اثربخشی درمان فراتشخیصی یکپارچه‌نگر بر کیفیت زندگی مرتبط با سلامت و منبع کنترل سلامت زوجین مبتلا به دیابت نوع 2 دارای اختلال عملکرد جنسی

نوع مقاله : پژوهش اصیل

نویسندگان

1 گروه آموزشی روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.

2 گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی

3 استاد، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی

4 گروه روانشناسی، دانشکده علوم تربیتی و روان شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.

10.22034/fcp.2024.141171.2229

چکیده

دیابــت نــوع دو بــه عنــوان یکــی از چالــش برانگیزتریــن و پرخطرتریــن بیمــاری‌هــای مزمــن شــناخته شــده است و عوارض جسمانی و روان‌شناختی فراوانی برای افراد مبتلا ایجاد می‌کند. هدف پژوهش حاضر بررسی اثربخشی درمان فراتشخیصی یکپارچه‌نگر بر کیفیت زندگی مرتبط با سلامت و منبع کنترل سلامت زوجین مبتلا به دیابت نوع 2 دارای اختلال عملکرد جنسی بود. روش پژوهش حاضر آزمایشی و طرح آن پیش آزمون پس آزمون با گروه کنترل بود. جامعه آماری این پژوهش را کلیه زوجین مبتلا به دیابت نوع 2 دارای اختلال عملکرد جنسی مراجعه کننده به کلینیک دیابت پارسیان شهر مشهد در سال 1402 تشکیل دادند. تعداد 30 نفر از این افراد به روش نمونه‌گیری غیرتصادفی هدفمند انتخاب و در دو گروه آزمایش و کنترل به تصادف جایگزین شدند. گروه آزمایش به مدت 12 جلسه 60 دقیقه‌ای تحت درمان فراتشخیصی یکپارچه‌نگر قرار گرفتند و گروه کنترل تحت لیست انتظار قرار گرفتند. برای جمع‌آوری داده‌ها در دو مرحله پیش آزمون و پس آزمون از آزمون‌های کیفیت زندگی مرتبط با سلامتی وبر (1992) و منبع کنترل سلامت والستون و همکاران (1978) ستفاده شد. داده‌های به دست آمده با استفاده از آزمون‌ تحلیل کواریانس چند متغیری در نرم افزار spss 24 تجزیه و تحلیل شد. نتایج نشان داد که پس از کنترل اثرات پیش آزمون، تفاوت معنی‌داری بین میانگین نمرات پس آزمون دو گروه آزمایش و کنترل در متغیرهای بر کیفیت زندگی مرتبط با سلامت و منبع کنترل سلامت زوجین مبتلا به دیابت نوع 2 دارای اختلال عملکرد جنسی وجود داشت (01‏/0=p). درمان فراتشخیصی یکپارچه‌نگر بر کیفیت زندگی مرتبط با سلامت و منبع کنترل سلامت زوجین مبتلا به دیابت نوع 2 دارای اختلال عملکرد جنسی مؤثر است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effectiveness of integrative transdiagnostic treatment on the quality of life related to health and the Health Locus of Control in Couples with type 2 diabetes and sexual dysfunction

نویسندگان [English]

  • Saeid Rahimi 1
  • Niloofar Mikaeili 2
  • Mohammad Narimani 3
  • Sajjad Basharpoor 4
1 Psychology, educational sciences and psychology, University of Mohaghegh Ardabili, Ardebil, Iran.
2 Psychology department, educational sciences, university of Mohaghegh Ardabili
3 Professor Psychology, Department of psychology, Educational science and Psychology Faculty, University of Mohaghegh Ardabili, Ardabil, Iran
4 Department of Psychology, Faculty of Educational Sciences and Psychology, Mohaghegh Ardabili University, Ardabil, Iran.
چکیده [English]

Background: Type 2 diabetes is recognized as one of the most difficult and serious chronic conditions, leading to numerous physical and psychological complications for individuals affected by the disease. Objectives: This study aimed to explore the efficacy of integrated meta-diagnostic therapy on health-related quality of life and Health Locus of Control for Couples with Type 2 diabetes experiencing sexual dysfunction. Methods: The study utilized an experimental research method employing a pre-test and post-test design with a control group. The participants included patients with Type 2 diabetes and sexual dysfunction who visited the Persian diabetes clinic in Mashhad in 2024. The sample of 30 individuals was chosen through targeted non-random sampling and divided into experimental and control groups. The experimental group received integrated meta-diagnostic treatment over 12 sessions lasting 60 minutes each, while the control group was placed on a waiting list. Data was collected using the Weber (1992) and Walston et al (1978) Health Locus of Control health-related quality of life tests during both pre-test and post-test phases. The data was analyzed using the Multivariate analysis of covariance test in SPSS 24 software. Results: The results indicated that, after accounting for the pre-test effects, a notable disparity emerged in the average post-test scores of the two-test and control groups concerning variables such as health-related quality of life and Health Locus of Control among Couples dealing with Type 2 diabetes and experiencing sexual dysfunction (p<0.01). Conclusion: Integrated meta-diagnostic therapy enhances health-related quality of life and Health Locus of Control for Couples dealing with Type 2 diabetes and sexual dysfunction.

