Volume 16, Issue 4 (December 2018)                   IRJ 2018, 16(4): 395-404 | Back to browse issues page


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Karimpour Vazifehkhorani A, Karimzadeh M, Poursadeghiyan M, Rahmati-Najarkolaei F. Psychoeducation on Improving Mental Health Literacy and Adjustment to Illness in Patients With Type 2 Diabetes: An Experimental Study. IRJ. 2018; 16 (4) :395-404
URL: http://irj.uswr.ac.ir/article-1-872-en.html
1- Health Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
2- Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
3- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (350 Views)
Objectives: The present study investigated the role of psychoeducation in improving mental health literacy and adaptation in patients with type 2 diabetes. 
Methods: The present study was an interventional study with pre-test, post-test and follow-up design with a control group. The study population included patients with type 2 diabetes who referred to Iran Hospital. Based on the research method and considering the missing data, a sample size of 80 people was considered. In total, 40 patients were selected as the intervention group and 40 subjects as the controls by purposeful sampling method. The subjects were randomly assigned into the two groups. The obtained data were collected by O’Connere and Casey’s mental health literacy questionnaire and psychosocial compatibility questionnaire of Moro and colleagues. The purpose of psychological education in this study, which was used as the intervention, was Cognitive Behavioral Therapy (CBT). Training was performed in a group format. Therapeutic sessions were 11 one-hour sessions. 
Results: The obtained results suggested that the effect of intervention in the  post-test phase was 57% on mental health literacy and 48% in follow-up. In addition, the effect of intervention on adjustment in the post-test phase was 39%, and in the follow-up phase 38%.
Discussion: Psychological trainings like CBT can predict the information that is more important in diabetes self-management. Increasing the mental health literacy rate for psychiatric disorders associated with type 2 diabetes, improves compatibility, which will improve the quality of life and lifestyle of people with type 2 diabetes.
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Type of Study: Original Research Articles | Subject: Psychology
Received: 2018/03/15 | Accepted: 2018/05/29 | Published: 2019/01/21

