Cognitive Behavioral Therapy to Improve Life Quality and Blood Stability
DOI:
https://doi.org/10.61841/90vj3734Keywords:
cognitive behavioral therapy, diabetes mellitus management, type 2 diabetes mellitusAbstract
Diabetes is a severe chronic disease, ranked third out of four world non-communicable diseases. The prevalence of type 2 diabetes mellitus (DM) in Indonesia is 1.6 million and in Surakarta is 9484. This research aimed to determine the effect of cognitive behavioral therapy (CBT) in improving the life quality and blood sugar stability of patients with type 2 DM. The quasi-experimental (pre-test–post-test control group design) method used 84 subjects taken purposively. The results of the univariate analysis in the experimental and control groups showed that most of the subjects were housewives with high school education and some with an undergraduate degree. The participants were mostly women aged 51–60 years old, height 151–160 cm and body weight 51–60 kg. The results of the bivariate analysis showed that CBT could improve the life quality of patients with type 2 DM (p = 0.001); CBT can also help to stabilize fasting blood sugar (p = 0.023) and current blood sugar (p = 0.001). Health workers can help to change the mindset, beliefs and maladaptive behavior of DM patients using DM management.
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References
1. Beck, J. (2011). Cognitive behaviour therapy: Basic and beyond. New York: The Guilford Press.
2. Cabello, I.R., Kontopantelis, E., Flurrie, S.L., & Dalton, A. (2005). Impact of the prevalence of concordant and discordant conditions on the quality of diabetes care in family pract.1370/afmices in England. The Annals of Family Medicine, 13(6), 514-522.
3. Choi, B. & Pak, A.W.P. (2007). Multidisciplinarity, interdisciplinarity, and transdisciplinarity in health research, services, education and policy: Promotors, barriers, and strategies of enhancement. Clinical and Investigative Medicine, 30(6), 224-232
4. Coelli, S., Soares, A., Moerira, M., Duarte, C., Souza, D., Zelmanovitz, T., & Silveiro, Ps. (2015). Determinants of glycemic and blood pressure control in type 2 diabetes patients: 606 outpatients diabetes cohort. Diabetology & Metabolic Syndrome, 7, A51.
5. Dorajo, D. & Boehm, B.O. (2015). Genetics of type 2 diabetes and clinical utility. Genes (Basel), 6(2), 372-384.
6. Egde, L.E., Nietert, P.J., & Zheng, D. (2005). Depression and all-cause and coronary heart disease mortality among adults with and without diabetes. Diabetes Care, 28, 39-45.
7. Garcia-Perez, L.E., Alvarez, M., Dilla, T., Gil-Guillén, V., Orozco-Beltrán, D. (2013). Adherence to therapies in patients with type 2 diabetes. Diabetes Therapy, 4(2), 175-194.
8. Gonzalez, J.S., Safren, S.A., Cagliero, E., Wexler, D.J., Delahanty, L., Wittenberg, E., Blais, M.A., et al. (2007). Depression, self-care, and medication adherence in type 2 diabetes. American Diabetes Association, 30(9), 2222-2227.
9. Gonzalez, J.S., Shreck, E., Psaros, C., & Safren, S.A. (2015). Distress and type 2 diabetes-treatment adherence: a mediating role for perceived control. Health Psychology, 34(5), 505-513.
10. Hofmann, S.G., Vonk, I., Asnani, A., & Sawyer, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta analyses. National Institute Health, 36(5), 427-440.
11. Hunter, C. (2016). Understanding diabetes and the role of psychology in its prevention and treatment.
American Psychologist, 71, 515-525.
12. Indonesia Ministry of Health. (2013). Basic Healthy Research Result. Jakarta: Indonesia Ministry of Health.
13. International Diabetes Federation. (2015). IDF Diabetes Atlas 7th ed. UK: International Diabetes Federation.
14. Jokić-Begić, N. (2010). Cognitive-behavioral therapy and neuroscience: Towards closer integration.
Psychological Topics, 2, 235-254.
15. Karlsen, B., Idsoe, T., Dirdal, I., Rokne Hanestad, B., & Bru, E. (2004). Effects of a group-based counseling programme on diabetes-related stress, coping, psychological well-being and metabolic control in adults with type 1 or type 2 diabetes. Patient Education Counseling, 53(3), 299-308.
16. Lustman, P.J. & Clouse, R.E. (2005). Depression in diabetic patients: The relationship between mood and glycemic control. Journal of Diabetes Complications, 19(2), 113-122.
17. Moewardi. (2016). Data Rekam Medis Pasien DM [Medical Record Data of DM Patient]. Surakarta: Moewardi General Hospital.
18. Noorozi, Z., Hamidian, S., Homarmand, M.M.Z., Zargar, Y., Rashidi, H., & Dolatshashi, B. (2017). Improving depression, and quality of life in patients with type 2 diabetes: Using group cognitive behavior therapy. Iranian Journal of Psychiatry, 12(4), 281-286.
19. Petrak, F., Hautzinger, M., Plack, K., Kronfeld, K., Ruckes, C., & Herperetz, S. (2012). Cognitive behavioural therapy in elderly type 2 diabetes patients with minor depression or mild, and major depression: Study protocol of a randomized controlled trial (MIND-DIA). BioMed Central Geriatrics, 10(21), 1471-2318.
20. Public Health Office. (2016). Buku Saku Kesehatan Kesehatan Triwulan Dua Tahun [Health Pocket Book]. Semarang: Public Health Office.
21. Rane, K., Wajngot, A., & Wandell, P.E. (2011). Psychososial problems in patients with newly diagnosed diabetes: Number and characeristics. Diabetes Research and Clinical Practice, 54(1), 44-51.
22. Roghieh, M., Mansour, H., & Lavasani, G. (2017). The reduction of anxiety and blood sugar level with group cognitive-behavior therapy in men and women with type II diabetes: An experimental study. Caspian Journal of Neurological Sciences, 3(9), 95-105.
23. Turner, R. & Swearer, S.M. (2010). Cognitive behavioral therapy (CBT). Educational Psychology Papers and Publications, 147, 226-229.
24. Welschen, L.M.C., Oppen, P., Dekker, J.M., Bouter, L.M., Stalman, W.A.B., & Nijpels, G. (2007). The effectiveness of adding cognitive behavioural therapy aimed at changing lifestyle to managed diabetes care for patients with type 2 diabetes: design of a randomised controlled trial. BMC Public Health, 7, 74.
25. World Health Organization. (2016). Diabetes Mellitus [Online]. available from https://www.who.int. [Cited 2019 Jan 10].
26. Rohani, A., Akbari, V., Homayoon, K.Infective endocarditis presents as isolated splenomegaly(2011) Journal of Cardiovascular Disease Research, 2 (1), pp. 71-73.
DOI: 10.4103/0975-3583.78601
27. Lincy, G., Ponnavaikko, M., Anselm, L. Review of optimal siting and sizing techniques for distributed generation in the distribution system (2018) International Journal of Pharmaceutical Research, 10 (4), pp. 80-83.
28. Bhatia S, Namdeo AG, Nanda S. "Factors Effecting the Gelling and Emulsifying Properties of a Natural Polymer." Systematic Reviews in Pharmacy 1.1 (2010), 86-92. Print. doi:10.4103/0975-8453.59517
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