کلیدواژه‌ها [English]

  • health-related quality of life
  • Health Locus of Control
  • integrated meta-diagnostic therapy
  • Type 2 diabetes
  • sexual dysfunction
References
Álvarez-Rodríguez, J., Leirós-Rodríguez, R., Morera-Balaguer, J., Marqués-Sánchez, P., & Rodríguez-Nogueira, Ó. (2022). The influence of the locus of control construct on the efficacy of physiotherapy treatments in patients with chronic pain: A systematic review. Journal of Personalized Medicine, 12(2), 232. https://doi.org/10.3390/jpm12020232
Abdelghani, M., Hamed, M. G., Said, A., & Fouad, E. (2022). Evaluation of perceived fears of COVID-19 virus infection and its relationship to health-related quality of life among patients with diabetes mellitus in Egypt during pandemic: a developing country single-center study. Diabetology international, 13(1), 108-116. https://doi.org/10.1007/s13340-021-00511-8
Barlow, D. H., Harris, B. A., Eustis, E. H., & Farchione, T. J. (2020). The unified protocol for transdiagnostic treatment of emotional disorders. World Psychiatry, 19(2), 245. doi: 10.1002/wps.20748
Corpas, J., Moriana, J. A., Vencesla, J. F., & Galvez-Lara, M. (2022). Effectiveness of brief group transdiagnostic therapy for emotional disorders in primary care: A randomized controlled trial identifying predictors of outcome. Psychotherapy research, 32(4), 456-469. https://doi.org/10.1080/10503307.2021.1952331
Caliendo, M., Cobb-Clark, D. A., Obst, C., Seitz, H., & Uhlendorff, A. (2022). Locus of control and investment in training. Journal of Human Resources, 57(4), 1311-1349. https://doi.org/10.3368/jhr.57.4.0318-9377R2
de Ornelas Maia, A. C. C., Sanford, J., Boettcher, H., Nardi, A. E., & Barlow, D. (2017). Improvement in quality of life and sexual functioning in a comorbid sample after the unified protocol transdiagnostic group treatment. Journal of psychiatric research, 93, 30-36. https://doi.org/10.1016/j.jpsychires.2017.05.013
Dopelt, K., Bashkin, O., Asna, N., & Davidovitch, N. (2022). Health locus of control in cancer patient and oncologist decision-making: An exploratory qualitative study. PloS one, 17(1), e0263086. https://doi.org/10.1371/journal.pone.0263086
Davies, M. J., Aroda, V. R., Collins, B. S., Gabbay, R. A., Green, J., Maruthur, N. M., ... & Buse, J. B. (2022). Management of hyperglycemia in type 2 diabetes, 2022. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes care, 45(11), 2753-2786. https://doi.org/10.1007/s00125-022-05787-2.
El-Radad, H. M., Sayed Ahmed, H. A., & Eldahshan, N. A. (2023). The relationship between self-care activities, social support, and glycemic control in primary healthcare patients with type 2 diabetes. Diabetology international, 14(1), 65-75. https://doi.org/10.1007/s13340-022-00598-7
 Fdaei, M., Ghanbari Hashem Abadi, B. A., & kimiaee, S. A. (2019). The efficacy of integrated meta-diagnosis therapy on their differentiation and the difficulty of regulating excitement in patients with anxiety syndrome. medical journal of mashhad university of medical sciences, 61(supplment1), 1-11. [Persian]   https://doi:10.22038/MJMS.2019.13762
Fava, G. A., Tomba, E., Brakemeier, E. L., Carrozzino, D., Cosci, F., Eöry, A., ... & Guidi, J. (2019). Mental pain as a transdiagnostic patient-reported outcome measure. Psychotherapy and Psychosomatics, 88(6), 341-349. https://doi.org/10.1159/000504024
Ghasemzadeh, S., Naghsh, Z., Fesharaki, M. G., & Shafiee, E. (2021). The effectiveness of transdiagnostic treatment program on improving the quality of life and reducing depression in children with type 1 diabetes: An experimental study. Shefaye Khatam, 9 (4), 71-80. [Persian] ‎  DOI: 10.52547/shefa.9.4.71
