پیوندهای مفید
اخبار و اعلانات
آمار
| تعداد نشریات | 48 |
| تعداد شمارهها | 1,240 |
| تعداد مقالات | 10,658 |
| تعداد مشاهده مقاله | 21,747,815 |
| تعداد دریافت فایل اصل مقاله | 14,643,186 |
تدوین و ارزیابی اثربخشی برنامه مداخلات روانشناختی خانواده محور بر پایه نشاط معنوی بر مدیریت اضطراب و کاهش قند خون در بزرگسالان مبتلا به دیابت | ||
| روانشناسی سلامت | ||
| دوره 14، شماره 55، آذر 1404، صفحه 85-98 اصل مقاله (1.34 M) | ||
| نوع مقاله: علمی- پژوهشی | ||
| شناسه دیجیتال (DOI): 10.30473/hpj.2025.74428.6238 | ||
| نویسندگان | ||
| محسن فکری شیران* 1؛ غلامعلی افروز2؛ رضا پورحسین3؛ سیف اله آقاجانی4؛ احمد علی پور5 | ||
| 1دکتری روانشناسی سلامت، پردیس بین المللی کیش، کیش، ایران | ||
| 2استاد ممتاز، گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران | ||
| 3استاد، گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران | ||
| 4استاد، گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه محقق اردبیلی، اردبیل، ایران | ||
| 5استاد، گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه پیام نور، تهران، ایران. | ||
| چکیده | ||
| مقدمه: مطالعۀ حاضر به منظور تدوین و ارزیابی اثربخشی برنامۀ مداخلات روانشناختی خانوادهمحور بر پایۀ نشاط معنوی بر مدیریت اضطراب و کاهش قندخون در بزرگسالان مبتلا به دیابت انجام شد. روش: روش پژوهش از نوع نیمهآزمایشی با طرح پیشآزمون پسآزمون با گروه کنترل بود. جامعۀ آماری تمامی افراد مبتلا به دیابت نوع 2 بودند که به خانۀ دیابت شهر اردبیل در سال 1403 مراجعه کردند که از این تعداد 40 نفر به روش نمونهگیری دردسترس انتخاب و در دو گروه 20 نفری آزمایش و کنترل به صورت تصادفی جایگذاری شدند. برای گردآوری دادهها از پرسشنامۀ اضطراب صفت ـ حالت (STAI) و تست هموگلوبین گلیکوزیله (HbA1c) استفاده شد. گروه آزمایش 8 جلسۀ 75 دقیقهای به صورت گروهی و هفتهای یک جلسه مداخلات روانشناختی خانوادهمحور بر پایۀ نشاط معنوی دریافت کردند. تحلیل دادهها با آزمون تحلیل کواریانس چندمتغیره (MANCOVA) و کواریانس تکمتغیره (ANCOVA) با بهرهگیری از نرمافزار آماری SPSS22 صورت گرفت. یافتهها: یافتهها نشان داد که برنامۀ مداخلات روانشناختی خانوادهمحور بر پایۀ نشاط معنوی تاثیر معناداری بر کاهش اضطراب (اضطراب صفت- حالت) (01/0>P) و قندخون (01/0>P) در بزرگسالان مبتلا به دیابت داشت. نتیجهگیری: این نتایج نشان داد درمان روانشناختی خانوادهمحور اگر بر پایۀ نشاط معنوی اجرا گردد میتواند بر کاهش اضطراب و استرس و علایم فیزیولوژیک افراد مبتلا به اختلال دیابت تاثیرات بهبودی داشته باشد و از این نظر مشاوران و درمانگران میتوانند از یافتههای پژوهش حاضر در راستای مداخلات بالینی و درمانی استفاده نمایند. | ||
| کلیدواژهها | ||
| مداخلات روانشناختی خانوادهمحور؛ نشاط معنوی؛ اضطراب؛ قندخون؛ دیابت | ||
| عنوان مقاله [English] | ||
| Developing and Evaluating the Effectiveness of a Family-Oriented Psychological Interventions Program based on Spiritual Happiness on Managing Anxiety and Reducing Blood Sugar in Adults with Diabetes | ||
| نویسندگان [English] | ||
| mohsen fekri shiran1؛ Gholamali Afrooz2؛ Reza Pourhossein3؛ Seifollah Aghajani4؛ Ahmad Alipoor5 | ||
| 1PhD in Health Psychology, Kish International Campus, Kish, Iran | ||
| 2Distinguished Professor, Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran | ||
| 3Professor, Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran | ||
| 4Professor, Department of Psychology, Faculty of Psychology and Educational Sciences, University of Mohaghegh Ardabili, Ardabil, Iran | ||
| 5Professor, Department of Psychology and Educational Sciences, Payam Noor University, Tehran, Iran. | ||
| چکیده [English] | ||
