The Mediator Role of Depression and Anxiety in the Relationship between Cognitive Emotional Regulation and Self-care in Type 2 Diabetes

Ramesh, Somayeh; Ghazian, Mona; Rafiepoor, Amin; Safari, Ali Reza

doi:10.21859/psj.16.4.37

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…Thus, accepting and expressing unpleasant emotions to achieve therapeutic goals can be adaptive and lead to increased self-care activities (34). This finding is consistent with the results of Ramesh et al (37), who argued that adaptive emotion regulation strategies had a positive relationship with self-care behaviors.…”

Section: Discussionsupporting

confidence: 86%

The Effectiveness of Acceptance-based Emotion Regulation Group Therapy on Diabetes Control Scale in Patients with Type 2 Diabetes: A Simple Randomized Controlled Study

Hajati

Gharraee

Lavasani

et al. 2021

Iran J Psychiatry Behav Sci

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Background: The prevalence of diabetes is on the rise, and the lack of regular self-care activities can exacerbate this disease. Therefore, finding effective and short-term treatments is needed for these patients. Objectives: The purpose of this study was to investigate the effectiveness of acceptance-based emotion regulation group therapy in controlling diabetes in patients with type 2 diabetes. Methods: This experimental study included the three stages of pre-test, post-test, and six-month after follow-up, as well as a control group. The statistical sample consisted of 33 patients with type 2 diabetes referred to the Iranian Diabetes Association, of whom 16 patients were allocated to the intervention group and 17 to the control group. The study was conducted in Tehran in 2019 - 2020. Acceptance-based emotion regulation group therapy lasted 14 weeks, during which some aspects of acceptance and commitment therapy, dialectical therapy, and emotion-focused treatment were combined and provided to the patients. The questionnaires used were the Summary of Diabetes Self-care activities (SDSCA) and Diabetes Dependent Quality of Life scale. Also, a structured DSM-V clinical interview was performed, and glycosylated hemoglobin (HbA1c) was measured. To analyze the data, mixed design ANOVA was run in SPSS version 21. Results: The findings revealed that the mean difference between pre-test and post-test in the experimental group was significant for the variables of HbA1c, quality of life, and self-care while the mean difference between the post-test and follow-up was not significant for HbA1c (P = 0.17) and quality of life (P = 0.27), indicating the stability of the therapeutic effect after six months of the intervention. Based on the present findings, acceptance-based emotion regulation group therapy led to a decrease in HbA1c and an increase in self-care and quality of life in patients with type 2 diabetes. Conclusions: Our results showed that acceptance-based emotion regulation group therapy improved self-care, quality of life, and HbA1c in type 2 diabetic patients, so it can be used as a complementary intervention along with medical treatments.

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Section: Discussionsupporting

confidence: 86%

The Effectiveness of Acceptance-based Emotion Regulation Group Therapy on Diabetes Control Scale in Patients with Type 2 Diabetes: A Simple Randomized Controlled Study

Hajati

Gharraee

Lavasani

et al. 2021

Iran J Psychiatry Behav Sci

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“…Another study conducted on diabetic patients reported that positive CER strategies had a diverse and significant relationship with anxiety, while negative CER strategies were negatively associated with anxiety (9). A study reported that mindfulness and CER strategies have important roles in decreasing stress among people with hypertension, which indicates the significance of attention to these factors in treating such patients (10).…”

Section: Introductionmentioning

confidence: 99%

The Role of Cognitive Emotion Regulation Strategies, Cognitive Flexibility, and Distress Tolerance in Death Anxiety Among Women with Hypertension: A Descriptive Correlation Study

Ganjari

Khanmohammadzadeh

Nobakht

et al. 2020

Jundishapur J Chronic Dis Care

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Background: Death anxiety and its consequence are among the most important mental health issues that should be considered in hypertension patients. Some studies reported that cognitive emotion regulation strategies, cognitive flexibility, and distress tolerance, both influence and predict mental health. Objectives: This study aimed to investigate the role of these variables on death anxiety among women with hypertension. Methods: This is a descriptive correlational study that was conducted on 150 women with hypertension who were referred to hospitals in Rasht in 2018. Participants were selected using the convenience sampling method. Death Anxiety scale (DAS), the Distress Tolerance scale (DTS), the cognitive flexibility inventory (CFI), and the short version of the Cognitive Emotion Regulation questionnaire (CERQ) were used to collect the data. Data were analyzed using both descriptive (means and standard deviations) and inferential (the Pearson correlation coefficient and stepwise regression analysis) analyzes using SPSS. Results: Overall cognitive emotion regulation strategies (r = -0.20), refocus on planning (r = -0.28), acceptance (r = -0.35), positive reappraisal (r = -0.20), and putting into perspective (r = -0.42) had diverse significant relationships with death anxiety. In contrast, catastrophizing (r = 0.19), rumination (r = 0.19), and self-blame (r = 0.16) had direct significant correlations. Besides, overall cognitive flexibility (r = 0.61), controllability (r = -0.21), alternatives (r = -0.44), behavioral justification (r = -0.23), overall distress tolerance (r = -0.21), tolerance (r = -0.18), appraisal (r = -0.15), and regulation (r = -0.17) had diverse significant correlations with death anxiety; however, absorption (r = 0.52) had a direct significant relationship with death (P ≤ 0.05). The results of the stepwise regression analysis indicated that the research variables were could explain 71% of the variance in death anxiety (R2 = 0.71), and overall cognitive flexibility had the strongest role in explaining death anxiety (beta = -0.67), which was significant at the 1% level (P ≤ 0.0001). Conclusions: Based on the findings, cognitive emotion regulation strategies, cognitive flexibility, and distress tolerance were associated with death anxiety, and cognitive flexibility had the strongest role in predicting death anxiety.

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Self-care in Iranian patients with diabetes: A systematic review and meta-analysis

Dehvan

Nasif²,

Dalvand

et al. 2021

Primary Care Diabetes

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The Mediator Role of Depression and Anxiety in the Relationship between Cognitive Emotional Regulation and Self-care in Type 2 Diabetes

Cited by 3 publications

References 22 publications

The Effectiveness of Acceptance-based Emotion Regulation Group Therapy on Diabetes Control Scale in Patients with Type 2 Diabetes: A Simple Randomized Controlled Study

The Effectiveness of Acceptance-based Emotion Regulation Group Therapy on Diabetes Control Scale in Patients with Type 2 Diabetes: A Simple Randomized Controlled Study

The Role of Cognitive Emotion Regulation Strategies, Cognitive Flexibility, and Distress Tolerance in Death Anxiety Among Women with Hypertension: A Descriptive Correlation Study

Self-care in Iranian patients with diabetes: A systematic review and meta-analysis

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