Guo, X., Wong, P. N. F., Koh, Y. L. E., & Tan, N. C. (2023). Factors associated with diabetes-related distress among Asian patients with poorly controlled type-2 diabetes mellitus: a cross-sectional study in primary care. BMC Primary Care, 24(1), 54. https://doi.org/10.1186/s12875-023-02012-w
Galvin, B. M., Randel, A. E., Collins, B. J., & Johnson, R. E. (2018). Changing the focus of locus (of control): A targeted review of the locus of control literature and agenda for future research. Journal of Organizational Behavior, 39(7), 820-833. https://doi.org/10.1002/job.2275
Jafari, A., Moshki, M., Ghelichi-Ghojogh, M., & Nejatian, M. (2024). Role of diabetes health literacy, psychological status, self-care behaviors, and life satisfaction in predicting quality of life in type 2 diabetes. Scientific Reports, 14(1), 1635. [Persian]    https://doi.org/10.1038/s41598-024-51245-x
Kaiser, A. B., Zhang, N., & Der Pluijm, W. V. (2018). Global prevalence of type 2 diabetes over the next ten years (2018-2028). Diabetes, 67(Supplement_1). https://doi.org/10.2337/db18-202-LB
Karimi-Valoujae, S., Hasani-Moghaddam, S., Yousefi, S. S., & Khani, S. (2020). Effective factors on sexual dysfunction in women with diabetes: a systematic review. Clinical Excellence, 10(1), 71-85. [Persian]    URL: http://ce.mazums.ac.ir/article-1-513-en.html
Lackner, J. M., Jaccard, J., Quigley, B. M., Ablove, T. S., Danforth, T. L., Firth, R. S., ... & Naliboff, B. D. (2022). Study protocol and methods for Easing Pelvic Pain Interventions Clinical Research Program (EPPIC): a randomized clinical trial of brief, low-intensity, transdiagnostic cognitive behavioral therapy vs education/support for urologic chronic pelvic pain syndrome (UCPPS). Trials, 23(1), 651. https://doi.org/10.1186/s13063-022-06554-9
Montazeri, A., Goshtasebi, A., Vahdaninia, M., & Gandek, B. (2005). The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Quality of life research, 14, 875-882. [Persian]   https://doi.org/10.1007/s11136-004-1014-5
Mani, A., Ahsant, N., Nakhlparvar, N., & Asadi Pooya, A. (2018). The investigation of the properties of form C psychometrics from the multi-dimensional scale of the locus of health control on normal adults. Sadra Medical Journal, 7(1), 47-58. [Persian]    https://doi.org/10.30476/smsj.2018.44754
MahmodiTabar, M., & Safarzadeh, S. (2021). Comparison of the Effectiveness of Integrated Meta-diagnostic Treatment and Positive Thinking Skills Training on Adherence to Treatment and Coronary Anxiety in Patients with Type 2 Diabetes. Iranian Journal of Psychiatric Nursing (IJPN) Original Article, 9(5). [Persian]    URL: http://ijpn.ir/article-1-1846-en.
Malik, P., Patel, K., Pinto, C., Jaiswal, R., Tirupathi, R., Pillai, S., & Patel, U. (2022). Post‐acute COVID‐19 syndrome (PCS) and health‐related quality of life (HRQoL)—A systematic review and meta‐analysis. Journal of medical virology, 94(1), 253-262. https://doi.org/10.1002/jmv.27309
Mills, H., Acquah, R., Tang, N., Cheung, L., Klen k, S., Glassen, R., ... & Van, T. N. (2022). [Retracted] Type 2 Diabetes Mellitus (T2DM) and Carbohydrate Metabolism in Relation to T2DM from Endocrinology, Neurophysiology, Molecular Biology, and Biochemistry Perspectives. Evidence‐Based Complementary and Alternative Medicine, 2022(1), 1708769. https://doi.org/10.1155/2022/1708769
Nouri, N., Ansari Shahidi, M., Rahnejat, A. M., Raisi, M., & Khanzadeh, M. (2023). The effectiveness of extradiagnostic group therapy on the severity of symptoms and disease perception of people with irritable bowel syndrome. Rooyesh-e-Ravanshenasi Journal (RRJ), 12(4), 149-158. [Persian]    URL: http://frooyesh.ir/article-1-4273-fa.html
Osma, J., Martínez-García, L., Quilez-Orden, A., & Peris-Baquero, Ó. (2021). Unified protocol for the transdiagnostic treatment of emotional disorders in medical conditions: A systematic review. International Journal of Environmental Research and Public Health, 18(10), 5077. https://doi.org/10.3390/ijerph18105077