| Objective: The present study aimed to develop and evaluate the effectiveness of a family-centered psychological intervention program based on spiritual happiness for managing anxiety and reducing blood sugar levels in adults with diabetes. Nowadays, the number of individuals suffering from chronic disorders is on the rise, with the World Health Organization reporting that chronic disorders account for nearly 71% of annual deaths. Diabetes is a condition that affects the emotional-cognitive health spectrum of those affected. Over the past twenty years, the prevalence of diabetes has increased, reaching 285 million people in 2010, and this number is expected to rise to over 438 million by 2030. It is believed that individuals with diabetes have deficiencies in their physiological health status, leading to increased psychological stress and tension. Psychological stress is a condition that, if exacerbated, can lead to anxiety. Given the importance of relationships and the role of the affected individual and their family on each other in the course of physical and psychological disorders and the reduction of spiritual happiness, the focus has been on providing family-centered interventions for the affected individual. The family is the only natural, innate, unique and eternal human institution that plays the greatest role in the health and prosperity of human existence. Individuals and families with the disorder experience many difficulties in adapting to the diabetes treatment program. At the individual level, the goal of these treatments is to create positive psychological states. At the family level, the main goal is to increase the level of tolerance and knowledge of how to face and respond rationally and based on emotional relationships between spouses. Method: In this study, the family-oriented psychological intervention program based on spiritual happiness was developed based on previous research on family-oriented psychological interventions. The research method was quasi-experimental with a pre-test and post-test design with a control group. The statistical population consisted of all individuals with type 2 diabetes who visited the Diabetes Home in Ardabil city in 2024, from which 40 individuals were selected using convenience sampling and randomly assigned to two groups of 20 for the experimental and control groups. Data were collected using the State-Trait Anxiety Inventory (STAI) and the Hemoglobin A1c (HbA1c) test. The experimental group received eight 75-minute sessions of group family-centered psychological interventions based on spiritual well-being, once a week. Data analysis was conducted using Multivariate Analysis of Covariance (MANCOVA) and Univariate Analysis of Covariance (ANCOVA) with the statistical software SPSS22. Results: The findings indicated that the family-oriented psychological intervention program based on spiritual well-being had a significant impact on reducing anxiety (state-trait anxiety) (p<0.01) and blood sugar levels (p<0.01) in adults with diabetes. Conclusion: These results showed that family-oriented psychological therapy, if implemented based on spiritual vitality, can have a healing effect on reducing anxiety, stress, and physiological symptoms of people with diabetes. In this regard, counselors and therapists can use the findings of the present study in clinical and therapeutic interventions. | ||
| کلیدواژهها [English] | ||
| Anxiety, Blood Sugar, diabetes, Family-Oriented Psychological, Spiritual Happiness | ||
| مراجع | ||
|
Afrooz, Gholam Ali (2019). Psychology of marriage & conjugal glory, Tehran University Press. https://www.gisoom.com/book/11133578 Afrooz, Gholam Ali (2018). Relationship Psychology, Tehran University Publications.https://press.ut.ac.ir/book_745.html Afrooz, Gholam Ali, & Minoo, Fatemeh Sadat. (2015). The effectiveness of family-centered psychological intervention programs on mental health, marital satisfaction, & birth weight of infants born to pregnant mothers in Qazvin. Journal of Empowerment of Exceptional Children, 2(6), 67-74. (in Persian) doi:10.922d04fa8486a95e0f9b5e0bb2d1978. Afrooz, Gholam Ali; Abrishamkar, Hamideh; Vaez