Volume 2, Issue 2 (Spring 2018)                   2018, 2(2): 65-70 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Hor M, Aghaei A, Abedi A, Golparvar M. Effect of Combined Treatment Package (ACT-based healthy ‎lifestyle) with Mindfulness-based Therapy on Self-care and ‎Glycated hemoglobin in Patients with Diabetes Mellitus, Type 2‎. Islamic Life Style. 2018; 2 (2) :65-70
URL: http://islamiclifej.com/article-1-181-en.html
1- Psychology Department, Psychology & Educational Sciences Faculty, Isfahan (Khorasgan) Branch, ‎Islamic Azad University, Isfahan, Iran ‎
2- Psychology Department, Psychology & Educational Sciences Faculty, Isfahan (Khorasgan) Branch, ‎Islamic Azad University, Isfahan, Iran‎ , aghaeipsy@gmail.com
3- Psychology Department, Psychology Faculty, Isfahan University, Isfahan, Iran
4- Psychology Department, Psychology & Educational Sciences Faculty, Isfahan (Khorasgan) Branch, ‎Islamic Azad University, Isfahan, Iran
Abstract:   (5487 Views)
Aims: Diabetes is a disease that in case of coexisting with low self-care, its severity and complications may increase. The aim of the present study was to determine the effect of combined treatment package (Acceptance and commitment therapy-based healthy lifestyle) with mindfulness-based therapy on self-care and glycated hemoglobin (A1C) in patients with diabetes mellitus, type 2.
Materials and Methods: The present research, which was conducted in 2017, is a pretest-posttest quasi-experimental study consisting of 2 intervention groups and 1 control group. Firstly, 45 women with diabetes mellitus, type 2 in Isfahan were chosen as the research sample and randomly divided into intervention and control groups. Self-care scale and glycated hemoglobin test were considered as the research instruments. The patients in combined therapy group were treated during 12 three-hour sessions and patients in mindfulness-based therapy group were treated during 10 two-hour sessions. Finally, the data were analyzed by the repeated measures ANOVA and Bonferroni post hoc test, using SPSS 21 software.
Findings: There was a significant difference between intervention and control groups with respect to self-care. There was a significant difference between ACT-based healthy lifestyle group with mindfulness-based therapy and control group, and there was a significant difference between the mindfulness-based therapy and control group. In terms of A1C, there was a significant difference between intervention and control groups. ACT-based healthy lifestyle group had a significant difference with mindfulness-based therapy group and control group, but there was no significant difference between mindfulness-based therapy and control group.
Conclusion: ACT-based healthy lifestyle can improve the self-care and decrease glycated hemoglobin in patients with diabetes mellitus, type 2 and it is more effective than the mindfulness-based therapy (standard therapy).
Full-Text [PDF 464 kb]   (1252 Downloads)    
Type of Study: Research | Subject: Special
Received: 2017/11/6 | Published: 2018/04/18

1. Bahrami M, Dehdashti A, Karami M. Investigation depression prevalence and related effective factors among students at health faculty Semnan University of Medical Sciences in 2017, Iran. Zanko J Med Sci. 2017; 18(58):24-32. [Persian] [Link]
2. Li Z, Li B, Song X, Zhang D. Dietary zinc and iron intake and risk of depression: A meta-analysis. Psychiatry Res. 2017 May;251:41-47. [Link] [DOI:10.1016/j.psychres.2017.02.006]
3. Montazeri A, Mousavi SJ, Omidvari S, Tavousi M, Hashemi A, Rostami T. Depression in Iran: A systematic review of the literature (2000-2010). Payesh. 2013;12(6):567-94. [Link]
4. Moayedoddin B, Rubovszky G, Mammana L, Jeannot E, Sartori M, Garin N, et al., Prevalence and clinical characteristics of the DSM IV major depression among general internal medicine patients. Eur J Intern Med. 2013;24(8):763-6. [Persian] [Link] [DOI:10.1016/j.ejim.2013.05.016]
