اثر ﺑﺨﺸﯽ ﺷﻨﺎﺧﺖ درﻣﺎﻧﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦ اﮔﺎﻫﯽ ﺑﺮ دﺷﻮاري در ﺗﻨﻈﯿﻢ ﻫﯿﺠﺎن و ﻧﺸﺨﻮار ﻓﮑﺮي ﺑﯿﻤﺎران دﯾﺎﺑﺘﯽ ﻧﻮع دو

The effectiveness of mindfulness-based cognitive therapy on Difficulties in emotion regulation and obsessive- rumination component in diabetes 2

ﭼﮑﯿﺪه دﯾﺎﺑﺖ ﻧﻮع دو ﯾﮏ ﻣﻌﻀﻞ ﻣﻬﻢ ﺑﺮاي ﺳﻼﻣﺖ ﻋﻤﻮﻣﯽ اﺳﺖ ﮐﻪ ﺑﺎﻋﺚ اﺛﺮات ﮔﺴﺘﺮده اي ﺑﺮ ﻋﻤﻠﮑﺮدﻫﺎي ﻓﺮدي و اﺟﺘﻤﺎﻋﯽ اﻓﺮاد ﻣﯽ ﺷﻮد. ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف اﺛﺮ ﺑﺨﺸﯽ ﺷﻨﺎﺧﺖ درﻣﺎﻧﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦ اﮔﺎﻫﯽ ﺑﺮ دﺷﻮاري درﺗﻨﻈﯿﻢ ﻫﯿﺠﺎن و ﻧﺸﺨﻮار ﻓﮑﺮي ﺑﯿﻤﺎران دﯾﺎﺑﺘﯽ ﻧﻮع دو اﻧﺠﺎم ﺷﺪ. ﭘﮋوﻫﺶ ﺣﺎﺿﺮ از ﻧﯿﻤﻪ آزﻣﺎﯾﺸﯽ از ﻧﻮع ﻃﺮح ﭘﯿﺶ آزﻣﻮن- ﭘﺲ آزﻣﻮن ﺑﻮد. ﺟﺎﻣﻌﻪ ي آﻣﺎري ﮐﻠﯿﻪ ﺑﯿﻤﺎران زن و ﻣﺮد ﻣﺒﺘﻼ ﺑﻪ دﯾﺎﺑﺖ ﻧﻮع دو ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه ﺑﻪ ﻣﺮاﮐﺰ دوﻟﺘﯽ ﺳﻼﻣﺖ ﺷﻬﺮ ﺑﯿﺮﺟﻨﺪ در 3 ﻣﺎه آﺧﺮ ﺳﺎل 1395 ﺑﻮدﻧﺪ )100 ﺑﯿﻤﺎر( ﮐﻪ ﻧﻤﻮﻧﻪ اي ﺷﺎﻣﻞ 30 ﻧﻔﺮ ﺑﻪ روش ﻧﻤﻮﻧﻪ ﮔﯿﺮي در دﺳﺘﺮس اﻧﺘﺨﺎب ﺷﺪﻧﺪ. اﺑﺰارﻫﺎي ﻣﻮرداﺳﺘﻔﺎده ﻋﺒﺎرت ﺑﻮدﻧﺪ از: دﺷﻮاري در ﺗﻨﻈﯿﻢ ﻫﯿﺠﺎﻧﯽ ﮔﺮاﺗﺰ و روﻣﺮ )2004( و ﻧﺸﺨﻮار ﻓﮑﺮي ﻧﺎﻟﻦ- ﻫﺎﮐﺴﻤﺎ و ﻣﺎرو )1991(، ﺟﻬﺖ ﺗﺤﻠﯿﻞ داده، از ﺗﺤﻠﯿﻞ ﮐﻮارﯾﺎﻧﺲ ﺗﮏ ﻣﺘﻐﯿﺮه و ﭼﻨﺪ ﻣﺘﻐﯿﺮه اﺳﺘﻔﺎده ﺷﺪ. ﯾﺎﻓﺘﻪ ﻫﺎ ﻧﺸﺎن داد، ﻣﯿﺎﻧﮕﯿﻦ ﮔﺮوه آزﻣﺎﯾﺶ در ﻣﻮﻟﻔﻪ ﻫﺎي دﺷﻮاري در ﺗﻨﻈﯿﻢ ﻫﯿﺠﺎﻧﯽ )p<0/05( و ﻧﺸﺨﻮار ﻓﮑﺮي )p<0/01( ﮐﺎﻫﺶ داﺷﺘﻪ اﺳﺖ. ﺑﻨﺎﺑﺮاﯾﻦ ﻧﺘﺎﯾﺞ ﭘﮋوﻫﺶ اﻫﻤﯿﺖ ﻣﺪاﺧﻠﻪ ﺷﻨﺎﺧﺖ درﻣﺎﻧﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦ آﮔﺎﻫﯽ را در ارﺗﻘﺎء زﻧﺪﮔﯽ ﺑﯿﻤﺎران دﯾﺎﺑﺘﯽ را ﻧﺸﺎن ﻣﯽ دﻫﺪ.

Type II diabetes is an important public health problem that has a massive impact on individual and social functions of individuals. The present study was aimed at the effectiveness of mindfulness-based cognitive therapy on Difficulties emotion regulation and obsessive- rumination component in diabetes 2. The present study was a semi-experimental pretest-posttest design. The statistical population of all women and men with type 2 diabetes referred to health centers of Birjand in the last 3 months of 1395 (100 people). To collect data, a sample of 30 people was selected using available sampling method. The tools used were: Gratz and Romer's (2004) Difficulties emotion regulation (2004), and Nalen-Huxma and Marrow's Rumination Scale (1991). For data analysis, variance and multivariate covariance analysis were used. The findings showed that the mean of the experimental group in the stress components of emotional regulation (p < 0/05) and rumination (p < 0/01) decreased compared to the control group. The results of the study show the importance of mindfulness-based cognitive therapy intervention in improving the life of diabetic patients.