Mousavi, Seyed Mohammad Kazem, & Moghadam Zadeh, Ali. (2022). The impact of a spiritual vitality educational program on fear of failure & psychological security of athletes. Journal of Psychological Sciences, 21(117), 1742-1729. (in Persian).doi:10.52547/JPS.21.117.1729 Afrooz, Gholam Ali; Zeynali, Narges; Gholam Ali Lavasani, Masoud, & Ghasemzadeh, Sog& . (2020). Design & development of a family-centered psychological intervention program: Evaluating its effectiveness on marital satisfaction of working parents with adolescents. Applied Psychology Research, 11(2), 23-41. (in Persian) https://doi.org/10.22059/japr.2020.261219.642902 Afrooz, Gholam Ali; Zeynali, Narges; Gholam Ali Lavasani, Masoud, & Ghasemzadeh, Sog& . (2018). Examination of the effectiveness of a family-centered psychological intervention program on clinical symptoms of emotional disorders in adolescents of working parents. Journal of Psychological Sciences, 17(67), 351-362. (in Persian):http://psychologicalscience.ir/article-1-129-fa.html & erson, R., & Bury, M. (Eds.). (2024). Living with chronic illness: The experience of patients & their families. Taylor & Francis. (in Persian). https://doi.org/10.4324/9781003508175 Akhlaqi Fard, Morteza, Jafarzadeh Dashbolagh, Hassan, Tari Moradi, Arezo, Meraji, Nahid (1402), Comparing the Effectiveness of Spiritual Therapy & Mindfulness-Based Cognitive Therapy on Family Cohesion & Marital Adjustment of Women with Disturbed Family Relationships, Quarterly Journal of Psychology & Religion, Year 16(61), 117-133. (in Persian) http://doi:10.80928a365-9716-61-7. Barraca, J., Nieto, E., & Polanski, T. (2021). An Integrative Behavioral Couple Therapy (IBCT)-Based Conflict Prevention Program: A Pre-Pilot Study with Non-Clinical Couples. Int. J. Environ. Res. Public Health, 18, 9981-19987. DOI: 10.3390/ijerph18199981 Bilous, R., Donnelly, R., & Idris, I. (2021). H & book of diabetes. John Wiley & Sons. http://dx.doi.org/10.1002/9781444391374 Brown, L. K., & Veinot, T. C. (2020). All in the family: A descriptive analysis of family network change in families managing chronic illness. Proceedings of the Association for Information Science & Technology, 57(1), 24-37. http://dx.doi.org/10.1002/pra2.247 Chung, J., & Miller, B. J. (2020). Meta-analysis of comorbid diabetes & family history of diabetes in non-affective psychosis. Schizophrenia research, 216, 41-47.http://doi: 10.1016/j.schres.2019.10.062. Delavar, Ali. (2017). Theoretical & practical foundations of research in human & social sciences. 17th edition; Tehran: Roshd Publication. (in Persian).https://www.gisoom.com/book/1759534 Epel, E., Laraia, B., Coleman-Phox, K., Leung, C., Vieten, C., Mellin, L., ... & Adler, N. (2019). Effects of a mindfulness-based intervention on distress, weight gain, & glucose control for pregnant low-income women: a quasi-experimental trial using the ORBIT model. International journal of behavioral medicine, 26, 461-473. https://doi.org/10.1007/s12529-019-09779-2 Fallah, Bahareh; Maghni Pour, Fatemeh; Nasiriani, Khadijeh; Moddi Zadeh, Farzan; Mehrab Beik, Akram. (2021). A comparative study of the impact of family-centered & disorder-centered training on self-efficacy & self-esteem of individuals with type 2 diabetes. Scientific Research Journal of Diabetes Nursing, 10(1), 349-360. (in Persian).http://jdn.zbmu.ac.ir/article-1-522-fa.html Fazilati, Mansoura, Afrooz, Gholamali, Alipour, Ahmad, Hantooshzadeh, Sedighe (2017), Evaluating the effectiveness of family-centered psychological interventions on marital satisfaction in pregnant mothers & the birth weight of their infants, Health Psychology, Payam Noor University, Volume 6, Issue 23 - Serial Issue 23, December 2017, Pages 118-135. (in