The Effectiveness of Dialectical Behavior Therapy on Self-Coherence, Anger and Aggressive Behavior and Quality of Life of Teachers with Type 2 Diabetes in Isfahan City
Subject Areas :
Keyvan Toghraei
1
,
Maryam Kadkhodaei
2
1 - M. A in Educational Psychology, Department of Psychology, Mobarakeh Branch, Islamic Azad University, Isfahan, Iran.
2 - Assistant Professor, Department of Psychology, Mobarakeh Branch, Islamic Azad University, Isfahan, Iran
Keywords: Dialectical Behavior Therapy, Self-Coherence, Anger, Aggression, Quality of Life, Type 2 Diabetes Patients, Teachers,
Abstract :
The purpose of the present study was to investigate the effectiveness of dialectical behavior therapy on self-coherence, anger, aggressive behavior, and quality of life of teachers with type 2 diabetes in Isfahan City. Method: The research method was semi-experimental with pre-test and post-test. The statistical population included all teachers with type 2 diabetes in Isfahan City, and using the Purposive sampling method, 30 teachers with type 2 diabetes were selected randomly in two groups (15 people in the experimental group and 15 people in the control group) were included. The data collection tools included Ghorbani et al Self-Consistency Questionnaire (2008), Buss and Perry's Aggression Questionnaire (1992), and the World Health Organization's Quality of Life Questionnaire (1996). To analyze the data, statistical methods of multivariate analysis of covariance were used.
Results: Based on the effect size values, the effect of dialectical behavior therapy on self-coherence, anger, aggressive behavior, and quality of life of teachers with type 2 diabetes is 0.73, 0.27, 0.23, and 0.71, respectively.
Conclusion: The results of this research can be taken into consideration to improve the mental health of type 2 diabetic patients in counseling and education centers
انصاری، مجتبی؛ شمس اسفندآبادی، حسن؛ و محکمی، محمد. (1390). تأثیر آموزش مهارت کنترل خشم و مدیریت استرس بر سطح گلوکز خون افراد مبتلا به دیابت. سلامت و روانشناسی، 1(3)، 60-47.
تاوریس، کارول. (1397). روانشناسی خشم. ترجمه احمد تقی پور و سعید درودی. تهران: دایره.
خاکشور شاندیز، مسعود.، شهابی زاده، مریم.، آهی، نرگس.، و مجاهدی، فاطمه.(1400) بررسی اثربخشی رفتاردرمانی دیالکتیکی بر استرس و انعطاف‌پذیری شناختی زنان مبتلا به دیابت نوع 2 . مجله پزشکی ارومیه، 2(4)، 102-89.
سعیدی، ابوطالب؛ جبل عاملی، شیدا؛ گرجی، یوسف؛ و ابراهیمی، امراله. (1400). اثربخشی درمان شناختی رفتاری بر ادراک بیماری و سرمایه روان‌شناختی بیماران مبتلا به دیابت نوع دو. نشریه علمی روانشناسی اجتماعی، 9(59)، 100-87.
گوردن شیتز، ملانی. (1399). رفتاردرمانی دیالکتیکی برای تنظیم هیجان‌ها و رفتارهای ناشی از آن. ترجمه شیرین ایزدی و مهناز غیاثی. تهران: ارجمند.
محدث شکوری گنجوی، لیلا؛ احدی، حسن ؛ جمهری، فرهاد؛ خلعتبری، جواد. (1400). اثربخشی درمان مبتنی بر پذیرش و تعهد بر کبفیت زندگی در زنان مبتلا به دیابت نوع 2. فصلنامه روان شناسی تحلیلی-شناختی. 12( 47)، 11-1
محمدی، الهام. (1401). بررسی اثربخشی رفتاردرمانی دیالکتیک بر پرخاشگری، افسردگی، توحید یافتگی، کنترل هیجانی و کیفیت زندگی زنان و مردان مصرف‌کننده مواد مخدر صنعتی. پایان‌نامه دکتری دانشگاه آزاد تهران.
