1- Shahid Beheshti State University, Tehran
2- Department of Psychology, Garmsar Branch, Islamic Azad University, Garmsar
3- Tehran Medical Sciences, Islamic Azad University, Tehran,
4- Department of Psychology, Shahrood Branch, Islamic Azad University, Shahrood
5- Rahmatian Higher Education Institute, Ramsar
Abstract: (199 Views)
Background & Objective: The prevalence of type 2 diabetes is increasing significantly worldwide and poses major concerns for public health and healthcare costs. Different types of diabetes include type 1 diabetes, type 2 diabetes, gestational diabetes, and diabetes with metabolic conditions and syndromes. Type 2 diabetes is a metabolic disorder characterized by a relative decrease in the production and function of insulin and an increase in resistance to this hormone. 90-95% of diabetics are type 2 diabetics. This type of diabetes is mostly people over 30 years old and obese. infects Increasing obesity, sedentary lifestyle and aging population are the main factors of increasing this disease. Strong measures to increase public awareness of type 2 diabetes and its risk factors are needed to prevent further spread of the disease. The present study aimed to investigate the effectiveness of positive psychotherapy on emotional self-regulation, health anxiety, and perceived social support in patients with type 2 diabetes in Tonekabon county.
Methods: This was a quasi-experimental study with a pre-test, post-test, and two-month follow-up design with a control group. The statistical population included all patients with type 2 diabetes. Based on the sample size in quasi-experimental studies (minimum 15), participants were selected by purposive sampling and randomly assigned to an experimental group and a control group (15 per group). Data collection tools included the Emotional Regulation Questionnaire by Hoffman and Kashdan (2010), the Health Anxiety Questionnaire by Salkovskis and Warwick (2002), and the Perceived Social Support Questionnaire by Zimet et al. (1988). The experimental group received eight 90-minute positive psychotherapy sessions weekly. The control group did not receive any intervention. Post-test and follow-up were conducted immediately after and two months after the intervention, respectively. Data were analyzed using repeated measures ANOVA and Bonferroni test in SPSS v.26. The significance level was set at 0.05.
Results: Results showed that the differences in pre-test to post-test and pre-test to follow-up means for emotional self-regulation, health anxiety, and perceived social support were significant in the intervention group (p<0.001). The sustained effect of positive psychotherapy was also confirmed in the experimental group at follow-up.
Conclusion: Based on the results of this research, it can be concluded that positive treatment can have a positive effect on emotional self-regulation, reducing health anxiety and increasing perceived social support in patients with type 2 diabetes in Tonkabon city. These findings are in line with previous studies that have shown the positive role of this therapeutic approach in improving the mental health and quality of life of chronic patients. Positive therapy with an emphasis on strengthening strengths, increasing positive emotions and attitudes, and teaching adaptive coping skills can Helping patients better regulate their emotions, reduce health-related worries and anxieties, and establish more effective supportive relationships. This can ultimately lead to improved disease management and increased quality of life in patients with type 2 diabetes. However, it is necessary to conduct more research in other geographic regions and population groups to determine the generalizability of these findings. Also, conducting longitudinal studies and long-term follow-ups can provide valuable information about the long-term effects of this treatment approach.