با همکاری مشترک دانشگاه پیام نور و انجمن روانشناسی اجتماعی ایران

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکترا روانشناسی دانشگاه پیام نور، تهران، ایران.

2 استاد گروه روانشناسی دانشگاه پیام نور، تهران، ایران.

3 دانشیار گروه روانشناسی دانشگاه پیام نور، تهران، ایران.

چکیده

هدف پژوهش حاضر بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد بر انعطاف پذیری شناختی، استرس ادراک شده ،کیفیت زندگی ، تبعیت از درمان و شاخص های زیستی ( A1C) در بیماران مبتلا به دیابت نوع دو بود. پژوهش حاضر از نوع نیمه آزمایشی و طرح آن به صورت دو گروه آزمایش و یک گروه کنترل همراه با سه مرحله پیش آزمون، پس آزمون و پیگیری ( دو ماهه ) بود. جامعه آماری پژوهش حاضر، شامل کلیه بیماران مبتلا به دیابت نوع دو که دارای پرونده در انجمن دیابت شهر اصفهان در سال 1398و 1399 بودند. حجم نمونه برای هر گروه 15 نفر در نظر گرفته شد. روش نمونه‌گیری به صورت هدفمند بود و افراد پس از انتخاب، به صورت تصادفی‌ در دو گروه درمان پذیرش و تعهد (15=n) و گروه کنترل (15=n) جایگزین شدند. در این پژوهش داده‌ها با استفاده از پرسشنامه خصوصیات دموگرافیک، پرسشنامه انعطاف پذیری شناختی، پرسشنامه استرس ادراک شده، پرسشنامه تبعیت درمانی، پرسشنامه کیفیت زندگی بیماران دیابتی، پرسشنامه پذیرش و عمل، ویرایش دوم و آزمایش هموگلوبین گلیکوزیله (ای. وان.سی) (HbA1c) بدست آمدند. نتایج نشان داد درمان مبتنی بر پذیرش و تعهد بر انعطاف پذیری شناختی، استرس ادراک شده ،کیفیت زندگی ، تبعیت از درمان و شاخص های زیستی ( A1C) در بیماران مبتلا به دیابت نوع دو اثربخش است.

کلیدواژه‌ها

عنوان مقاله [English]

Comparing the Effectiveness of Acceptance and Commitment Therapy (ACT) on Cognitive Flexibility, Perceived Stress , Quality of Treatment Adherence and (A1C ) in Patients of Diabetes Mellitus Type 2

نویسندگان [English]

  • saeedeh fanayi 1
  • Hosein zare 2
  • mahdieh rahmanian 3
  • Majid Safariniya 2

1 PhD student in Psychology, Payame Noor University, Tehran, Iran.

2 Professor, Department of Psychology, Payame Noor University, Tehran, Iran.

3 Associate Professor, Department of Psychology, Payame Noor University, Tehran, Iran.

چکیده [English]

The aim of this study wasCheck to the effectiveness of acceptance and commitment based therapy on cognitive flexibility, perceived stress, quality of life, adherence to treatment and biomarkers (A1C) in patients with type 2 diabetes.
The present study was a quasi-experimental study and its design was divided into two experimental groups and a control group with three stages of pre-test, post-test and follow-up (Six months). The statistical population of the present study included all patients with type 2 diabetes who had a file in the Isfahan Diabetes Association in 1398 and 1399 . The sample size was considered for each group of 15 people. The sampling method was purposive and individuals were randomly selected into two groups of acceptance and commitment therapy (n = 15), and control group (n = 15). In this study, data were used using demographic characteristics questionnaire, cognitive flexibility questionnaire, perceived stress questionnaire, adherence therapy questionnaire, quality of life questionnaire for diabetic patients, acceptance and practice questionnaire, second edition and glycosylated hemoglobin test (E.NOC). (HbA1c) were obtained. The results showed that there acceptance and commitment based therapy on cognitive flexibility, perceived stress, quality of life, adherence to treatment and biomarkers (A1C) in patients with type 2 diabetes

کلیدواژه‌ها [English]

