Effectiveness of Cognitive Behavioral Therapy on Psychological Problems and Mindfulness in Individuals with Diabetes

Authors

    Tahereh Shapouri Department of Psychology Kish Branch , Islamic Azad University, Kish, Iran.
    Hanieh Zadfallah Farshami * Department of Psychology, La.C., Islamic AzadUniversity, Lahijan, Iran Haniehzadfallahfarshami@iau.ir
    Zohrehh Moradian Department of Psychology,Yas.C., Islamic Azad University, Yasuj.Iran.

Keywords:

Cognitive-behavioral therapy, anxiety, depression, stress, mindfulness

Abstract

Objective: The present study aimed to investigate the effectiveness of cognitive behavioral therapy (CBT) on psychological problems and mindfulness in individuals with diabetes.

Methods and Materials: This semi-experimental research employed a pretest-posttest design with a control group. The statistical population comprised all diabetic patients who visited medical centers in Rasht in the year 2024. Using convenience sampling, 30 diabetic patients who expressed willingness to participate were selected and randomly assigned to either the experimental or control group. Participants in the experimental group underwent ten 90-minute sessions of CBT. The control group did not receive any intervention. Data collection at both pretest and posttest stages utilized the Depression Anxiety Stress Scales (DASS) and the Freiburg Mindfulness Inventory – Short Form. Data were analyzed using SPSS version 26.

Findings: Multivariate analysis of covariance (MANCOVA) results indicated significant differences between groups in posttest scores for anxiety, depression, stress, and mindfulness components (p < .01).

Conclusion: These findings suggest that CBT significantly reduced anxiety, depression, and stress levels while enhancing mindfulness among diabetic patients.

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References

Alexandre, K., Campbell, J., Bugnon, M., Henry, C., Schaub, C., Serex, M., & et al. (2021). Factors influencing diabetes self-management in adults: an umbrella review of systematic reviews. JBI Evidence Synthesis, 19(5), 1003-1118. https://doi.org/10.11124/JBIES-20-00020

An, Q., Yu, Z., Sun, F., Chen, J., & Zhang, A. (2023). The Effectiveness of Cognitive Behavioral Therapy for Depression Among Individuals with Diabetes: a Systematic Review and Meta-Analysis. Current Diabetes Reports, 23(9), 245-252. https://doi.org/10.1007/s11892-023-01517-z

Azizi Karaj, M., Dehghani, F., & Kamali Zarch, M. (2017). Mediating Role of Emotional Self-Regulation in the Relationship between Mindfulness and Self-Efficacy in Diabetes Type 2 Patients. Horizon of Medical Sciences, 23(3), 243-250. https://imtj.gmu.ac.ir/article-1-2666-fa.html

Carpenter, R., DiChiacchio, T., & Barker, K. (2019). Interventions for self-management of type 2 diabetes: an integrative review. International journal of nursing sciences, 6(1), 70-91. https://doi.org/10.1016/j.ijnss.2018.12.002

Carrière, K., Khoury, B., Günak, M. M., & Knäuper, B. (2018). Mindfulness-based interventions for weight loss: a systematic review and meta-analysis. Obesity Reviews, 19(2), 164-177. https://doi.org/10.1111/obr.12623

Daubenmier, J., Epel, E. S., Moran, P. J., Thompson, J., Mason, A. E., Acree, M., Goldman, V., Kristeller, J., Hecht, F. M., & Mendes, W. B. (2019). A randomized controlled trial of a mindfulness-based weight loss intervention on cardiovascular reactivity to social-evaluative threat among adults with obesity. Mindfulness, 10(12), 2583-2595. https://doi.org/10.1007/s12671-019-01232-5

Demyttenaere, K., & Heirman, E. (2020). The blurred line between anxiety and depression: Hesitations on comorbidity, thresholds and hierarchy. International review of psychiatry, 32(5-6), 455-465. https://doi.org/10.1080/09540261.2020.1764509

Dobson, K. S., & Dozois, D. J. A. (2019). Handbook of Cognitive-Behavioral Therapies. Guilford Publications. https://psycnet.apa.org/record/2019-03300-000

Dokani, M., Fakhri, M. K., & Hassanzadeh, R. (2021). The Effectiveness of Mindfulness-Based Cognitive Therapy on Distress Tolerance and Cognitive Flexibility in Patients with Type 2 Diabetes. Iranian Journal of Diabetes and Metabolism, 21(3), 186-197. https://ijdld.tums.ac.ir/article-1-6064-fa.html

