@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2017;23(4):311-317
ISSN: 2252-0805 The Horizon of Medical Sciences 2017;23(4):311-317
Role of Mediating Sense of Coherence in Relationship between Duration and Number of Physical Complications of Diabetes with Mental Health in Patients with Type 2 Diabetes Mellitus
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Hoseyni M. (1)Abdkhodai M.S. (*)
Aghamohammadian Sherbaf H.R. (1)
(*) Psychology Department, Educational Sciences & Psychology Faculty, Ferdowsi University of Mashhad, Mashhad, Iran
(1) Psychology Department, Educational Sciences & Psychology Faculty, Ferdowsi University of Mashhad, Mashhad, Iran
Correspondence
Address: Psychology Department, Educational Sciences & Psychology Faculty, Ferdowsi University of Mashhad, Imam Reza Street, Mashhad, IranPhone: +98 (51) 38803696
Fax: +98 (51) 38807338
abdkhoda@ferdowsi.um.ac.ir
Article History
Received: December 27, 2016Accepted: August 3, 2017
ePublished: September 28, 2017
ABSTRACT
Aims
Diabetes, as a common metabolic disease, can have significant
psychological consequences and cause problems in daily life. The purpose of
this study was to investigate the mediator role of sense of coherence in the
relationship between duration and number of physical complications of
diabetes with mental health in patients with type 2 diabetes mellitus.
Materials & Methods In this descriptive-correlational study, 150 patients with type 2 diabetes mellitus referred to Parsian Diabetes Clinic of Mashhad in 2015 were selected using available sampling. Data were collected using a checklist of demographic information and physical complications of diabetes, Sense of Coherence Scale (SOD) and General Health Questionnaire (GHQ). Data were analyzed by Lisrel and SPSS 18 softwares, using Pearson correlation coefficient and path analysis method
Findings The duration of disease, the number of physical complications of diabetes and the lack of mental health had a negative and significant correlation with the sense of coherence. There was a positive and significant correlation between duration and number of physical complications of diabetes mellitus with mental health problems (p<0.01). The proposed model was good-fitting model. The indirect effect of duration and number of physical complications of diabetes mellitus on mental health was greater than their direct effect (p<0.05).
Conclusion Sense of coherence as a mediator in the relationship between duration of disease and number of physical complications with mental health in type 2 diabetic patients plays an important role in controlling the physical and psychological complications of diabetes.
Materials & Methods In this descriptive-correlational study, 150 patients with type 2 diabetes mellitus referred to Parsian Diabetes Clinic of Mashhad in 2015 were selected using available sampling. Data were collected using a checklist of demographic information and physical complications of diabetes, Sense of Coherence Scale (SOD) and General Health Questionnaire (GHQ). Data were analyzed by Lisrel and SPSS 18 softwares, using Pearson correlation coefficient and path analysis method
Findings The duration of disease, the number of physical complications of diabetes and the lack of mental health had a negative and significant correlation with the sense of coherence. There was a positive and significant correlation between duration and number of physical complications of diabetes mellitus with mental health problems (p<0.01). The proposed model was good-fitting model. The indirect effect of duration and number of physical complications of diabetes mellitus on mental health was greater than their direct effect (p<0.05).
Conclusion Sense of coherence as a mediator in the relationship between duration of disease and number of physical complications with mental health in type 2 diabetic patients plays an important role in controlling the physical and psychological complications of diabetes.
CITATION LINKS
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[13]Behrouz B, Bavali F, Heidarizadeh N, Farhad M. The effectiveness of acceptance and commitment therapy on psychological symptom,coping styles and quality of life in patients with type 2 diabetes. J Health. 2016;7(2):236-53. [Persian]
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[15]Miller A, Dishon S. Health-related quality of life in multiple sclerosis: The impact of disability, gender and employment status, Qual Life Res. 2006;15(2):259-71.
[16]- Heshmati H, Behnampour N, Khorasani F, Moghadam Z. Prevalence of chronic complications of diabete and its related factors in referred type 2 diabetes patients in Freydonkenar diabetes center. J Neyshabur Univ Med Sci. 2014;1(1):36-43. [Persian]
[17]Sardar MA, Boghrabadi V, Sohrabi M, Aminzadeh R, Jalalian M. The effects of aerobic exercise training on psychosocial aspects of men with type 2 diabetes mellitus. Glob J Health Sci. 20146(2):196-202.