References
1. Olokoba AB, Obateru OA, Olokoba LB. Type 2 diabetes mellitus: A review of current trends. Oman Medical Journal. 2012; 27(4):269-73. [DOI:10.5001/omj.2012.68] [PMID] [PMCID] [DOI:10.5001/omj.2012.68]
2. Fox CS, Golden SH, Anderson C, Bray GA, Burke LE, De Boer IH, et al. Update on prevention of cardiovascular disease in adults with type 2 diabetes mellitus in light of recent evidence: A scientific statement from the American Heart Association and the American Diabetes Association. Circulation. 2015; 132(8):691-718. [DOI:10.1161/CIR.0000000000000230] [PMID] [DOI:10.1161/CIR.0000000000000230]
3. Stumvoll M, Goldstein BJ, van Haeften TW. Type 2 diabetes: Principles of pathogenesis and therapy. The Lancet. 2005; 365(9467):1333-46. [DOI:10.1016/S0140-6736(05)61032-X] [DOI:10.1016/S0140-6736(05)61032-X]
4. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care. 2004; 27(5):1047-53. [DOI:10.2337/diacare.27.5.1047] [PMID] [DOI:10.2337/diacare.27.5.1047]
5. Buus P, LilleĆøre SK, Larsen K. Compatibility testing of two types of pen needles with a range of injection pens for diabetes medication. Current Medical Research and Opinion. 2011; 27(3):589-92. [DOI:10.1185/03007995.2010.547574] [PMID] [DOI:10.1185/03007995.2010.547574]
6. Poursadeghiyan M, Omidi L, Hami M, Raei M, Biglari H. Drowsiness and its relation with individual characteristics among night workers in a desert hospital in Iran. International Journal of Tropical Medicine. 2016; 11(4):98-101.
7. Norris SL, Engelgau MM, Narayan KV. Effectiveness of self-management training in type 2 diabetes: A systematic review of randomized controlled trials. Diabetes Care. 2001; 24(3):561-87. [DOI:10.2337/diacare.24.3.561] [PMID] [DOI:10.2337/diacare.24.3.561]
8. Poursadeghiyan M, Moghimian M, Amjad RN, Baneshi MM, Yari AR, Noroozi M, et al. Effects on job stress on Iranian clinical nurses. Annals of Tropical Medicine and Public Health. 2017; 10(4):985-8. [DOI:10.4103/ATMPH.ATMPH_306_17] [DOI:10.4103/ATMPH.ATMPH_306_17]
9. Shahbazi A, Rahmani N, Abbasi M, Amjad RN, Marioryad H, Khammar A, et al. Association between occupational stress and risk factors of cardiovascular disease in locomotive operators. Iranian Heart Journal. 2018; 19(2):20-6.
10. Clark M, Hampson SE. Implementing a psychological intervention to improve lifestyle self-management in patients with type 2 diabetes. Patient Education and Counseling. 2001; 42(3):247-56. [DOI:10.1016/S0738-3991(00)00128-2] [DOI:10.1016/S0738-3991(00)00128-2]
11. Protheroe J, Rowlands G, Bartlam B, Levin Zamir D. Health literacy, diabetes prevention, and self-management. Journal of Diabetes Research. 2017; 2017:1298315. [DOI:10.1155/2017/1298315] [PMID] [PMCID]
12. Khandan M, Vosoughi S, Azrah K, Poursadeghiyan M, Khammar A. Decision making models and human factors: TOPSIS and Ergonomic Behaviors (TOPSIS-EB). Management Science Letters. 2017; 7(2):111-8. [DOI:10.5267/j.msl.2016.11.008] [DOI:10.5267/j.msl.2016.11.008]
13. Jorm AF. Mental health literacy: Public knowledge and beliefs about mental disorders. The British Journal of Psychiatry. 2000; 177(5):396-401. [DOI:10.1192/bjp.177.5.396] [PMID] [DOI:10.1192/bjp.177.5.396]
14. Maneze D, Everett B, Astorga C, Yogendran D, Salamonson Y. The influence of health literacy and depression on diabetes self-management: A cross-sectional study. Journal of Diabetes Research. 2016; 2016:3458969. [DOI:10.1155/2016/3458969] [PMID] [PMCID]
15. Ismail K, Winkley K, Rabe Hesketh S. Systematic review and meta-analysis of randomised controlled trials of psychological interventions to improve glycaemic control in patients with type 2 diabetes. The Lancet. 2004; 363(9421):1589-97. [DOI:10.1016/S0140-6736(04)16202-8] [DOI:10.1016/S0140-6736(04)16202-8]
16. Egede LE, Ellis C, Grubaugh AL. The effect of depression on self-care behaviors and quality of care in a national sample of adults with diabetes. General Hospital Psychiatry. 2009; 31(5):422-7. [DOI:10.1016/j.genhosppsych.2009.06.007] [PMID] [DOI:10.1016/j.genhosppsych.2009.06.007]
17. O'Connor M, Casey L. The Mental Health Literacy Scale (MHLS): A new scale-based measure of mental health literacy. Psychiatry Research. 2015; 229(1-2):511-6. [DOI:10.1016/j.psychres.2015.05.064] [PMID] [DOI:10.1016/j.psychres.2015.05.064]
18. Morrow GR, Chiarello RJ, Derogatis LR. A new scale for assessing patients' psychosocial adjustment to medical illness. Psychological Medicine. 1978; 8(4):605-10. [DOI:10.1017/S003329170001881X] [PMID] [DOI:10.1017/S003329170001881X]
19. Feghhi H, Saadatjoo S, Dastjerdi R, Kalantari S, Alidousti M. [The effect of a training program based on roy's adaptation model on psychosocial adaptation in patients with type II diabetes in Birjand, Iran (Persian)]. Jurnal of Zabol University of Medical Sciences and Health Services. 2014; 10(4):249-256.
20. Lorig KR, Sobel DS, Stewart AL, Brown Jr BW, Bandura A, Ritter P, et al. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: A randomized trial. Medical Care. 1999; 37(1):5-14. [DOI:10.1097/00005650-199901000-00003] [PMID] [DOI:10.1097/00005650-199901000-00003]
21. Michael SR. Integrating chronic illness into one's life: A phenomenological inquiry. Journal of Holistic Nursing. 1996; 14(3):251-67. [DOI:10.1177/089801019601400307] [PMID] [DOI:10.1177/089801019601400307]
22. Rapley P. Adapting to diabetes: Metabolic control and psychosocial variables. The Australian Journal of Advanced Nursing. 1990; 8(2):41-7. [PMID]
23. Lernmark B, Persson B, Fisher L, Rydelius PA. Symptoms of depression are important to psychological adaptation and metabolic control in children with diabetes mellitus. Diabetic Medicine. 1999; 16(1):14-22. [DOI:10.1046/j.1464-5491.1999.00008.x] [PMID] [DOI:10.1046/j.1464-5491.1999.00008.x]
24. van Bastelaar KM, Pouwer F, Cuijpers P, Twisk JW, Snoek FJ. Web-based Cognitive Behavioural Therapy (W-CBT) for diabetes patients with co-morbid depression: Design of a randomised controlled trial. BMC Psychiatry. 2008; 8:9. [DOI:10.1186/1471-244X-8-9] [PMID] [PMCID] [DOI:10.1186/1471-244X-8-9]
25. Davazdah Emamy M, Roshan R, Mehrabi A, Attari A. [The effectiveness of cognitive-behavioral stress management training on glycemic control and depression in patients with type 2 diabetes (Persian)]. Iranian Journal of Endocrinology and Metabolism. 2009; 11 (4):385-92.
26. Peyrot M, Rubin RR. Behavioral and psychosocial interventions in diabetes: A conceptual review. Diabetes Care. 2007; 30(10):2433-40. [DOI:10.2337/dc07-1222] [PMID] [DOI:10.2337/dc07-1222]
27. Tol A, Azam K, Esmaeil Shahmirzadi S, Shojaeizadeh D, Mohebbi B, Asfia A, et al. [Relation between empowerment of diabetes control and adoption of self-management behaviors and its related factors among type 2 diabetic patients (Persian)]. Razi Journal of Medical Sciences. 2012; 19(98):11-18.
28. Petrak F, Herpertz S. Treatment of depression in diabetes: An update. Current Opinion in Psychiatry. 2009; 22(2):211-7. [DOI:10.1097/YCO.0b013e3283207b45] [PMID] [DOI:10.1097/YCO.0b013e3283207b45]
29. Sommaruga M, Spanevello A, Migliori GB, Neri M, Callegari S, Majani G. The effects of a cognitive behavioural intervention in asthmatic patients. Monaldi Archives for Chest Disease. 1995; 50(5):398-402. [PMID]

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