  • Patients with Type 2 Diabetes
  • Biomarkers (A1C)
  • Cognitive Flexibility
  • Effectiveness of Acceptance and Commitment Based Therapy
- Bricker, J. B.; Copeland, W.; Mull, K. E.; Zeng, E. Y.; Watson, N. L.; Akioka, K. J. & Heffner, J. L. (2017). “Single-arm trial of the second version of an acceptance & commitment therapy smartphone application for smoking cessation”. Drug and alcohol dependence, 170, 37-42.
- Burckhardt, R.; Manicavasagar, V.; Batterham, P. J. & Hadzi-Pavlovic, D. (2016). “A randomized controlled trial of strong minds: A school-based mental health program combining acceptance and commitment therapy and positive psychology”. Journal of school psychology, 57, 41-52.
- Burton, N. W.; Pakenham, K. I. & Brown, W. J. (2010). “Feasibility and effectiveness of psychosocial resilience training: a pilot study of the READY program”. Psychology, health & medicine, 15(3), 266-277.
- Colberg, S. R.; Sigal, R. J.; Yardley, J. E.; Riddell, M. C.; Dunstan, D. W.; Dempsey, P. C.; ... & Tate, D. F. (2016). “Physical activity/exercise and diabetes: a position statement of the American Diabetes Association”. Diabetes care, 39(11), 2065-2079.
- Devlin, N. J.; Shah, K. K.; Feng, Y.; Mulhern, B. & van Hout, B. (2018). “Valuing health‐related quality of life: An EQ‐5 D‐5 L value set for E ngland”. Health economics, 27(1), 7-22.
- Dindo, L; Van Liew, J. R. & Arch, J. J. (2017). “Acceptance and commitment therapy: a transdiagnostic behavioral intervention for mental health and medical conditions”. Neurotherapeutics, 14(3), 546-553.
- Duarte, J.; Pinto-Gouveia, J. & Cruz, B. (2016). “Relationships between nurses’ empathy, self-compassion and dimensions of professional quality of life: A cross-sectional study”. International Journal of Nursing Studies, 60, 1-11.
- Edman, J. S.; Greeson, J. M.; Roberts, R. S.; Kaufman, A. B.; Abrams, D. I.; Dolor, R. J. & Wolever, R. Q. (2017). “Perceived stress in patients with common gastrointestinal disorders: associations with quality of life, symptoms and disease management”. Explore, 13(2), 124-128.
- Francis, A. W.; Dawson, D. L. & Golijani-Moghaddam, N. (2016). “The development and validation of the Comprehensive assessment of Acceptance and Commitment Therapy processes (CompACT)”. Journal of Contextual Behavioral Science, 5(3), 134-145.
- Gandhi, S.; Sangeetha, G.; Ahmed, N.; & Chaturvedi, S. K. (2014). “Somatic symptoms, perceived stress and perceived job satisfaction among nurses working in an Indian psychiatric hospital”. Asian journal of psychiatry, 12, 77-81.
- Grégoire, S.; Lachance, L.; Bouffard, T. & Dionne, F. (2018). “The use of acceptance and commitment therapy to promote mental health and school engagement in university students: A multisite randomized controlled trial”. Behavior Therapy, 49(3), 360-372.
- Hameed, M. A, & Dasgupta, I. (2019). “Medication adherence and treatment-resistant hypertension: a review”. Drugs in context, 8.
- Hancock, K. M.; Swain, J.; Hainsworth, C. J.; Dixon, A. L., Koo; S. & Munro, K. (2018). “Acceptance and commitment therapy versus cognitive behavior therapy for children with anxiety: Outcomes of a randomized controlled trial”. Journal of Clinical Child & Adolescent Psychology, 47(2), 296-311.
- Hughes, L. S.; Clark, J.; Colclough, J. A.; Dale, E. & McMillan, D. (2017). “Acceptance and commitment therapy (ACT) for chronic pain”. The Clinical journal of pain, 33(6), 552-568.
- Ivanovska, V.; Hek, K.; Mantel Teeuwisse, A. K.; Leufkens, H. G.; Nielen, M. M. & van Dijk, L. (2016). “Antibiotic prescribing for children in primary care and adherence to treatment guidelines”. Journal of Antimicrobial Chemotherapy, 71(6), 1707-1714.
- Jennings, P. A.; Brown, J. L.; Frank, J. L.; Doyle, S.; Oh, Y.; Davis, R.; ... & Greenberg, M. T. (2017). “Impacts of the CARE for Teachers program on teachers’ social and emotional competence and classroom interactions”. Journal of Educational Psychology, 109(7), 1010.
- Kamaradova, D.; Latalova, K.; Prasko, J.; Kubinek, R.; Vrbova, K.; Mainerova, B.; ... & Tichackova, A. (2016). “Connection between self-stigma, adherence to treatment, and discontinuation of medication”. Patient preference and adherence, 10, 1289.
