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Background: Diabetes is a common chronic disease that is increasingly observed in almost all countries of the world. The treatment and prevention of diabetes largely depend on patients' self-efficacy in performing self-care behaviors. Accordingly, the present study was conducted to examine the relationship between self-efficacy and sexual performance in patients with type II diabetes. Methods: In the present correlational study, 200 patients with type II diabetes (based on physicians' diagnosis) participated. Using convenience sampling method, the samples were selected out of the whole population of diabetic patients who referred to Shahid Bahonar and Rajaei Hospitals in the city of Karaj (Iran). The data were collected through a multi-faceted questionnaire covering demographic characteristics of the participants, the Diabetes Management SelfEfficacy Scale (DMSES), the Female Sexual Function Index (FSFI) and the Male Sexual Function Index (MSFI). Then, the collected data were analyzed through Pearson correlation test, multiple linear regression analysis, independent t-test and ANOVA. Results:The results showed a positive significant relationship between self-efficacy and sexual function (p<0.001); regression coefficient of the predictor variable 'self-efficacy' was 0.217 (p<0.017). Conclusion: Self-efficacy plays an important role in the lives of diabetic patients; it is also important in sexual performance of diabetic patients. Therefore, based on the results of this study, the significant relationship between self-efficacy and sexual function must be considered in the treatment of patients with type II diabetes.Keywords: Type II Diabetes, Self-Efficacy, Sexual Function, Iranian Males and Iranian Females Cite this Article: Haddadi, S., Ghodrati Mirkohi, M., Akbari Kamrani, M. 2016. The relationship between self-efficacy and sexual function in patients with type II diabetes.

Background and Objectives: Dialysis patients encounter numerous psychological distress, aggravating their psycho-social problems. Currently, the third wave of psychological treatment has surpassed other treatments in solving the problems of these patients. The current study aimed to compare the effects of metacognitive therapy and Acceptance and Commitment Therapy (ACT) on blood pressure in hemodialysis patients. Methods This was a randomized clinical trial with pre-test, post-test and follow-up and a control group design. This research was performed on 54 patients undergoing hemodialysis at Imam Ali Hospital in Karaj City, Iran. The study participants were selected by convenience sampling method and randomly divided into three groups; metacognitive therapy, ACT, and control. The intervention groups individually received metacognitive therapy and ACT for 8 sessions. All research groups were measured in the pre-test, post-test stage and their blood pressure was measured using a hand sphygmomanometer. The collected data were analyzed using repeated-measures Analysis of Covariance (ANCOVA). Results The current research results indicated that metacognitive therapy and ACT were effective in reducing blood pressure among the study subjects (P=0.001). Additionally, the achieved results remained consistent in the follow-up phase. Conclusion According to the collected results, the provided interventions can be used as useful and complementary therapies along with pharmacotherapy and other evidence-based interventions for individuals with hypertension receiving dialysis.