[18]Amiri Z, Yazdanbakhsh K. Comparison of coping styles and mental health in patients with type ii diabetes and non-diabetic individuals. J Diabetes Nurs. 2014;2(3):20-8. [Persian]
[19]Sabri Narzadeh R, Abdkhodaei MS, Tabibi Z. Study of causal relationship between sense of coherence, psychological hardiness, coping strategies and mental health. Res Psychol Health. 2012;6(1):26-35. [Persian]
[20]Flensburg-Madsen T, Vetegodt S, Merrick J. Why is Antonovsky's sense of coherence not correlated to physical health? Analysing Antonovsky's 29-item Sense of Coherence Scale (SOC-29). ScientificWorldJournal. 2005;5:767-76.
[21]Eriksson M, Lindstrom B, Lilija J. A sense of coherence and health .Salutogenesis in a social context: Aland, a special case?. J Epidemiol Community Health. 2007;61(8):684-8.
[22]American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010;33(Suppl 1):S62-9.
[23]Sadeghie Ahari S, Arshi S, Iranparvar M, Amani F, Siahpoosh H. The effect of complications of type II diabetes on patients, quality of life. J Ardabil Univ Med Sci. 2008;8(4):394-402. [Persian]
[24]Tavakoli khormizi S, Hamedinia M, Amiri Parsa T, Khademosharie M, Azarnive MS. Comparison the effect of two periods of aerobic training and one period of detraining on the quality of life and mental health of women with diabetes type 2. Horizone Med Sci. 2015;21(3):205-12. [Persian]
[25]Schmitz N, Gariépy G, Smith KJ, Clyde M, Malla A, Boyer R, et al. Recurrent subthreshold depression in type 2 diabetes: An important risk factor for poor health outcomes. Diabetes Care. 2014;37(4):970-8.
[26]Togari T, Yamazaki Y, Sasaki T, Yamaki CK, Nakayama K. Follow-up study on the effects of sense of coherence on well-being after two years in Japanese university undergraduate students. Personal Individ Differ. 2002;44(6):1335-47.
[27]Antonovsky A. Unraveling the mystery of health: How people manage stress and stay well (Jossey Bass Social and Behavioral Science Series). 1st edition. Sanfrancisco: Jossey-Bass Press; 1987. pp. 122-5.
[28]Krantz G, Ostergren PO. Does it make sense in a coherent way? Determinants of sense of coherence in Swedish women 40 to 50 years of age. Int J Behav Med. 2004;11(1):18-26.
[29]Aghayousefi AR, Mozaffari K, Sharif N, Sepasi M. Reliability and validity of the ‘‘personal well-being index- cognitive disability’’ on mentally retarded students. Iran J Psychiatry. 2013;8(2):68-72.
[2]Morowatisharifabad MA, Rouhani Tonekaboni N. The relationship between perceived benefits/barriers of self-care behaviors and self management in diabetic patients. Hayat. 2007;13(1):17-26. [Persian]
[3]- Ateshza F, Ebrahimi N, Khazaee N. Internal Medicine Surgery 2. Tehran: Boshra Press; 2007. [Persian]
[4]Snoek FJ, van der Ven NC, Twisk JW, Hogenelst MH, Tromp-Wever AM, van der Ploeg HM, et al. Cognitive behavioural therapy (CBT) compared with blood glucose awareness training (BGAT) in poorly controlled Type 1 diabetic patients: long-term effects on HbA moderated by depression. A randomized controlled trial. Diabetes Med. 2008;25(11):1337-42.
[5]Snoek FJ, Skinner TC. Psychological aspects of diabetes management. Medicine. 2006;34(2):61-2.
[6]Rubin RR, Peyrot M. Quality of life and diabetes. Diabetes Metab Res Rev. 1999;15(3):205-18.
[7]Sullivan GC. Towards clarification of convergent concepts: Sense of coherence, will to meaning locus of control, learned helplessness and hardiness. J Adv Nurs. 1993;18(11):1772-8.
[8]Aghayousefi AR, Sharif N. Correlation between psychological well-being and sense of coherence in the student of Islamic Azad University-Central Tehran Branch. Pejouhandeh. 2011;15(6):273-9. [Persian]
[9]Antonovsky A. The structure and properties of the sense of coherence scale. Soc Sci Med. 1993;36(6):725-33.
[10]Bosworth HB, Bastian LA, Rimer BK, Siegler IC. Coping style and personality domains related to menopausal stress. Women Health Issues. 2003;13(1):32-8.
