Fundamentals of Mental Health

Fundamentals of Mental Health

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
Nahid Nakhaei 1
Mahdi Amiri 2
Maliheh Ziaee 3
1 MSc. in clinical psychology, Branch of Neishabour, Islamic Azad University, 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 community medicine, Department of Community Medicine, School of Medicine, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
10.22038/jfmh.2023.23768
Abstract
Introduction: Regarding the high prevalence of adverse complications of diabetes and the 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 comprises all women with type 2 diabetes who referred to Neishabur health centers. Thirty women were selected based on a voluntary and convenient sampling method. They were divided randomly into the behavioral activation training group and a control group. They fulfilled the Summary of Diabetes Self-Care Activities, Visual Analog Scale (VAS), and Coping Inventory for Stressful Situations (CISS). We analyzed the data using 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 women with type 2 diabetes.
Keywords
Behavioral activation
Coping
Diabetes type 2
Neuropathic pain
Self-care behaviors
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Fundamentals of Mental Health
Volume 25, Issue 6
November and December 2023
Pages 395-401