Fisher, V., Li, W. W., & Malabu, U. (2023). The effectiveness of mindfulness-based stress reduction (MBSR) on the mental health, HbA1C, and mindfulness of diabetes patients: a systematic review and meta-analysis of randomised controlled trials. Applied Psychology: Health and Well-Being, 15(4), 1733-1749. https://doi.org/10.1111/aphw.12441

Ismaili, A., Asadnia, S., Eysazadeh, A., Amir Sardar, L., Eysazadegan, A., & Ansari, B. (2013). Investigating the Effectiveness of Cognitive Behavioral Therapy on Reducing Depression Levels and Improving Lifestyle in Patients with Type 2 Diabetes. Journal of Medical Sciences Studies, 24(10), 812-822. http://umj.umsu.ac.ir/browse.php?a_code=A-10-582-418&slc_lang=fa&sid=1

Jankowski, T., & Bak, W. (2019). Mindfulness as a mediator of the relationship between trait anxiety, attentional control and cognitive failures. A multi model inference approach. Personality and individual differences, 142, 62-71. https://doi.org/10.1016/j.paid.2019.01.034

Jeloudari, S., Soodagar, S., Sirafi, M. R., & Ghorbani, M. (2023). The Effectiveness of Metacognitive Therapy on Psychological Distress and Psychological Resilience in Patients with Type 2 Diabetes. Quarterly Journal of Clinical Psychology, 15(3), 81-94. https://jcp.semnan.ac.ir/article_8549.html

Jiang, S., Pan, X., Li, H., & et al. (2024). Global trends and developments in mindfulness interventions for diabetes: a bibliometric study. Diabetology & Metabolic Syndrome, 16, 43. https://doi.org/10.1186/s13098-024-01288-x

Kermani, Y., & Miri, M. (2024). The Effectiveness of Quality of Life-Based Therapy on Self-Care Behaviors in Patients with Type 2 Diabetes. Journal of Rehabilitation Research in Nursing, 10(3), 115-123. http://ijrn.ir/article-1-761-fa.html

Kladnitski, N., Smith, J., Uppal, S., James, M. A., Allen, A. R., Andrews, G., & Newby, J. M. (2020). Transdiagnostic internet-delivered CBT and mindfulness-based treatment for depression and anxiety: A randomised controlled trial. Internet Interventions, 13, 100310. https://doi.org/10.1016/j.invent.2020.100310

Laiteerapong, N., Staab, E. M., Wan, W., Quinn, M. T., Campbell, A., Gedeon, S., & et al. (2021). Integration of diabetes and depression care is associated with glucose control in midwestern federally qualified health centers. Journal of General Internal Medicine, 36(4), 978-984. https://doi.org/10.1007/s11606-020-06585-5

Lan, H. K., Subramanian, P., Rahmat, N., & Kar, P. C. (2014). The effects of mindfulness training program on reducing stress and promoting well-being among nurses in critical care units. Australian Journal of Advanced Nursing (Online), 31(3), 22. https://doi.org/10.37464/2014.313.1594

Lopresti, A. L. (2017). Cognitive behaviour therapy and inflammation: a systematic review of its relationship and the potential implications for the treatment of depression. Australian & New Zealand Journal of Psychiatry, 51(6), 565-582. https://doi.org/10.1177/0004867417701996

Mansori, K., Shiravand, N., Shadmani, F. K., Moradi, Y., Allahmoradi, M., Ranjbaran, M., Ahmadi, S., Farahani, A., Samii, K., & Valipour, M. (2019). Association between depression with glycemic control and its complications in type 2 diabetes. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13(2), 1555-1560. https://doi.org/10.1016/j.dsx.2019.02.010

Mehrban, S., Jahandar, M., Hojjat Zadeh, Z., Toosi, M., & Ahmad Boukani, S. (2022). The Effectiveness of Cognitive Behavioral Therapy on the Quality of Life of Patients with Diabetes in Iran: A Systematic Review and Meta-Analysis. Quarterly Journal of Diabetes Nursing, 11(1), 2086-2099. https://jdn.zbmu.ac.ir/browse.php?a_id=576&sid=1&slc_lang=fa

Mendes, R., Martins, S., & Fernandes, L. (2019). Adherence to medication, physical activity and diet in older adults with diabetes: its association with cognition, anxiety and depression. Journal of Clinical Medicine Research, 11(8), 583-592. https://doi.org/10.14740/jocmr3894

