@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2017;23(2):135-140
ISSN: 2252-0805 The Horizon of Medical Sciences 2017;23(2):135-140
Acceptance and Commitment Based Therapy on Disease Perception and Psychological Capital in Patients with Type II Diabetes
ARTICLE INFO
Article Type
Original ResearchAuthors
Baghban Baghestan A. (1)Aerab Sheibani Kh. (*)
Javedani Masrur M. (2)
(*) Psychology Department, Humanities Faculty, Payam-e-Noor University, Tehran, Iran
(1) Psychology Department, Humanities Faculty, Payam-e-Noor University, Tehran, Iran
(2) Obstetrics & Gynecology Department, Medicine Faculty, Iran University of Medical Sciences, Tehran, Iran
Correspondence
Address: Humanities Faculty, Payam-E-Noor University, Alghadir Square, Ferdows City, South Khorasan, Iran. Postal Code: 9771853144Phone: +98 (56) 32721800
Fax: +98 (56) 32727999
shakiba_a_shaibani@yahoo.com
Article History
Received: May 19, 2016Accepted: December 20, 2016
ePublished: March 25, 2017
ABSTRACT
Aims
As a prevalent metabolic disease, diabetes can be followed by severe mental outcomes leading to problems affecting the daily life. The aim of the study was to determine the effects of acceptance and commitment-based intervention on illness perception and psychological capital in persons with type II diabetes.
Materials & Methods In the controlled pretest-posttest semi-experimental study, 34 patients with type II diabetes were studied in the Diabetes Clinic of Chamran Hospital of Ferdows City in 2015. The subjects, selected via available sampling method, were randomly divided into two groups including control (n=17 persons) and experimental (n=17 persons) groups. Data was collected by short illness perception questionnaire (IPQ) and Luthans’ psychological capital questionnaire (PCQ). Eight 60-minute acceptance and commitment-base intervention sessions were weekly conducted in experimental group. Data was analyzed by SPSS 18 software using descriptive statistics and covariance analysis test.
Findings The pretest score having been adjusted, the acceptance and commitment-based intervention significantly increases the scores of illness perception and its sub-scales (p=0.0001) except the personal control sub-scale. In addition, it significantly increases the scores of the psychological capital and its sub-scales (p=0.0001) in patients with type II diabetes.
Conclusion The acceptance and commitment-based intervention can considerably improve the illness perception and the psychological capital in persons with type II diabetes.
Materials & Methods In the controlled pretest-posttest semi-experimental study, 34 patients with type II diabetes were studied in the Diabetes Clinic of Chamran Hospital of Ferdows City in 2015. The subjects, selected via available sampling method, were randomly divided into two groups including control (n=17 persons) and experimental (n=17 persons) groups. Data was collected by short illness perception questionnaire (IPQ) and Luthans’ psychological capital questionnaire (PCQ). Eight 60-minute acceptance and commitment-base intervention sessions were weekly conducted in experimental group. Data was analyzed by SPSS 18 software using descriptive statistics and covariance analysis test.
Findings The pretest score having been adjusted, the acceptance and commitment-based intervention significantly increases the scores of illness perception and its sub-scales (p=0.0001) except the personal control sub-scale. In addition, it significantly increases the scores of the psychological capital and its sub-scales (p=0.0001) in patients with type II diabetes.
Conclusion The acceptance and commitment-based intervention can considerably improve the illness perception and the psychological capital in persons with type II diabetes.
CITATION LINKS
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[13]Scharloo M, Kaptein AA, Weinman J, Bergman W, Vermeer BJ, Roojimans HG. Patient illness perceptions and coping as predictors of functional status in psoriasis: A 1 year follow up. Br J Dermatol. 2000;142(5):899-907.
[14]Luthans F. The need for and meaning of positive organizational behavior. J Organ Behav. 2002;23(6):695-706.
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[16]Erez A, Judge TA. Relationship of core self-evaluations to goal setting, motivation, and performance. J Appl Psychol. 2001;86(6):1270-9.
[17]Judge TA, Bono JE. Relationship of core self-evaluations traits –self-esteem, generalized self-efficacy, locus of control, and emotional stability–with job satisfaction and job performance: A meta-analysis. J Appl Psychol. 2001;86(1):80-92.