معمار، افسانه. (1401). بررسی اثربخشی رفتاردرمانی دیالکتیک بر خشم، تنفر و پرخاشگری نوجوانان دارای رفتارهای بزهکاری. پایان‌نامه کارشناسی ارشد روانشناسی، دانشگاه تهران.
منتظری، مریم؛ سلطانی زاده، محمد؛ و لطیفی، زهره. (1400). اثربخشی درمان شناختی ـ رفتاری بر اضطراب ناشی از تزریق انسولین در کودکان و نوجوانان مبتلابه دیابت نوع یک. مطالعات روانشناسی بالینی، 11(42)، 165-145.
نجمی، بدالدین؛ احدی، حسن؛ دلاور، علی؛ و هاشمی پور، مهین. (1386). اثربخشی درمان روان‌شناختی چند جنبه‌ای بر بهبود پایبندی به درمان پزشکی در نوجوانان مبتلا به دیابت نوع یک. تحقیقات علوم رفتاری، 5(2 (پیاپی 10))، 137-127.
Bandura, A. (2005). The evolution of social cognitive theory. In K. G. Smith & M. A. Hitt (Eds.) Great Minds in Management (pp. 9-35). Oxford: University Press.
Beck, J., Greenwood, D. A., Blanton, L., Bollinger, S. T., Butcher, M. K., Condon, J. E., Cypress, M., Faulkner, P., Fischl, A. H., Francis, T., Kolb, L. E., Lavin-Tompkins, J. M., MacLeod, J., Maryniuk, M., Mensing, C., Orzeck, E. A., Pope, D. D., Pulizzi, J. L., Reed, A. A., Rhinehart, A. S., Siminerio, L., & Wang, J. (2021). National Standards for Diabetes Self-Management Education and Support. Sci Diabetes Self Manag Care, Feb, 47(1), 14-29. https://DOI: 10.1177/0145721720987926.
Buss, A. H., & Perry, M. P. (2005). The aggression questionnaire. Journal of Personality and Social Psychology, 63, 452-59.
Cano-Vindel, A., MuñozNavarro, R., Moriana, J. A., Ruiz-Rodríguez, P., Medrano, L. A., & González-Blanch, C. (2021). Transdiagnostic group cognitive behavioural therapy for emotional disorders in primary care: the results of the PsicAP randomized controlled trial. Psychological Medicine, 1–13.
Chen, S. M., Creedy, D., Lin, H. S., & Wollin, J. (2012). Effects of motivational interviewing intervention on selfmanagement,psychological and glycemic outcomes in type 2 diabetes: a randomized controlled trial.International journal of nursing studies, 49(6), 637-644.
Davis, J., Fischl, A. H., Beck, J., Browning, L., Carter, A., Condon, J. E., Dennison, M., Francis, T., Hughes, P. J., Jaime, S., Lau, K. H. K., McArthur, T., McAvoy, K., Magee, M., & Newby, O. (2022). Ponder SW, Quraishi U, Rawlings K, Socke J, Stancil M, Uelmen S, Villalobos S. 2022 National Standards for Diabetes Self-Management Education and Support. Sci Diabetes Self Manag Care, 48(1), 44-59. https://DOI: 10.1177/26350106211072203. Epub 2022 Jan 20. PMID: 35049403.
Eustis, E. H., Hayes-Skelton, S. A., Roemer, L., & Orsillo, S. M. (2017). Reductions in experiential avoidance as a mediator of change in symptom outcome and quality of life in acceptance-based behavior therapy and applied relaxation for generalized anxiety disorder. Behav. Res, 87, 188–195.
