Influence of Cognitive Behavioral Therapy on Psychological Wellbeing and Ego-Resiliency in Type 2 Diabetes Patients in Sabzevar

Mohammad Reza  Shegarf Nakhaei; Toktam Akbari Oryani; Mohammad Hossein Bayazi; Nematullah Shomoossi; Bibi Leila Hoseini

doi:10.18502/ijdo.v13i2.6477

Mohammad Reza Shegarf Nakhaei Assistant Professor of Psychiatry, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Toktam Akbari Oryani Clinical Psychologist, Islamic Azad University, Torbat-e-Jam Branch, Torbat-eJam, Iran.
Mohammad Hossein Bayazi Assistant Professor of Health Psychology, Department of Psychology, Islamic Azad University, Torbat-e-Jam Branch, Torbat-eJam, Iran.
Nematullah Shomoossi Associate Professor, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Bibi Leila Hoseini Department of Midwifery, Nursing and Midwifery School, Sabzevar University of Medical Sciences, Sabzevar, Iran.

DOI: https://doi.org/10.18502/ijdo.v13i2.6477

Keywords: Cognitive behavioral therapy, Type 2 diabetes mellitus, Psychological wellbeing, Personal autonomy

Abstract

Objective: Psychological wellbeing and ego-resiliency are highly affected in a chronic disease like type 2 diabetes mellitus (T2DM), where psychological interventions are considered as an option. The present study, therefore, aimed to investigate the effectiveness of cognitive-behavioral therapy (CBT) on psychological wellbeing and ego-resiliency of T2DM in Sabzevar, Iran.

Materials and Methods: This experimental pretest-posttest design was conducted on T2DM patients admitted to Diabetes Center in Sabzevar, Iran. The sample included 30 patients, selected by convenient sampling, and randomly assigned into control (n=15) and experimental groups (n=15). Ryff’s Psychological Wellbeing Scale and Klohnen's Ego-resiliency Inventory were used to collect data. CBT was conducted for the experimental group. Statistical analyses were performed in SPSS17 using ANCOVA.

Results: The findings indicated that CBT had considerable impact on psychological wellbeing (and its six components: self-acceptance, personal growth, purpose in life, environmental mastery, autonomy, and positive relations with others), and ego-resiliency, in T2DM (Pvalue ≤ 0.01).

Conclusion: The application of CBT, in T2DM patients can be an effective, applicable and promising intervention to enhance the psychological wellbeing and ego-resiliency, two highly affected constructs in chronic diseases leading to serious comorbidities for health