Comparison the Effectiveness of Unified Transdiagnostic Treatment and Hope Therapy on Self-Care Activities and Reducing Cognitive-Behavioral Avoidance in Patients with Type 2 Diabetes

Abstract

Aim and Background: The comparison of different psychological approaches in terms of their effect on psychological variables is of interest to many researchers. In this regard, the purpose of this research is to compare the effectiveness of unified transdiagnostic treatment and hope therapy on self-care activities and reducing cognitive-behavioral avoidance in patients with type 2 diabetes. Methods and Materials: The design of the research is experimental and pre-test and post-test with a control group. The statistical population included all married men and women with type 2 diabetes and members of Ahvaz diabetes society in 1400. 60 of these patients were selected based on the criteria of entry and exit, screening and purposefully, and after matching, they were randomly assigned in 3 groups of 20 people. Research tools included diabetes self-care activities scale (Toobert et al. 2000) and cognitive-behavioral avoidance scale (Ottenbreit and Dobson, 2004). Data were analyzed through multivariate (MANCOVA) and univariate (ANCOVA) analyzes using SPSS software. Findings: The results showed that integrated transdiagnostic treatment and hope therapy were effective on self-care activities and cognitive-behavioral avoidance in patients with diabetes (p<0.05); in addition, the results showed that there is no significant difference between the effectiveness of two types of intervention in patients with diabetes. Conclusions: It seems that both approaches are equally effective on self-care activities and cognitive-behavioral avoidance in patients with diabetes.

Keywords

• unified transdiagnostic treatment
• hope therapy
• self-care activities
• cognitive-behavioral avoidance.