- Keeley, R. D. & Driscoll, M. (2013). “Effects of emotional response on adherence to antihypertensive medication and blood pressure improvement”. International journal of hypertension, 2013.
- Levin, M. E.; Haeger, J. A.; Pierce, B. G. & Twohig, M. P. (2017). “Web-based acceptance and commitment therapy for mental health problems in college students: A randomized controlled trial”. Behavior Modification, 41(1), 141-162.
- Luo, X.; Wang, H.; Raithel, S. & Zheng, Q. (2015). “Corporate social performance, analyst stock recommendations, and firm future returns”. Strategic Management Journal, 36(1), 123-136.
- Marso, S. P.; Daniels, G. H.; Brown-Frandsen, K.; Kristensen, P.; Mann, J. F.; Nauck, M. A.; ... & Steinberg, W. M. (2016). “Liraglutide and cardiovascular outcomes in type 2 diabetes”. New England Journal of Medicine, 375(4), 311-322.
- Neal, B.; Perkovic, V.; Mahaffey, K. W.; De Zeeuw, D.; Fulcher, G.; Erondu, N.; ... & Matthews, D. R. (2017). “Canagliflozin and cardiovascular and renal events in type 2 diabetes”. New England Journal of Medicine, 377(7), 644-657.
- Osterberg, L, & Blaschke, T. (2005). “Adherence to medication”. New England journal of medicine, 353(5), 487-497.
- Pielech, M.; Vowles, K. E. & Wicksell, R. (2017). “Acceptance and commitment therapy for pediatric chronic pain: Theory and application”. Children, 4(2), 10.
- Rewers, M. & Ludvigsson, J. (2016). “Environmental risk factors for type 1 diabetes”. The Lancet, 387(10035), 2340-2348.
- Shawyer, F.; Farhall, J.; Thomas, N.; Hayes, S. C.; Gallop, R.; Copolov, D. & Castle, D. J. (2017). “Acceptance and commitment therapy for psychosis: randomised controlled trial”. The British Journal of Psychiatry, 210(2), 140-148.
- Stuurman, A. L.; Noordegraaf-Schouten, M. V.; van Kessel, F.; Oordt-Speets, A. M.; Sandgren, A. & van der Werf, M. J. (2016). “Interventions for improving adherence to treatment for latent tuberculosis infection: a systematic review”. BMC infectious diseases, 16(1), 257.
- Targownik, L. E.; Sexton, K. A.; Bernstein, M. T.; Beatie, B.; Sargent, M.; Walker, J. R, & Graff, L. A. (2015). “The relationship among perceived stress, symptoms, and inflammation in persons with inflammatory bowel disease”. American Journal of Gastroenterology, 110(7), 1001-1012.
- Turan, B.; Hatcher, A. M.; Weiser, S. D.; Johnson, M. O.; Rice, W. S. & Turan, J. M. (2017). “Framing mechanisms linking HIV-related stigma, adherence to treatment, and health outcomes”. American Journal of Public Health, 107(6), 863-869.
- Twohig, M. P. & Levin, M. E. (2017). “Acceptance and commitment therapy as a treatment for anxiety and depression: A review”. Psychiatric Clinics, 40(4), 751-770.
- Twohig, M. P.; Abramowitz, J. S.; Smith, B. M.; Fabricant, L. E.; Jacoby, R. J.; Morrison, K. L.; ... & Ledermann, (2018). “Adding acceptance and commitment therapy to exposure and response prevention for obsessive-compulsive disorder: A randomized controlled trial”. Behaviour Research and Therapy, 108, 1-9.
- Uysal, M.; Sirgy, M. J.; Woo, E, & Kim, H. L. (2016). “Quality of life (QOL) and well-being research in tourism”. Tourism Management, 53, 244-261.
- Wang, L.; Gao, P.; Zhang, M.; Huang, Z.; Zhang, D.; Deng, Q.; ... & Zhou, M. (2017). “Prevalence and ethnic pattern of diabetes and prediabetes in China in 2013”. Jama, 317(24), 2515-2523.
- Wersebe, H.; Lieb, R.; Meyer, A. H.; Hofer, P. & Gloster, A. T. (2018). “The link between stress, well-being, and psychological flexibility during an Acceptance and Commitment Therapy self-help intervention”. International Journal of Clinical and Health Psychology, 18(1), 60-68.
- Younossi, Z.; Park, H.; Henry, L.; Adeyemi, A. & Stepanova, M. (2016). “Extrahepatic manifestations of hepatitis C: a meta-analysis of prevalence, quality of life, and economic burden”. Gastroenterology, 150(7), 1599-1608.
- Zarling, A.; Lawrence, E. & Marchman, J. (2015). “A randomized controlled trial of acceptance and commitment therapy for aggressive behavior”. Journal of consulting and clinical psychology, 83(1), 199.