[18]Parker CP, Baltes BB, Young SA, Huff JW, Altmann RA, Lacost HA, et al. Relationships between psychological climate perceptions and work outcomes: A meta-analytic review. J Organ Behav. 2003;24(4):389-416.
[19]Creed PA, Machin M, Hicks R. Improving mental health status and coping abilities for long-term unemployed youth using cognitive-behavior therapy based training interventions. J Organ Behav. 1999;20(6):963-78.
[20]Robbins S, Waters-Marsh T, Caccioppe R, Millet B. Organisational behaviour. Australia: Pretince Hall; 1994.
[21]Killgore WD, Kahn-Greene ET, Lipizzi EL, Newman RA, Kamimori GH, Balkin TJ. Sleep deprivation reduces perceived emotional intelligence and constructive thinking skills. Sleep Med. 2008;9(5):517-26.
[22]Rajabi S, Yazdkhasti F. The effectiveness of acceptance and commitment group therapy on anxiety and depression in women with MS who were referred to the MS Association. J Clin Psychol. 2014;6(1):29-39. [Persian]
[23]Hayes SC, Luoma JB, Bond FW, Frank WB, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behav Res Ther. 2006;44(1):1-25.
[24]Hoffman BM, Papas RK, Chatkoff DK, Kerns RD. Meta-analysis of psychological interventions for chronic low back pain. Health Psychol. 2007;26(1):1-9.
[25]Uman LS. Systematic review and meta-analysis. J Can Acad Child Adolesc Psychiatry. 2011;20(1):57-9.
[26]Masuda A, Tully EC. The role of mindfulness and psychological flexibility insomatization, depression, anxiety, and general psychological distress in a nonclinical college sample. J Evid Based Complement Altern Med. 2012;17(1):66-71.
[27]Vowles KE, McCracken LM. Acceptance and values-based action in chronic pain: A study of treatment effectiveness and process. J Consul Clin Psychol. 2008;76(3):397-407.
[28]Wicksell RK, Ahlqvist J, Bring A, Melin L, Olsson GL. Can exposure strategies improve functioning and life satisfaction in people with chronic pain and whiplash-associated disorders (WAD0? a randomized controlled trial. Cogn Behav Ther. 2008;37(3):169-82.
[29]Jourdain RL, Dulin PL. “Giving It Space” a case study examining acceptance and commitment therapy for health anxiety in an older male previously exposed to nuclear testing. Clin Case Stud. 2009;8(3):210-25.
[30]Johnston M, Foster M, Shennan J, Starkey N, Johnson A. The effectiveness of an acceptance and commitment therapy self-help intervention for chronic pain. Clin J Pain. 2010;26(5):393-402.
[31]Hor M, Aghaei A, Abedi A, Attari A. The effectiveness of acceptance and commitment therapy on depression in patients with type 2 diabetes. J Res Behav Sci 2013;11(2):121-8. [Persian]
[32]Borg W, Gall M, Gall J. Quantitative and qualitative research methods in Psychology. Nasr AR, Areyzi HR, Abolqasemi M, Pakseresht MJ, Kiamanesh AR, Bagheri Kh, et al, translators. Tehran: Samt Publication; 2015.
[33]Bardbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. J Psychosom Res. 2006;60(6):631-7.
[34]Bazzazian S, Besharat MA, Bahrami Ehsan H, Rajab A. The Moderating Role of Coping Strategies in Relationship Between Illness Perception, Quality of Life and HbA1c in Patients with Type I Diabetes. Iran J Endocrinol Metab. 2010;12(3):213-21. [Persian]
[35]Luthans F, Avolio B, Avey J, Norman S. Positive psychological capital: Measurement and relationship with performance and satisfaction. Person Psychol. 2007;60(3):138-46.
[36]Hashemi Nosratabad T, Babapour Khairuddin J, Bahadari Khosroshahi J. Role of psychological capital in psychological wellbeing by considering the moderating effects of social capital. Soc Psychol Res. 2012;1(4):123-44. [Persian]
[37]Abedi MR, Izadi R. Acceptance and commitment therapy. 4th edition. Tehran: Jangal Press; 2015. [Persian]
[38]Eifert GH, Heffner M. The effects of acceptance versus control contexts on avoidance of panic-related symptoms. J Behav Ther Exp Psychiatry. 2003;34(3-4):293-312.