Peltokorpi, V., Feng, J., Pustovit, S., Allen, D. G., & Rubenstein, A. L. (2022). The interactive effects of socialization tactics and work locus of control on newcomer work adjustment, job embeddedness, and voluntary turnover. Human Relations, 75(1), 177-202. https://doi.org/10.1177/0018726720986843
Prather, J. G., Baughman, B., Alexandrov, A. W., & Stanfill, A. G. (2022). A conceptual model of the influence of mindfulness-based interventions on stress and quality of life in patients with chronic conditions. Holistic Nursing Practice, 36(2), 67-75. DOI: 10.1097/HNP.0000000000000500
Riddle, M. C., Cefalu, W. T., Evans, P. H., Gerstein, H. C., Nauck, M. A., Oh, W. K., ... & Twenefour, D. (2022). Consensus report: definition and interpretation of remission in type 2 diabetes. The Journal of Clinical Endocrinology & Metabolism, 107(1), 1-9. https://doi.org/10.1210/clinem/dgab585
Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological monographs: General and applied, 80(1), 1. https://doi.org/10.1037/h0092976
 Saberi, H., Salahian, A., & Amiri, M. (2021). Presenting a model for predicting women's sexual performance based on childhood trauma with the mediating role of sexual self-concept. Psychology of Woman Journal, 2(4), 43-52. [Persian]    DOI: https://doi.org/10.61838/
Schaeuffele, C., Schulz, A., Knaevelsrud, C., Renneberg, B., & Boettcher, J. (2021). CBT at the crossroads: The rise of transdiagnostic treatments. International Journal of Cognitive Therapy, 14, 86-113. https://doi.org/10.1007/s41811-020-00095-2
Shekarian Yazd, F., & Toozandehjani, H. (2022). The effectiveness of unified protocol for transdiagnostic treatment on psychological symptoms in patients with diabetic neuropathy pain. medical journal of mashhad university of medical sciences, 65(1), 288-300. [Persian]     https://doi.10.22038/MJMS.2020.51217.2986
Smallwood, R., Curcio, A., & Rebar, A. L. (2023). Internal locus of control buffers the impact of daily stressors on Australian Farmers' well‐being: A cross‐sectional study. Australian journal of rural health, 31(2), 285-293. https://doi.org/10.1111/ajr.12948
Talkovsky, A. M., Paulus, D. J., Kuang, F., & Norton, P. J. (2017). Quality of life outcomes following transdiagnostic group cognitive-behavioral therapy for anxiety. International Journal of Cognitive Therapy, 10(2), 93-114. https://doi.org/10.1521/ijct_2017_10_01
Testa, G., Mora-Maltas, B., Camacho-B arcia, L., Granero, R., Lucas, I., Agüera, Z., ... & Fernández-Aranda, F. (2021). Transdiagnostic perspective of impulsivity and compulsivity in obesity: from cognitive profile to self-reported dimensions in clinical samples with and without diabetes. Nutrients, 13(12), 4426. https://doi.org/10.3390/nu13124426
Verdecias, N., McQueen, A., Von Nordheim, D. A., Broussard Jr, D. J., Smith, R. E., & Kreuter, M. W. (2023). Diabetes distress in a Medicaid sample: the role of psychosocial and health-related factors. Journal of Diabetes and its Complications, 37(7), 108495. DOI: 10.1016/j.jdiacomp.2023.108495
Ware, J. E. (1993). SF-36 health survey. Manual and interpretation guide. The health institute, 6-1.  https://doi.org/10.4009/jsdt.34.201
Wallston, K. A., Strudler Wallston, B., & DeVellis, R. (1978). Development of the multidimensional health locus of control (MHLC) scales. Health education monographs, 6(1), 160-170. https://doi.org/10.1177/109019817800600107 
Yang, P. L., Matthews, S. W., Burr, R. L., Cain, K. C., Barney, P. G., Zia, J. K., ... & Kamp, K. J. (2022). Cognitive behavioral therapy-based comprehensive self-management program improves presenteeism in persons with irritable bowel syndrome: A secondary data analysis. International Journal of Environmental Research and Public Health, 19(5), 3003. https://doi.org/10.3390/ijerph19053003