The Effect of Cognitive Behavioral Therapy on Self-Management and Self-Care Behaviors of Type 2 Diabetes Mellitus Patients

Abstract

<p><em>Diabetes mellitus (DM) is the condition of metabolism affected by chronic hyperglycemia (the increase of glucose levels in the blood) caused by insulin secretion defect. One of the non-pharmacological therapies used to decrease the type 2 DM is cognitive behavioral therapy. The objective of the research was to identify the effect of Cognitive Behavior Therapy (CBT) on self management and self-care behaviors of type 2 DM patients. The research used a quasi-experimental method with a two</em><em>-</em><em>group pretest-posttest design. The samples were 70 respondents with 35 of them were in the intervention group and the other 35 were in the control group, taken by using a consecutive sampling technique. The data were gathered using the Diabetes Self-Management Questionnaires (DSMQ) and the Summary of Diabetes Self-Care Activities (SDSCA) questionnaires. The gathered data were analyzed by using paired t-test, and independent t-test. The results of the study showed that there were significantly differences of mean scores of self management and self care behaviors between intervention and control groups </em>(<em>t</em>=13.24; <em>p</em>=0.00) and<em>(t=14.63,</em><em></em><em>p=0.00), respectively. It is recommended that cognitive behavior therapy can be used as one of the non-pharmacological therapies</em><em></em><em>to change self-care behaviors in type 2 DM patients.</em></p>

Exploring the role of CBT in the self-management of type 2 diabetes: A rapid review

“…Nine articles published between 2012 and 2022 were identified as eligible for inclusion in the review. More than half the studies were based in developing countries such as Iran (Ardeshirpey et al 2021 ; Mousavian et al 2018 ), Indonesia (Empraninta et al 2021 ), China (Pan et al 2020 ), Malaysia (Seyed-Reza et al 2015a , 2015b ), and Thailand (Tunsuchart et al 2020 ), while the rest of the studies drew their samples from developed countries such as the United States (specifically Hawaii) (Inouye et al 2015 ) and the Netherlands (Welschen et al 2013 ). The study conducted in Malaysia published two articles on different aspects of the study (Seyed-Reza et al 2015a , 2015b ).…”

“…All the nine articles used quantitative methods (Ardeshirpey et al 2021 ; Empraninta et al 2021 ; Inouye et al 2015 ; Mousavian et al 2018 ; Pan et al 2020 ; Seyed-Reza et al 2015a , 2015b ; Tunsuchart et al 2020 ; Welschen et al 2013 ). The quantitative studies mainly employed standardised scales and questionnaires.…”

“…Eight of the studies implemented a group-based CBT (Ardeshirpey et al 2021 ; Empraninta et al 2021 ; Inouye et al 2015 ; Mousavian et al 2018 ; Pan et al 2020 ; Seyed-Reza et al 2015a , 2015b ; Tunsuchart et al 2020 ), with the average number of participants in the groups ranging from 10 to 15 participants. Within the group-based intervention, four of the articles used a customary CBT intervention (Empraninta et al 2021 ; Inouye et al 2015 ; Seyed-Reza et al 2015a , 2015b ).…”

Cognitive behavior therapy for diabetes distress, depression, health anxiety, quality of life and treatment adherence among patients with type-II diabetes mellitus: a randomized control trial

“…Cognitive Behavior therapy (CBT) is a form of psychological intervention which emphasizes the current state of affairs and, usually, it is a time-bound mode of therapy [17]. CBT uses the cognitive-behavioral model, which taps the thought patterns of an individual that are triggered by their behavioral and physiological reactions to different stimuli [18].…”

Cognitive Behavior Therapy for Diabetes Distress, Depression, Health Anxiety, Quality of life and Treatment Adherence among patients with Type- II Diabetes Mellitus: A Randomized Control Trial

“…Cognitive Behavior therapy (CBT) emphasizes the current situation and time-limited treatment [20]. CBT focuses on the cognitive-behavioral model, which re ects how the thought pattern of an individual is triggered through their behavioral and physiological reactions [21].…”