Persian).doi:20.1001.1.23221283.1396.6.23.7.3 Fornasini, S., Miele, F., & Piras, E. M. (2020). The consequences of type 1 diabetes onset on family life. An integrative review. Journal of Child & Family Studies, 29, 1467-1483.https://doi.org/10.1007/s10826-019-01544-z Forouhi, N. G., & Wareham, N. J. (2019). Epidemiology of diabetes. Medicine, 47(1), 22-27. https://doi.org/10.1016/j.mpmed.2018.10.004 Frank, J. L., Reibel, D., Broderick, P., Cantrell, T., & Metz, S. (2015). The effectiveness of mindfulness-based stress reduction on educator stress & well-being: Results from a pilot study. Mindfulness, 6, 208-216.https://doi.org/10.1007/s12671-013-0246-2 Holt, R. I., & Flyvbjerg, A. (2023). Textbook of diabetes. John Wiley & Sons.https://www.wiley.com/en-be/Textbook. Ingrosso, D. M. F., Primavera, M., Samvelyan, S., Tagi, V. M., & Chiarelli, F. (2023). Stress & diabetes mellitus: pathogenetic mechanisms & clinical outcome. Hormone Research in Paediatrics, 96(1), 34-43.DOI:10.1159/000522431 Iraqi Mojarad, Fereshteh; Heydari Gorji, Mohammad Ali; Yaqoubi, Tahereh. (2021). Factors influencing the spiritual vitality of students: A narrative review study; Nursing Development in Health. Volume 12, Number 1, Spring & Summer 2021. (in Persian). http://ndhj.lums.ac.ir/article-1-283-fa.html Jalili, F., Saeidnejad, Z. & Aghajani, M. (2020) Effects of spirituality training on the moral sensitivity of nursing students: A clinical r& omized controlled trial. Clinical Ethics, 15 (1). https://www.researchgate.net/publication/338651892. Katsimigos, A. M., O’Beirne, S., & Harmon, D. (2021). Hope & chronic paina systematic review. Irish Journal of Medical Science (1971-) , 190, 307-312.http://dx.doi.org/10.1007/s11845-020-02251-1 Kapetanovic, S., & Skoog, T. (2021). The role of the family’s emotional climate in the links between parent-adolescent communication & adolescent psychosocial functioning. Research on Child & Adolescent Psychopathology, 49(2), 141–154. DOI: 10.1007/s10802-020-00705-9 Karimi, Maryam, Ghorbani, Sara (2024), Predicting self-care based on problem-solving skills, parent-child relationship, & emotional independence with regard to the mediating role of social support in adolescents with diabetes, Journal of Health Psychology, Payam Noor University, Volume 13, Number 52, March 1403, pp. 47-64.https://doi.org/10.30473/hpj.2025.67634.5808 Kautzky-Willer, A., Leutner, M., & Harreiter, J. (2023). Sex differences in type 2 diabetes. Diabetologia, 66(6), 986-1002.http://dx.doi.org/10.1007/s00125-023-05891-x Khayati P, Afrooz A. Evaluating of family-based homeopathic intervention program on mother anxiety & bed wetting the preschool children. Empowering Exceptional Children. 2017;8(1):24–53. (in Persian).https://www.ceciranj.ir/article_63522.html Kring, A. M., & Johnson, S. L. (2022). Abnormal psychology: The science & treatment of psychological disorders. John Wiley & Sons. https://www.amazon.com. Kolahy Hashmat, Farideh; Afrooz, Gholam Ali; Estaki, Mahnaz. (2020). Design & development of a comprehensive family-centered intervention program & evaluation of its effectiveness on the mental health of parents of children with emotional & behavioral disorders. Journal of Disability Studies, 10(184). (in Persian) https://dor.isc.ac/dor/20.1001.1.23222840.1399.10.0.128.7 Narimani, Mohammad; Atadokht, Akbar; Ahadi, Batool; Abolghasemi, Abbas, & Zahed, Adel. (2012). The effectiveness of stress management training on reducing psychological symptoms & controlling blood sugar in diabetic patients. Health Psychology, 1(3), 12-21.https://dor.isc.ac/dor/20.1001.1.23221283.1391.1.3.2.3 P& ya, P.S. (2021). Examining the Effectiveness of WhatsApp-Based Spiritual Posts on Mitigating Stress & Building Resilience, Maternal Confidence & Self-efficacy