[39]Hayes SC, Masuda A, Bissett RT, Luoma J, Guerrero LF. DBT, FAP and ACT: How empirically oriented are the new behavior therapy technologies?. Behav Ther. 2004;35(1):35-54.
[2]Van Dijk SE, Pols AD, Adriaanse MC, Bosmans JE, Elders PJ, van Marwijk HW, et al. Costeffectivenessof a stepped-care intervention to prevent major depression in patients with type 2 diabetes mellitus and/or coronary heart disease and subthreshold depression: design of a cluster-randomized controlled trial. BMC Psychiatry. 2013;13:128.
[3]Azimi H, Yekkeh Fallah L, Ghorbani A. Comparing effects of walking and yoga exercise on quality of life in patients with type 2 diabetes. Prev Care Nurs Midwifery J. 2015;5(1):46-58.
[4]Sharma M, Knowlden AP. Role of yoga in preventing and controlling type 2 diabetes mellitus. J Evid Based Complement Altern Med. 2012;17(2):88-95.
[5]Azimi-Nezhad M, Ghayour-Mobarhan M, Parizadeh MR, Safarian M, Esmaeili H, Parizadeh SM, et al. Prevalence of type 2 diabetes mellitus in Iran and its relationship with gender, urbanisation, education, marital status and occupation. Singapore Med J. 2008;49(7):571-6.
[6]Innes KE, Vincent HK. The influence of yoga-based programs on risk profiles in adults with type 2 diabetes mellitus: A systematic review. Evid Based Complement Alternat Med. 2007;4(4):469-86.
[7]Graham JE, Stoebner-May DG, Ostir GV, Snih SA, Peek MK, Markides K, et al. Health related quality of life in older Mexican Americans with diabetes: A cross-sectional study. Health Qual Life Outcomes. 2007;5:39.
[8]Lee JR, Kim SA, Yoo JW, Kang YK. The present status of diabetes education and the role recognition as a diabetes educator of nurses in Korea. Diabetes Res Clin Pract. 2007;77(Suppl 1):S199-204.
[9]Afshar H, Bagherian Sararodi R, Foroozandeh N, Khorramian N, Daghaghzadeh H, Marasy MR, et al. The Relationship between illness perception and symptom severity in patients with Irritable bowel syndrome. J Isfahan Med Sch. 2011:29(137):526-36. [Persian]
[10]van Ittersum MW, van Wilgen CP, Hilberdink WK, Groothoff JW, van der Schans CP. Illness perception inpatients with fibromyalgia. Patient Educ Couns. 2009;74(1):53-60.
[11]Dennison L, Moss-Morris R, Chalder T. A review of psychological correlates of adjustment in patients with multiple sclerosis. Clin Psychol Rev. 2009;29(2):141-53.
[12]Clarke D, Goosen T. The mediating effects of coping strategies in the relationship between automatic negative thoughts and depression in a clinical sample of diabetes patients. Personal Individ Differ. 2009;46(4): 460-4.
[13]Scharloo M, Kaptein AA, Weinman J, Bergman W, Vermeer BJ, Roojimans HG. Patient illness perceptions and coping as predictors of functional status in psoriasis: A 1 year follow up. Br J Dermatol. 2000;142(5):899-907.
[14]Luthans F. The need for and meaning of positive organizational behavior. J Organ Behav. 2002;23(6):695-706.
[15]Wood SE, Wood EG. The world of psychology. 2nd edition. USA: Allyn and Bacon; 1996.
[16]Erez A, Judge TA. Relationship of core self-evaluations to goal setting, motivation, and performance. J Appl Psychol. 2001;86(6):1270-9.
[17]Judge TA, Bono JE. Relationship of core self-evaluations traits –self-esteem, generalized self-efficacy, locus of control, and emotional stability–with job satisfaction and job performance: A meta-analysis. J Appl Psychol. 2001;86(1):80-92.
[18]Parker CP, Baltes BB, Young SA, Huff JW, Altmann RA, Lacost HA, et al. Relationships between psychological climate perceptions and work outcomes: A meta-analytic review. J Organ Behav. 2003;24(4):389-416.
