Research code: 1194860396442731400162353939
Ethics code: IR.IAU.ARDABIL.REC.1400.044
1- Ardabil Islamic Azad University
Abstract: (852 Views)
Abstract
Background & Objectives: Diabetes is a progressive and chronic metabolic disorder. Type 2 diabetes is the result of the body's Ineffective use from Insulin that emotions play an important role in controlling this disease.. Studies related to emotion regulation in previous studies have focused more on the relationship between emotion regulation components and approaches to mental health and less effectiveness has been addressed and this vacuum is more evident in diabetes. The aim of this study was to investigate the effectiveness of emotion regulation training on hypoglycemia fear and experiential avoidance in type 2 diabetic patients.
Methods: The present study was a semi-experimental study with a pre-test design with control group. The statistical population of this study included 1250 type 2 diabetic patients covered by the Charity Association for the Protection of Diabetic Patients in 1400 in Tehran. Among them, 40 eligible volunteer patients were selected by purposeful sampling method and considering inclusion criteria and were randomly assigned to experimental and control groups. . The instruments used in this study were Cox et al. fear of hypoglycemia scale (1987), which has 28 items, the validity coefficient of the original version of this questionnaire was reported to be 0.85 for the whole questionnaire and the reliability coefficient by retesting method was 0.76 (21). And the experiential Avoidance Questionnaire (Gamz et al. 2011) had 62 questions and six components. Cronbach's alpha coefficients from 0.91 to 0.95 and correlation of this instrument with commitment and action questionnaire (r=0.74) were reported as an indicator of appropriate validity (23). The experimental group participated in eight sessions for one and a half hours, training the emotion regulation program based on Gross's model, but the control group did not receive any intervention (26).
Results: Data were analyzed using Analysis Of Covariance (ANCOVA( in SPSS22 software. The results of data analysis showed that emotion regulation training reduced the fear of hypoglycemia and experimental avoidance of diabetic patients in the experimental group compared to the control group (p<0.001). By pre-test control, the significant levels of all tests indicate that there is a significant difference between type 2 diabetic patients in the experimental group and at least one of the variables of hypoglycemia fear, experiential avoidance(p<0.001). The effect or difference is equal to )0.87(. In other words, emotional regulation training according to the mean fear of hypoglycemia, experiential avoidance of type 2 diabetes in the experimental group compared to the mean of the control group in the post-test stage has reduced the fear of hypoglycemia, experiential avoidance of type 2 diabetic patients in the experimental group. The effect or difference rate for fear of hypoglycemia, experiential avoidance was 0.74 and 0.78, respectively.In other words, 74% and 78% of individual differences in post-test scores of hypoglycemia fear and experiential avoidance in type 2 diabetic patients are related to the effect of emotional regulation training
Conclusion: With regards to the results, it can be concluded that group emotion regulation training reduces the fear of hypoglycemia and experiential avoidance in diabetic patients. Emotion regulation training teaches people to evaluate diabetes with a different view, change the severity of their emotional reactions and feel sufficient to control emotions, and thus experience less discomfort, fear and stress (32). The results also showed that emotion regulation training has a significant effect on reducing experiential avoidance in type 2 diabetic patients. According to zabet , Karami and Yazdan bakhsh (2021) emotion regulation training had a significant effect on reducing experiential avoidance (33). Overall, the results indicate the effectiveness of emotion regulation training on improving and controlling the fear of hypoglycemia and reducing experiential avoidance. Therefore, it is recommended to reduce the fear of hypoglycemia and reduce experiential avoidance and to be considered in designing psychological therapies for patients with diabetes.
Keywords: emotion regulation training, fear of hypoglycemia, experiential avoidance, Type 2 Diabetes
Background & Objectives: Diabetes is a progressive and chronic metabolic disorder. Type 2 diabetes is the result of the body's Ineffective use from Insulin that emotions play an important role in controlling this disease.. Studies related to emotion regulation in previous studies have focused more on the relationship between emotion regulation components and approaches to mental health and less effectiveness has been addressed and this vacuum is more evident in diabetes. The aim of this study was to investigate the effectiveness of emotion regulation training on hypoglycemia fear and experiential avoidance in type 2 diabetic patients.
Methods: The present study was a semi-experimental study with a pre-test design with control group. The statistical population of this study included 1250 type 2 diabetic patients covered by the Charity Association for the Protection of Diabetic Patients in 1400 in Tehran. Among them, 40 eligible volunteer patients were selected by purposeful sampling method and considering inclusion criteria and were randomly assigned to experimental and control groups. . The instruments used in this study were Cox et al. fear of hypoglycemia scale (1987), which has 28 items, the validity coefficient of the original version of this questionnaire was reported to be 0.85 for the whole questionnaire and the reliability coefficient by retesting method was 0.76 (21). And the experiential Avoidance Questionnaire (Gamz et al. 2011) had 62 questions and six components. Cronbach's alpha coefficients from 0.91 to 0.95 and correlation of this instrument with commitment and action questionnaire (r=0.74) were reported as an indicator of appropriate validity (23). The experimental group participated in eight sessions for one and a half hours, training the emotion regulation program based on Gross's model, but the control group did not receive any intervention (26).
Results: Data were analyzed using Analysis Of Covariance (ANCOVA( in SPSS22 software. The results of data analysis showed that emotion regulation training reduced the fear of hypoglycemia and experimental avoidance of diabetic patients in the experimental group compared to the control group (p<0.001). By pre-test control, the significant levels of all tests indicate that there is a significant difference between type 2 diabetic patients in the experimental group and at least one of the variables of hypoglycemia fear, experiential avoidance(p<0.001). The effect or difference is equal to )0.87(. In other words, emotional regulation training according to the mean fear of hypoglycemia, experiential avoidance of type 2 diabetes in the experimental group compared to the mean of the control group in the post-test stage has reduced the fear of hypoglycemia, experiential avoidance of type 2 diabetic patients in the experimental group. The effect or difference rate for fear of hypoglycemia, experiential avoidance was 0.74 and 0.78, respectively.In other words, 74% and 78% of individual differences in post-test scores of hypoglycemia fear and experiential avoidance in type 2 diabetic patients are related to the effect of emotional regulation training
Conclusion: With regards to the results, it can be concluded that group emotion regulation training reduces the fear of hypoglycemia and experiential avoidance in diabetic patients. Emotion regulation training teaches people to evaluate diabetes with a different view, change the severity of their emotional reactions and feel sufficient to control emotions, and thus experience less discomfort, fear and stress (32). The results also showed that emotion regulation training has a significant effect on reducing experiential avoidance in type 2 diabetic patients. According to zabet , Karami and Yazdan bakhsh (2021) emotion regulation training had a significant effect on reducing experiential avoidance (33). Overall, the results indicate the effectiveness of emotion regulation training on improving and controlling the fear of hypoglycemia and reducing experiential avoidance. Therefore, it is recommended to reduce the fear of hypoglycemia and reduce experiential avoidance and to be considered in designing psychological therapies for patients with diabetes.
Keywords: emotion regulation training, fear of hypoglycemia, experiential avoidance, Type 2 Diabetes
Keywords: emotion regulation training, fear of hypoglycemia, experiential avoidance, Type 2 Diabetes
Type of Study: Original Research Article |
Subject:
Psychology
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