Mukherjee, N., & Chaturvedi, S. K. (2019). Depressive symptoms and disorders in type 2 diabetes mellitus. Current Opinion in Psychiatry, 32(5), 416-421. https://doi.org/10.1097/YCO.0000000000000528

Owens-Gary, M. D., Zhang, X., Jawanda, S., Bullard, K. M., Allweiss, P., & Smith, B. D. (2019). The importance of addressing depression and diabetes distress in adults with type 2 diabetes. Journal of General Internal Medicine, 34(2), 320-324. https://doi.org/10.1007/s11606-018-4705-2

Saha, S., Lim, C. W., Cannon, D. L., Burton, L., Bremner, M., Cosgrove, P., Huo, Y., & McGrath, J. J. (2021). Co-morbidity between mood and anxiety disorders: A systematic review and meta-analysis. Depression and Anxiety, 38(3), 286-306. https://doi.org/10.1002/da.23113

Samadzadeh, N., Pour Sharifi, H., & Baba Poor Kheyr al-Din, J. (2014). Investigating the Effectiveness of Cognitive-Behavioral Therapy on Psychosocial Adjustment to Illness and Depression Symptoms in Individuals with Type II Diabetes. Clinical Psychology Studies, 5(17), 77-96. https://jcps.atu.ac.ir/article_1039.html

Samadzadeh, N., Pour Sharifi, H., & Baba Poor Kheyr al-Din, J. (2015). The Effectiveness of Cognitive Behavioral Therapy on Self-Care and Symptoms of Depression and Anxiety in Women with Type 2 Diabetes: A Case Study. Feiz Medical Sciences Journal, 19(3), 255-264. https://jcps.atu.ac.ir/article_1039.html

Sasikumar, L. F. (2017). Effects of mindfulness based stress reduction (MBSR) on stress, depression and mindfulness among type 2 diabetics - A randomized pilot study. Indian Journal of Traditional Knowledge, 16, 654-659.

Sukarno, A., & Bahtiar, B. (2022). The Effectiveness of Cognitive Behavior Therapy on Psychological Stress, Physical Health, and Self-Care Behavior among Diabetes Patients: A Systematic Review. Health Education and Health Promotion, 10(3), 531-537. https://hehp.modares.ac.ir/browse.php?a_id=62242&sid=5&slc_lang=en&html=1

Uchendu, C., & Blake, H. (2017). Effectiveness of cognitive-behavioural therapy on glycaemic control and psychological outcomes in adults with diabetes mellitus: a systematic review and meta-analysis of randomized controlled trials. Diabetic Medicine, 34(3), 328-339. https://doi.org/10.1111/dme.13195

Verhulst, C. E., Fabricius, T. W., Nefs, G., Kessels, R. P., Pouwer, F., Teerenstra, S., & de Galan, B. E. (2022). Consistent effects of hypoglycemia on cognitive function in people with or without diabetes. Diabetes Care, 45(9), 2103-2110. https://doi.org/10.2337/dc21-2502

Yang, X., Li, Z., & Sun, J. (2020). Effects of cognitive behavioral therapy-based intervention on improving glycaemic, psychological, and physiological outcomes in adult patients with diabetes mellitus: a meta-analysis of randomized controlled trials. Frontiers in Psychiatry, 11, 711. https://doi.org/10.3389/fpsyt.2020.00711

Zhang, Q., Li, F., Zhang, H., Yu, X., & Cong, Y. (2018). Effects of nurse-led home-based exercise & cognitive behavioral therapy on reducing cancer-related fatigue in patients with ovarian cancer during and after chemotherapy: a randomized controlled trial. International journal of nursing studies, 78, 52-60. https://doi.org/10.1016/j.ijnurstu.2017.08.010

Zmudzka, E., Salaciak, K., Sapa, J., & Pytka, K. (2018). Serotonin receptors in depression and anxiety: Insights from animal studies. Life Sciences, 210, 106-124. https://doi.org/10.1016/j.lfs.2018.08.050

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Published

2025-02-26

Submitted

2024-10-19

Revised

2025-01-18

Accepted

2025-01-25

Issue

Section

مقالات

How to Cite

Shapouri, T. ., Zadfallah Farshami, H., & Moradian, Z. . (2025). Effectiveness of Cognitive Behavioral Therapy on Psychological Problems and Mindfulness in Individuals with Diabetes. Quarterly of Experimental and Cognitive Psychology, 1(4). http://193.36.85.187:9110/index.php/ecp/article/view/176

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