Gasol, X., Navarro-Haro, M. V., Fernández-Felipe, I., García-Palacios, A., Suso-bera, C., & Gasol-Colomina, M. (2022). Preventing Emotional Dysregulation: Acceptability and Preliminary Effectiveness of a DBT Skills Training Program for Adolescents in the Spanish School System. Int. J Environ. Res. Public Health, 19, 494. https://DOI.org/10.3390/ijerph19010494.
Ghorbani, N., Cunningham, C. J. L., Watson, P. J. (2010). Comparative analysis of integrative self-knowledge, mindfulness, and private selfconsciousness in predicting responses to stress in Iran. International Journal of Psychology, 45: 147-154.
Goff, L. M., Moore, A., Harding, S., & Rivas, C. (2020). Providing culturally sensitive diabetes self-management education and support for black African and Caribbean communities: a qualitative exploration of the challenges experienced by healthcare practitioners in inner London. BMJ Open Diabetes Res Care, 8(2), e001818. https://DOI: 10.1136/bmjdrc-2020-001818. PMID: 33293296; PMCID: PMC7725076.
Hessler, D., Fisher, L., Glasgow, R. E., Strycker, L. A., Dikinson, L.M., Arean, P.A., & Mashrani, U. (2014). Reductions in Regimen Distress Are Associated With Improved Management and Glycemic Control Over Time. Diabetes Care, 37(3), 617-624.
Jeong, Y. J., Nho, J. H., Kim, H. Y., & Kim, J. Y. (2021). Factors Influencing Quality of Life in Early Postpartum Women. Int. J. Environ. Res. Public Health, 18, 2988-2998. https://DOI.org/10.3390/ijerph18062988.
Kamp, K. J., Luo, Z., Holmstrom, A., Given, B., & Wyatt, G. (2019). Self-management through social support among emerging adults with inflammatory bowel disease. Nursing.
Liu, H., Dou, K., Yu, C., Nie, Y., & Zheng, X. (2021). The Relationship between Peer Attachment and Aggressive Behavior among Chinese Adolescents: The Mediating Effect of Regulatory Emotional Self-Efficacy. Int. J. Environ. Res. Public Health, 18, 7123. https://DOI.org/10.3390/ ijerph18137123.
Martínez, R. R., Marraccini, M., Knotek, S., Neshkes, R., & Vanderburg, J. (2021). Effects of dialectical behavioral therapy skills training for emotional problem solving for adolescents (DBT STEPS-A) program of rural ninth-grade students. Sch. Men. Health.
Narindrarangkura, P., Boren, S. A., Khan, U., Day, M., Simoes, E. J., & Kim, M. S. (2022). SEE-Diabetes, a patient-centered diabetes self-management education and support for older adults: Findings and information needs from patients' perspectives. Prim Care Diabetes, 16(3), 395-403. https://DOI: 10.1016/j.pcd.2022.02.008.
Papamarkou, M., Sarafis, P., Kaite, C. P., Malliarou, M., Tsounis, A., & Niakas, D. (2017). Investigation of the association between quality of life and depressive symptoms during postpartum period: A correlational study. BMC Womens Health, 17, 115.
Van Dijk. S. (2013). DBT Made Simple: A Step-by-Step Guide to Dialectical Behavior Therapy (The New Harbinger Made Simple Series). Oakland: New Harbinger Publications.
Wen, M. J., Maurer, M., Schwerer, L., Sarkarati, N., Egbujor, U. M., Nordin, J., Williams, S. D., Liu, Y., & Shiyanbola, O. (2022). Perspectives on a Novel Culturally Tailored Diabetes Self-Management Program for African Americans: A Qualitative Study of Healthcare Professionals and Organizational Leaders. Int J Environ Res Public Health, 19(19), 12814. https://DOI: 10.3390/ijerph191912814. PMID: 36232115; PMCID: PMC9566600.
Xie, S., & Li, H. (2022). Self-regulation mediates the relations between family factors and preschool readiness. Early Childhood Research Quarterly, 59, 32-49. https://DOI.org/10.1016/j.ecresq.2021.10.005
