. The effectiveness of mindfulness-based cognitive therapy on increasing the quality of life and reducing psychological symptoms in patients with Multiple Sclerosis. J Isfahan Med Sch. 2017;34(410):1487–95. [Persian] [Article]
15. Langer ÁI, Schmidt C, Mayol R, Díaz M, Lecaros J, Krogh E, et al. The effect of a mindfulness-based intervention in cognitive functions and psychological well-being applied as an early intervention in schizophrenia and high-risk mental state in a Chilean sample: study protocol for a randomized controlled trial. Trials. 2017 25;18(1):233. [DOI]
16. Ryff CD. In the eye of the beholder: views of psychological well-being among middle-aged and older adults. Psychol Aging. 1989 Jun;4(2):195–201. [DOI]
17. World Health Organization, Division of Mental Health. WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment: field trial version [Internet]. World Health Organization; 1996. Availble from: [Article]
18. Snyder CR, Harris C, Anderson JR, Holleran SA, Irving LM, Sigmon ST, et al. The will and the ways: development and validation of an individual-differences measure of hope. J Pers Soc Psychol. 1991;60(4):570–85. [DOI]
19. Bayani AA, Mohammad Koochekya A, Bayani A. Reliability and validity of Ryff’s psychological well-being scales. Iranian Journal of Psychiatry and Clinical Psychology. 2008;14(2):146-51. [Article]
20. Yousefy AR, Usefy AR, Ghassemi GR, Sarrafzadegan N, Mallik S, Baghaei AM, et al. Psychometric properties of the WHOQOL-BREF in an Iranian adult sample. Community Ment Health J. 2010;46(2):139–47. [DOI]
21. Shehni Yailagh MS, Kianpour Ghahfarokhi F, Maktabi GH, Samavi A, Neasi A. Reliability and validity of the hope scale in the Iranian Students. J Life Sci Biomed. 2012;4(2):125–8.
22. Kabat-Zinn J. Some reflections on the origins of MBSR, skillful means, and the trouble with maps. Contemporary Buddhism. 2011;12(1):281–306. [DOI]

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