[19]Creed PA, Machin M, Hicks R. Improving mental health status and coping abilities for long-term unemployed youth using cognitive-behavior therapy based training interventions. J Organ Behav. 1999;20(6):963-78.
[20]Robbins S, Waters-Marsh T, Caccioppe R, Millet B. Organisational behaviour. Australia: Pretince Hall; 1994.
[21]Killgore WD, Kahn-Greene ET, Lipizzi EL, Newman RA, Kamimori GH, Balkin TJ. Sleep deprivation reduces perceived emotional intelligence and constructive thinking skills. Sleep Med. 2008;9(5):517-26.
[22]Rajabi S, Yazdkhasti F. The effectiveness of acceptance and commitment group therapy on anxiety and depression in women with MS who were referred to the MS Association. J Clin Psychol. 2014;6(1):29-39. [Persian]
[23]Hayes SC, Luoma JB, Bond FW, Frank WB, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behav Res Ther. 2006;44(1):1-25.
[24]Hoffman BM, Papas RK, Chatkoff DK, Kerns RD. Meta-analysis of psychological interventions for chronic low back pain. Health Psychol. 2007;26(1):1-9.
[25]Uman LS. Systematic review and meta-analysis. J Can Acad Child Adolesc Psychiatry. 2011;20(1):57-9.
[26]Masuda A, Tully EC. The role of mindfulness and psychological flexibility insomatization, depression, anxiety, and general psychological distress in a nonclinical college sample. J Evid Based Complement Altern Med. 2012;17(1):66-71.
[27]Vowles KE, McCracken LM. Acceptance and values-based action in chronic pain: A study of treatment effectiveness and process. J Consul Clin Psychol. 2008;76(3):397-407.
[28]Wicksell RK, Ahlqvist J, Bring A, Melin L, Olsson GL. Can exposure strategies improve functioning and life satisfaction in people with chronic pain and whiplash-associated disorders (WAD0? a randomized controlled trial. Cogn Behav Ther. 2008;37(3):169-82.
[29]Jourdain RL, Dulin PL. “Giving It Space” a case study examining acceptance and commitment therapy for health anxiety in an older male previously exposed to nuclear testing. Clin Case Stud. 2009;8(3):210-25.
[30]Johnston M, Foster M, Shennan J, Starkey N, Johnson A. The effectiveness of an acceptance and commitment therapy self-help intervention for chronic pain. Clin J Pain. 2010;26(5):393-402.
[31]Hor M, Aghaei A, Abedi A, Attari A. The effectiveness of acceptance and commitment therapy on depression in patients with type 2 diabetes. J Res Behav Sci 2013;11(2):121-8. [Persian]
[32]Borg W, Gall M, Gall J. Quantitative and qualitative research methods in Psychology. Nasr AR, Areyzi HR, Abolqasemi M, Pakseresht MJ, Kiamanesh AR, Bagheri Kh, et al, translators. Tehran: Samt Publication; 2015.
[33]Bardbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. J Psychosom Res. 2006;60(6):631-7.
[34]Bazzazian S, Besharat MA, Bahrami Ehsan H, Rajab A. The Moderating Role of Coping Strategies in Relationship Between Illness Perception, Quality of Life and HbA1c in Patients with Type I Diabetes. Iran J Endocrinol Metab. 2010;12(3):213-21. [Persian]
[35]Luthans F, Avolio B, Avey J, Norman S. Positive psychological capital: Measurement and relationship with performance and satisfaction. Person Psychol. 2007;60(3):138-46.
[36]Hashemi Nosratabad T, Babapour Khairuddin J, Bahadari Khosroshahi J. Role of psychological capital in psychological wellbeing by considering the moderating effects of social capital. Soc Psychol Res. 2012;1(4):123-44. [Persian]
[37]Abedi MR, Izadi R. Acceptance and commitment therapy. 4th edition. Tehran: Jangal Press; 2015. [Persian]
[38]Eifert GH, Heffner M. The effects of acceptance versus control contexts on avoidance of panic-related symptoms. J Behav Ther Exp Psychiatry. 2003;34(3-4):293-312.
[39]Hayes SC, Masuda A, Bissett RT, Luoma J, Guerrero LF. DBT, FAP and ACT: How empirically oriented are the new behavior therapy technologies?. Behav Ther. 2004;35(1):35-54.