Among Mothers of Children with ASD. J Autism Dev Disord, 51(5):1479-1495. DOI: 10.1007/s10803-020-0633-x Paul Vincent, M. T., PM, N., Jose, G., John, A., & Kuriakose, V. (2022). Family incivility & workplace bullying: mediating & moderating model of psychological safety, optimism & organization-based self-esteem. International Journal of Conflict Management, 7 (12), 725-41. DOI:10.1108/IJCMA-04-2022-0085 Polsky, S., & Akturk, H. K. (2017). Alcohol consumption, diabetes risk, & cardiovascular disease within diabetes. Current diabetes reports, (17), 1-12. . DOI: 10.1007/s11892-017-0950-8 Robinson, D. J., Coons, M., Haensel, H., Vallis, M. (2018). Diabetes Canada Clinical Practice Guidelines Expert Committee. Diabetes & mental health. Canadian journal of diabetes, (42), S130-S141. DOI: 10.1016/j.jcjd. 2017.10. 031 Russell, G., & Lightman, S. (2019). The human stress response. Nature reviews endocrinology, 15(9), 525-534. DOI: 10.1038/s41574-019-0228-0 Saijo, Y., Okada, H., Hamaguchi, M., Habu, M., Kurogi, K., Murata, H., ... & Fukui, M. (2022). The Risk Factors for Development of Type 2 Diabetes: Panasonic Cohort Study 4. International Journal of Environmental Research & Public Health, 19(1), 571. DOI: 10.3390/ijerph19010571 Sakashita, M., Tanaka, T., & Inagi, R. (2021). Metabolic changes & oxidative stress in diabetic kidney disease. Antioxidants, 10(7), 1143. Sayehmiri, K. (2014). Applied biostatistics & research method. Ilam (NY): Nowruzi Publishing. . DOI: 10.3390/antiox10071143 Spielberger CD, Gorsuch RL, Lushene RE. (1970). The state-trait anxiety inventory (test manual). Palo Alto, CA, Consulting Psychologists. 1970;22. DOI: 10.4236/wjet.2017.52B003 Steptoe, A. (2019). Happiness & health. Annual review of public health, 40(1), 339-359. 10.1146/annurev-publhealth-040218-044150 Valkengoed, A. M., & Steg, L. (2023). Climate anxiety is about more than just personal risks. Nature Climate Change, 13(7), 591-591. DOI: 10.1038/s41558-023-01718-0 Wong SYS, Wong JYH, Wong SWL, Yeung JWK. (2016). The effect of a family-based mindfulness intervention on children with attention deficit & hyperactivity symptoms & their parents: design & rationale for a r& omized, controlled clinical trial (Study protocol). BMC Psychiatry.;16:65. DOI:10.1186/s12888-016-0773-1 World Health Organization. (2021). noncommunicable diseases. Retrieved from World Health Organization website: https://www.who.int/news/fact-sheets/detail/noncommunicable-diseases. Yousefzadeh, Parvin, Yousefzadeh, Nahid, Tashak, Anahita (2018), Investigating the effectiveness of spiritual skills training (based on the teachings of the Holy Quran & the narrations of the Imams (AS)) on students' happiness & psychological capital, Quarterly Journal of Applied Issues in Education, Volume 3, Issue 2, Pages 170-143. (in Persian).DOI:10.1186/s12888-016-0773-1 Zare, H., Zare, M., Amirabadi, F., & Shahriari, H. (2013). Mindfulness & diabetes: evaluation of effectiveness of mindfulness based stress reduction on glycemic control in diabetes. Razi journal of medical sciences, 20(108). (in Persian) http://rjms.iums.ac.ir/article-1-2577-fa.html Zhang, P., Li, T., Wu, X., Nice, E.C., Huang, C., & Zhang, Y. (2020). Oxidative stress & diabetes: antioxidative strategies. Frontiers of medicine, 14, 583-600. DOI: 10.1007/s11684-019-0729-1 Zeynali, Narges; Afrooz, Gholam Ali; Gholam Ali Lavasani, Masoud, & Ghasemzadeh, Sog& . (2020). Examination of the effectiveness of a family-centered psychological program on marital satisfaction of working parents & their adolescents' dependency on video games. Contemporary Psychology Quarterly, 12(1), 100-113. (in Persian).http://dx.doi.org/10.32598/bjcp.12.2.100 | ||
|
آمار تعداد مشاهده مقاله: 11 تعداد دریافت فایل اصل مقاله: 8 |
||