The effectiveness of self-control and communication skills on emotional regulation, perceived pain severity and self-care behaviors in diabetic neuropathy

Document Type : Research Paper

Authors

1 M.Sc. in clinical psychology, Faculty of Humanities, Islamic Azad University of Science and Research, Neishabour Branch, Neishabour, Iran

2 Assistant professor of clinical psychology, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

3 Associate professor of clinical psychology, Faculty of Humanities, Islamic Azad University, Neishabur Branch, Neishabour, Iran

Abstract

Introduction:  The purpose of this study was to examine the effectiveness of self-control training and communication skills on emotional regulation, perceived pain severity and self-care behaviors in diabetic patients with neuropathy.
Materials and Methods: The research sample of this clinical trial consisted of 30 cases (15 in experimental and 15 in control group) who had diabetic neuropathy and referred to the health center of Mashhad, Shahid Ghodsi Health Center. The instruments used in this study included the Graces Emotion Disorders (DERS), McQueen Pain Questionnaire (MPQ), self-care behaviors questionnaire for Tubert and Glasgow's diabetic patients. Data analyzed by descriptive statistics and analytical statistics (covariance analysis) and SPSS software.
Results:Based on the findings, self-control training and communication skills are effective significantly on emotional regulation, perceived pain severity and self-care behaviors in diabetic patients with neuropathy  (P<0.000).
Conclusion: Self-control training and communication skills can be used in combination with medical treatment and psychological therapy to increase improvement in patients with diabetic neuropathy.

