Theeffectsof Group Cognitive Behavioural Therapy (Cbt) On Stress And Psychological Well-Being In Adults With Type 2 Diabetes

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dc.contributor.authorAlvani, Seyed Reza
dc.date.accessioned2016-09-20T01:24:25Z
dc.date.available2016-09-20T01:24:25Z
dc.date.issued2015-07
dc.description.abstractDiabetes mellitus is a chronic, progressive disease that has reached an epidemic level around the world and is a highly prevalent condition in Malaysia as well. Co-morbid psychological factors such as stress, depression, and anxiety in diabetics are associated with high levels of glycemic and diabetes complications. Therefore, the development and clinical implementation of effective psychological interventions are important. One such intervention is Cognitive Behavioural Therapy (CBT), which is approved and recommended by professionals as an empirically-supported method of treatment for diabetes around the world. The objective of the present study was to determine whether participation in group CBT would result in a decline in diabetes distress and improved psychological well-being, as well as a glycemic control closer to an acceptable level for adults with type 2 diabetes in Malaysia. The participants of the present study were 60 type 2 diabetes adults (ages 20-65) with HbA1c ≥ 7.5 from Pusat Sejahtera (Universiti Sains Malaysia clinic) who were selected by the convenience sampling technique. After signing written informed consent, participants completed the Well-Being Questionnaire (W-BQ 22) and Diabetes Distress Scale (DDS-17). The participants who were interested to join to therapy were assigned to the experimental group, and those who were not interested were assigned to the control group. The experimental group (n = 30) received group CBT, whereas the control group (n = 30) received no therapy. The statistical model used to test the effect of the intervention was a mixed between-within ANOVA. The experimental and control groups served as the between-group factor, and diabetes distress, psychological well-being and HbA1c levels before and after therapy served as the within-group factors. After the three-month programme, a significant decline in the level of distress and an improvement in the level of psychological well-being were observed among participants from the experimental group, but not for those in the control group. The results also suggested that the therapy could help participants to achieve more acceptable HbA1c levels compared to those of the control group. The effectiveness of group CBT, with its aims to improve glycemic control, decrease the level of distress and increase the level of psychological well-being, was consistent with previous research for type 1 and type 2 diabetes patients around the world. Researchers, the Ministry of Health, and the government must give due interest and commitment to psychological care as a pathway to diabetes mitigation among Malaysian adults.en_US
dc.identifier.urihttp://hdl.handle.net/123456789/2539
dc.language.isoenen_US
dc.publisherUniversiti Sains Malaysiaen_US
dc.subjectDiabetes mellitusen_US
dc.titleTheeffectsof Group Cognitive Behavioural Therapy (Cbt) On Stress And Psychological Well-Being In Adults With Type 2 Diabetesen_US
dc.typeThesisen_US
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