The effectiveness of behavioral activation training on self-care behaviors, perceived pain, and reaction to stress in women with diabetes mellitus type 2

Document Type : Research Paper

Authors

1 1MSc. in clinical psychology, Branch of Neishabour, Islamic Azad University, Neishabour, Iran.

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

3 Department of Community Medicine, School of Medicine, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

Abstract

Introduction: Regarding the high prevalence of adverse complications of diabetes and importance of psychological intervention to improve self-care behaviors and adaptive coping styles in diabetic patients, the present study aimed to assess the effectiveness of behavioral activation training on self-care behaviors, perceived pain, and reaction to stress in women with diabetes mellitus type 2.

Materials and Methods: The statistical population consists of all women with type 2 diabetes who refer to Neishabur health centers. Thirty women were selected based on voluntary and the convenient sampling method. They divided randomly into the behavioral activation training group and the control group. They fulfilled the Summary of Diabetes Self Care Activities, Visual Analog Scale (VAS), and Coping Inventory for Stressful Situations (CISS). The data were analyzed through the descriptive statistics, multivariate covariance analysis test, and SPSS-22 software.

Results: The results revealed that behavioral activation training improved self-care behaviors (P= 0.001), decreased pain (P= 0.001), increased problem-solving oriented coping to stress (P= 0.001), while it decreased emotion-oriented and avoidant-oriented coping styles (P= 0.001, P= 0.001, respectively) in the experimental group compared to the control group.

Conclusion: It seems that behavioral activation training improves self-care behaviors, decreases pain, and increases problem-solving oriented coping to stress in the women with type 2 diabetes.

Keywords

Main Subjects