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Main Subjects


  1. Neulen Hooksma S. [Fields of psychology of Atkinson and Hillgard]. Rafiei H. (translator). 5th ed. Tehran: Arjmand; 2003: 51-2. (Persian)
  2. Esmaeili K. [Health and wellness]. Mashhad: Mashhad University of Medical Sciences and Health Services; 2011: 30. (Persian)
  3. Dworkin RH, Turk DC, Revicki DA, Harding G, Coyne KS, Peirca-Sandner S, et al. Development and initial validation of an expanded and revised version of the Short-form McGill Pain Questionnaire (SF-MPQ-2). Pain 2009; 144: 35-42.
  4. Leaf CA. [Militiaman health promotion to diabetes]. Ahmad Panah M. (translator). Mashhad: Astan Quds Razavi; 2015: 44-70. (Persian)
  5. Borner S, Brenda J. [Liver and bile ducts, diabetes and endocrine genes]. Moradi A. (translator). Tehran: Salem; 2012: 34-52. (Persian)
  6. Bidi F, Hasanpour K, Ranjbarzadeh A, Kheradmand A. [The effectiveness of educational program. self-care attitude and quality of life in type II diabetics]. Proceeding of the Fourth International Psychoanalytic Congress. Isfahan, Islamic Azad University, Khorasgan Branch, 2012: 21-35. (Persian)
  7. Sabet Sarvestani A, Hadian Shirazi R. [Excitement in psychological interventions]. Tehran: Publication of Health; 2007: 21-28. (Persian)
  8. Chit A. [Comparison of the effectiveness of communication skills training and problem solving skills on emotional cognitive adjustment of secondary high school students in Miami]. MS. Dissertation. Islamic Azad University, Shahrood Branch, Faculty of Literature and Humanities, 2012: 36-58. (Persian)
  9. Hamid N, Saatchi L, Mehrabizadeh M. [The effect of cognitive-behavioral therapy on severity of pain and mental health of patients with chronic low back pain referring to special clinics of Tehran]. Quarterly clinical psychology 2013; 3(10): 34-60. (Persian)
  10. Haririan H. [Cognitive and affective aspects of clinical and social aspects]. Tehran: Arsalband; 2007; 14-32. (Persian)
  11. Zare Nejad H. [Self-care in diabetes]. Tehran: Sohrevardi; 2014: 45-70. (Persian)
  12. Zare Shahabadi M, Hajizadeh Mirandani A, Ebrahimi Sadr Abadi H. The effect of social support on control and treatment of diabetes type 2 in Yazd]. Journal of Shaheed Sadoughi University of Medical Sciences 2010; 18(4): 277-83. (Persian)
  13. Bruner S. [What to diabetes mellitus?]. Givi. (translator). Tehran: Publication of Health; 2001: 42-85. (Persian)
  14. Sarafino L. [Health and wellness]. Mirzaii E. (translator). Tehran: Nasarsalmi; 2008: 26-50. (Persian)
  15. Qajar N. [The effectiveness of communication skills training on emotional adjustment of conflicting couples]. Proceeding of the Second International Conference on Psychology, Educational Sciences and Lifestyle, Mashhad, Torbat Heydarieh University, 2015: 17-49. (Persian)
  16. Shakibazadeh Rashidian R. [Self-care in diabetes]. Tehran: Sohravardi; 2009: 18-46. (Persian)
  17. Safari N. [Be sure to control yourself]. Tehran: Tobayan; 2012: 23-47. (Persian)
  18. Fallah M. [Diabetic neuropathy, neurological disorders in diabetes]. Tehran: Tehran University of Medical Sciences; 2015: 35-68. (Persian)
  19. Ghorbani F, Prāfkhand B, Heydari I, Alimardani Somee E, Heidarirad H. [Relationship between emotion regulation and cognitive self-control control source in drug-dependent individuals]. Clinical psychology and personality-Daneshvar Raftar 2016; 15(2): 32-50. (Persian)
  20. Geranefsky M, Kerachy L. Smoking control in restaurants: The effectiveness of self-regulation. Am J Public Health 1993; 83(9): 1284-8.
  21. Mohammadi MH, Fallah A, Shahriari L, Golchin M. [Examination of the effect of self-care on the quality of life of asthma patients in Alzahra specialized clinic, Isfahan]. Journal of nursing and midwifery research 2011; 17: 20-9. (Persian)
  22. Mazlomi H, Moravati A. [Self-management and management in diabetes]. Tehran: Public Health; 2006: 8-30. (Persian)
  23. Malekzadeh J, Tarbiat Z, Mazlum SR. [The effect of Orem's self-care pattern education on communication performance of nursing students]. New care. Journal of Nursing and Midwifery Faculty, Birjand University of Medical Sciences 2012; 8(3): 6-14. (Persian)
  24. Mehrabi A, Attari M. [Stress management training]. Tehran: Mental Health; 2009: 21-49. (Persian)
  25. Ministry of Health and Medical Education. [A comprehensive guide to the management of noncommunicable diseases in the Islamic Republic of Iran]. 14th ed. Center for Disease Management; 2015: 20. (Persian)
  26. Mehrabi A. [The effect of stress control in endocrine and metabolism]. Tehran: Ministry of Health Publications; 2008: 15-43. (Persian)
  27. Nematpur A. [Pain and neurological disorders in neuropathic patients]. Tehran: Iran; 2010: 57-83. (Persian)
  28. Niknamami Sh. [Designing and psychometric analysis of self-care assessment scale in patients with diabetes]. Quarterly journal of surveying 2013; 12(6): 679-90. (Persian)
  29. Walstone, Middelrock. [Self-care for type 2 diabetes]. Alizadeh M. (translator). Tehran: Ghatre; 2013: 34-50. (Persian)
  30. Yousefi H. [The effect of self-control training on emotional well-being and prevention of recurrence of addicted people]. MS. Dissertation. Ardebil University Researcher, Faculty of Physical Education and Sport Sciences, 2013: 14-36. (Persian)
  31. Barua K, Parker H. [Differential effect of diabetes on self-regulation and lifestyle behaviors. Diabetes Care 2012; 14(4): 335-8.
  32. Bartaz H. Perceived self-efficacy and pain control: opioid and nonopioid mechanisms. J Pers Sos Psychol 2009; 53: 563-71.
  33. Eshaghi H. [Self-control strategies for behavior]. Tehran: Mental health; 2011: 6-40. (Persian)
  34. Kazemi A. [Teaching therapy in communication skills]. Tehran: Publication of Health; 2015: 10-35. (Persian)
  35. Hakz N, Harlson L. Vascular function in type 2 diabetes mellitus and pre-diabetes: the case for intrinsic endotheliopathy. Diabet Med 2012; 16: 710-15.
  36. Jacobs M, Snow J, Geraci M, Meena Vythilingam M, Blair RJ, Charney DS. Association between level of emotional intelligence and severity of anxiety in generalized social phobia. J Anxiety Disord 2008; 22(8): 14-60.
  37. Jarsma C, Halfman L. Effect of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. Diabetes Care 2004; 20: 537-44.
  38. Larense K, Esmit F, Estifen J. A Mediterranean and a high-carbohydrate diet improve glucose metabolism in healthy young persons. Diabetologia 2005; 44: 2038-43.
  39. Melzake J, Casey L. Pathogenesis of pain control in neuropathy diabetes mellitus: abalone overview. Diabetologia 1986; 35: 389-97.
  40. Melzack R, Ketz L. The McGill pain questionnaire: major properties and scoring methods. Pain 1992; 1(3): 277-99.
  41. Schütze R, Rees C, Preece M, Schütze M. Low mindfulness predicts pain catastrophizing in a fear-avoidance model of chronic Pain. Pain 2010; 148: 120-7.
  42. Sullivan MJL, Bishop SR, Pivik J. The pain catastrophizing scale, development and validation. Psychol Assess 1995; 7(4): 524-32.
  43. Sullivan MJL, Thorn B, Haythornthwaite J, Keefe F, Martin M, Bradley L, et al. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain 2001; 17: 52-64.
  44. Tork E, Okxner A, Geros J. Dietary fat and meat intake in relation to pain of type 2 diabetes in adults. Diabetes Care 1983; 25: 417-24.
  45. Tobert DG, Glasgow RE. Assessing diabetes self-management: The summary of diabetes self-care activities questionnaire. In: Bradley C. (editor). Handbook of psychology and diabetes; 1994: 351-75.