5. Sadeghirad B, Haghdoost AA, Amin-Esmaeili M, Ananloo ES, Ghaeli P, Rahimi-Movaghar A, et al. Epidemiology of major depressive disorder in Iran: A systematic review and meta-analysis. Int J Prev Med. 2010;1(2):81-91. [Persian] [Link]
6. -Rastgari MK, Moradi O. Efficacy of narrative therapy in reducing depressive symptoms in women20 to40yearsin Sanandaj. Shenakht J Psychol Psychiatry. 2014;1(2):47-57. [Persian] [Link]
7. Schaakxs R, Comijs HC, Lamers F, Beekman AT, Penninx BW. Age-related variability in the presentation of symptoms of major depressive disorder. Psychol Med. 2017;47(3):543-52. [Link] [DOI:10.1017/S0033291716002579]
8. Kessler RC, Berglund P, Demler O, Jin R, Koretz D, Merikangas KR, et al. The epidemiology of major depressive disorder: Results from the National Comorbidity Survey Replication (NCS-R). JAMA. 2003;289(23):3095-105. [Link] [DOI:10.1001/jama.289.23.3095]
9. Johansson R, Carlbring P, Heedman Å, Paxling B, Andersson G. Depression, anxiety and their comorbidity in the Swedish general population: Point prevalence and the effect on health-related quality of life. PeerJ. 2013;1:e98. [Link] [DOI:10.7717/peerj.98]
10. D'Avanzato C, Martinez J, Attiullah N, Friedman M, Toba C, Boerescu DA, et al. Anxiety symptoms among remitted depressed outpatients: Prevalence and association with quality of life and psychosocial functioning. J Affect Disord. 2013;151(1):401-4. [Link] [DOI:10.1016/j.jad.2013.06.040]
11. Serretti A, Chiesa A, Calati R, Sentissi O, Akimova E, Kasper S, et al., Family history of major depression and residual symptoms in responder and non-responder depressed patients. Compr Psychiatry. 2014;55(1):51-5. [Link] [DOI:10.1016/j.comppsych.2013.08.002]
12. Ishak WW, Ha K, Kapitanski N, Bagot K, Fathy H, Swanson B, et al. The impact of psychotherapy, pharmacotherapy, and their combination on quality of life in depression. Harv Rev Psychiatry. 2011;19(6):277-89. [Link] [DOI:10.3109/10673229.2011.630828]
13. Zilcha-Mano S, Dinger U, McCarthy KS, Barrett MS, Barber JP. Changes in well-being and quality of life in a randomized trial comparing dynamic psychotherapy and pharmacotherapy for major depressive disorder. J Affect Disord. 2014;152-154:538-42. [Link] [DOI:10.1016/j.jad.2013.10.015]
14. Connell J, O'Cathain A, Brazier J. Measuring quality of life in mental health: Are we asking the right questions?. Soc Sci Med. 2014;120:12-20. [Link] [DOI:10.1016/j.socscimed.2014.08.026]
15. Trivedi MH, Rush AJ, Wisniewski SR, Warden D, McKinney W, Downing M, et al. Factors associated with health-related quality of life among outpatients with major depressive disorder: A STAR*D report. J Clin Psychiatry. 2006;67(2):185-95. [Link] [DOI:10.4088/JCP.v67n0203]
16. Gore-Felton C, Koopman C, Spiegel D, Vosvick M, Brondino M, Winningham A. Effects of quality of life and coping on depression among adults living with HIV/AIDS. J Health Psychol. 2006;11(5):711-29. [Link] [DOI:10.1177/1359105306066626]
17. Hsiao YJ. Pathways to mental health-related quality of life for parents of children with autism spectrum disorder: Roles of parental stress, children's performance, medical support, and neighbor support. Res Autism Spectr Disord. 2016;23:122-30. [Link] [DOI:10.1016/j.rasd.2015.10.008]
18. Sousa KH, Kwok OM. Putting Wilson and Cleary to the test: Analysis of a HRQOL conceptual model using structural equation modeling. Qual Life Res. 2006;15(4):725-37. [Link] [DOI:10.1007/s11136-005-3975-4]
19. So WK, Marsh G, Ling WM, Leung FY, Lo JC, Yeung M, et al. Anxiety, depression and quality of life among Chinese breast cancer patients during adjuvant therapy. Eur J Oncol Nurs. 2010;14(1):17-22. [Link] [DOI:10.1016/j.ejon.2009.07.005]
20. Kang KA, Im JI, Kim HS, Kim SJ, Song MK, Sim S. The effect of logotherapy on the suffering, finding meaning, and spiritual well-being of adolescents with terminal cancer. J Korean Acad Child Health Nurs. 2009;15(2):136-44. [Link] [DOI:10.4094/jkachn.2009.15.2.136]
