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Volume 12, Issue 3 (2024)
Health Educ Health Promot 2024, 12(3): 415-421 |
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Received: 2024/05/5 | Accepted: 2024/08/28 | Published: 2024/09/30
Received: 2024/05/5 | Accepted: 2024/08/28 | Published: 2024/09/30
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Comparing the Effectiveness of Cognitive-Behavioral Therapy and Mindfulness Intervention in Diabetes Self-Care of Depressed Women. Health Educ Health Promot 2024; 12 (3) :415-421
URL: http://hehp.modares.ac.ir/article-4-74970-en.html
URL: http://hehp.modares.ac.ir/article-4-74970-en.html
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Abstract (1710 Views)
Aims: The present research was conducted to compare the effect of cognitive-behavioral therapy and mindfulness on self-care in depressed women with gestational diabetes.
Materials & Methods: This semi-experimental research was conducted on depressed women with gestational diabetes who were referred to the healthcare centers in Ray County, Tehran. Forty-five individuals were selected through convenience sampling and randomly assigned to three groups, including cognitive-behavioral therapy, mindfulness, and control. The two intervention groups, cognitive therapy and mindfulness, received eight sessions of 60 minutes each. The research tools included the Summary of Diabetes Self-Care Activities Scale and the Edinburgh Postnatal Depression Scale. Data analysis was performed using SPSS 25 software and the mixed analysis of variance.
Findings: Mindfulness was significantly more effective in self-care behavior (p<0.01). However, both cognitive-behavioral therapy and mindfulness methods led to increased diabetes self-care activities (p<0.01). After a one-month follow-up, both methods remained effective (p>0.05), although mindfulness showed a decreasing trend (p<0.01).
Conclusion: While both mindfulness and CBT show promise in enhancing self-care among depressed women with gestational diabetes, mindfulness appears particularly effective in addressing the complex interplay of depression and diabetes management. However, CBT demonstrates the potential for longer-lasting therapeutic effects.
Materials & Methods: This semi-experimental research was conducted on depressed women with gestational diabetes who were referred to the healthcare centers in Ray County, Tehran. Forty-five individuals were selected through convenience sampling and randomly assigned to three groups, including cognitive-behavioral therapy, mindfulness, and control. The two intervention groups, cognitive therapy and mindfulness, received eight sessions of 60 minutes each. The research tools included the Summary of Diabetes Self-Care Activities Scale and the Edinburgh Postnatal Depression Scale. Data analysis was performed using SPSS 25 software and the mixed analysis of variance.
Findings: Mindfulness was significantly more effective in self-care behavior (p<0.01). However, both cognitive-behavioral therapy and mindfulness methods led to increased diabetes self-care activities (p<0.01). After a one-month follow-up, both methods remained effective (p>0.05), although mindfulness showed a decreasing trend (p<0.01).
Conclusion: While both mindfulness and CBT show promise in enhancing self-care among depressed women with gestational diabetes, mindfulness appears particularly effective in addressing the complex interplay of depression and diabetes management. However, CBT demonstrates the potential for longer-lasting therapeutic effects.
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