[11]Sadeghi Movahed F, Molavi P, Sharghi A, Narimani M, Mohammadnia H, Deilami P, et al. The study of coping style and mental health relationships in Diabetes patients. J Fundam Ment Health. 2010;12(2):480-7. [Persian]
[12]Cobden DS, Niessen LW, Barr CE, Rutten FF, Redekop WK. relationships among selfmanagement, patient perceptions of care, and health economic outcomes for decision-making and clinical practice in type 2 diabetes. Value Health. 2010;13(1):138-47.
[13]Behrouz B, Bavali F, Heidarizadeh N, Farhad M. The effectiveness of acceptance and commitment therapy on psychological symptom,coping styles and quality of life in patients with type 2 diabetes. J Health. 2016;7(2):236-53. [Persian]
[14]Pfaffenberger N, Pfeiffer KP, Deibl M, Höfer S, Günther V, Ulmer H. Association of factors influencing health-related quality of life in MS. Acta Neurol Scand. 2006;114(2):102-8.
[15]Miller A, Dishon S. Health-related quality of life in multiple sclerosis: The impact of disability, gender and employment status, Qual Life Res. 2006;15(2):259-71.
[16]- Heshmati H, Behnampour N, Khorasani F, Moghadam Z. Prevalence of chronic complications of diabete and its related factors in referred type 2 diabetes patients in Freydonkenar diabetes center. J Neyshabur Univ Med Sci. 2014;1(1):36-43. [Persian]
[17]Sardar MA, Boghrabadi V, Sohrabi M, Aminzadeh R, Jalalian M. The effects of aerobic exercise training on psychosocial aspects of men with type 2 diabetes mellitus. Glob J Health Sci. 20146(2):196-202.
[18]Amiri Z, Yazdanbakhsh K. Comparison of coping styles and mental health in patients with type ii diabetes and non-diabetic individuals. J Diabetes Nurs. 2014;2(3):20-8. [Persian]
[19]Sabri Narzadeh R, Abdkhodaei MS, Tabibi Z. Study of causal relationship between sense of coherence, psychological hardiness, coping strategies and mental health. Res Psychol Health. 2012;6(1):26-35. [Persian]
[20]Flensburg-Madsen T, Vetegodt S, Merrick J. Why is Antonovsky's sense of coherence not correlated to physical health? Analysing Antonovsky's 29-item Sense of Coherence Scale (SOC-29). ScientificWorldJournal. 2005;5:767-76.
[21]Eriksson M, Lindstrom B, Lilija J. A sense of coherence and health .Salutogenesis in a social context: Aland, a special case?. J Epidemiol Community Health. 2007;61(8):684-8.
[22]American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010;33(Suppl 1):S62-9.
[23]Sadeghie Ahari S, Arshi S, Iranparvar M, Amani F, Siahpoosh H. The effect of complications of type II diabetes on patients, quality of life. J Ardabil Univ Med Sci. 2008;8(4):394-402. [Persian]
[24]Tavakoli khormizi S, Hamedinia M, Amiri Parsa T, Khademosharie M, Azarnive MS. Comparison the effect of two periods of aerobic training and one period of detraining on the quality of life and mental health of women with diabetes type 2. Horizone Med Sci. 2015;21(3):205-12. [Persian]
[25]Schmitz N, Gariépy G, Smith KJ, Clyde M, Malla A, Boyer R, et al. Recurrent subthreshold depression in type 2 diabetes: An important risk factor for poor health outcomes. Diabetes Care. 2014;37(4):970-8.
[26]Togari T, Yamazaki Y, Sasaki T, Yamaki CK, Nakayama K. Follow-up study on the effects of sense of coherence on well-being after two years in Japanese university undergraduate students. Personal Individ Differ. 2002;44(6):1335-47.
[27]Antonovsky A. Unraveling the mystery of health: How people manage stress and stay well (Jossey Bass Social and Behavioral Science Series). 1st edition. Sanfrancisco: Jossey-Bass Press; 1987. pp. 122-5.
[28]Krantz G, Ostergren PO. Does it make sense in a coherent way? Determinants of sense of coherence in Swedish women 40 to 50 years of age. Int J Behav Med. 2004;11(1):18-26.
[29]Aghayousefi AR, Mozaffari K, Sharif N, Sepasi M. Reliability and validity of the ‘‘personal well-being index- cognitive disability’’ on mentally retarded students. Iran J Psychiatry. 2013;8(2):68-72.