21. Majerníková Ľ, Obročníková A. Relationship between the quality of life and the meaning of life in cancer patient. Nurs 21st Century (Pielegniarstwo XXI wieku). 2017;16(2):13-7. [Link] [DOI:10.1515/pielxxiw-2017-0012]
22. Ang RP, Jiaqing O. Association between caregiving, meaning in life, and life satisfaction beyond 50 in an Asian sample: Age as a moderator. Soc Indicat Res. 2012;108(3):525-34. [Link] [DOI:10.1007/s11205-011-9891-9]
23. Hedayati M, Khazaei M. An investigation of the relationship between depression, meaning in life and adult hope. Procedia Soc Behav Sci. 2014;114:598-601. [Link] [DOI:10.1016/j.sbspro.2013.12.753]
24. Ariely D, Kamenica E, Prelec D. Man's search for meaning: The case of Legos. J Econ Behav Organ. 2008;67(3-4):671-7. [Link] [DOI:10.1016/j.jebo.2008.01.004]
25. Somov PG. Meaning of life group: Group application of logotherapy for substance use treatment. J Spec Group Work. 2007;32(4):316-45. [Link] [DOI:10.1080/01933920701476664]
26. Steger MF, Mann JR, Michels P, Cooper TC. Meaning in life, anxiety, depression, and general health among smoking cessation patients. J Psychosom Res. 2009;67(4):353-8. [Link] [DOI:10.1016/j.jpsychores.2009.02.006]
27. Kiang L, Fuligni AJ. Meaning in life as a mediator of ethnic identity and adjustment among adolescents from Latin, Asian, and European American backgrounds. J Youth Adolesc. 2010;39(11):1253-64. [Link] [DOI:10.1007/s10964-009-9475-z]
28. Jim HS, Andersen BL. Meaning in life mediates the relationship between social and physical functioning and distress in cancer survivors. Br J Health Psychol. 2007;12(Pt 3):363-81. [Link] [DOI:10.1348/135910706X128278]
29. Blackburn L, Owens GP. The effect of self efficacy and meaning in life on posttraumatic stress disorder‏ and depression severity among veterans. J Clin Psychol. 2015;71(3):219-28. [Link] [DOI:10.1002/jclp.22133]
30. Soponaru C, Muraru D, Iorga M. Meaning in life and sources of meaning, depression and quality of life in patients on hemodialysis. Studia Universitatis Babes-Bolyai, Philosophia. 2016;61(3):59-67. [Link]
31. Morgan JH. What to do when there is nothing to do: The psychotherapeutic value of meaning therapy in the treatment of late life depression. Health Cult Soc. 2013;5(1):324-30. [Link] [DOI:10.5195/HCS.2013.126]
32. Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, et al. Meaning-centered group psychotherapy for patients with advanced cancer: A pilot randomized controlled trial. Psychooncology. 2010;19(1):21-8. [Link] [DOI:10.1002/pon.1556]
33. Haghighi F, Khodaei S, Sharifzadeh GR. Effect of logotherapy group counseling on depression in breast cancer patients. Mod Care J. 2013;9(3):165-72. [Persian] [Link]
34. Nikpour M, Abedian Z, Mokhber N, Ebrahimzadeh S, Khani S. Comparison of quality of life in women after vaginal delivery and cesarean section. J Babol Univ Med Sci. 2011;13(1):44-50. [Persian] [Link]
35. Hicks JA, Trent J, Davis WE, King LA. Positive affect, meaning in life, and future time perspective: An application of socioemotional selectivity theory. Psychol Aging. 2012;27(1):181-9. [Link] [DOI:10.1037/a0023965]
36. Maltby J, Day L. Religious orientation, religious coping and appraisals of stress: Assessing primary appraisal factors in the relationship between religiosity and psychological well-being. Personal Individ Differ. 2003;34(7):1209-24. [Link] [DOI:10.1016/S0191-8869(02)00110-1]
37. Liégeois A. Quality of life without spirituality? A theological reflection on the quality of life of persons with intellectual disabilities. J Disabil Relig. 2014;18(4):303-17. [Link] [DOI:10.1080/23312521.2014.966466]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2022 CC BY-NC 4.0 | Islamic Life Journal

Designed & Developed by : Yektaweb