اثربخشی درمان حساسیت زدایی با حرکات چشم و پردازش مجدد بر اضطراب مرگ و استرس ادراكشده بیماران مبتلا به دیابت نوع دو The effectiveness of eye movement desensitization and reprocessing therapy on death anxiety and perceived stress in patients with Type 2 diabetes
Description
چکیده زمینه و هدف: یکی از نگرانیهاي اصلی بیماران مبتلا به دیابت، فکرکردن به مرگ است که با استرس و اضطراب همراه است. پژوهش حاضر با هدف تعیین اثربخشی درمان حساسیت زدایی با حرکات چشم و پردازش مجدد بر اضطراب مرگ و استرس ادراكشده بیماران مبتلا به دیابتنوع دو صورت گرفت. روش کار: این مطالعه از نوع نیمه آزمایشی با طرح پیشآزمون- پسآزمون و پیگیري با گروه کنترل بود که در سال 1400 روي 40 نفر از بیماران مبتلا به دیابت نوع 2 تحت پوشش انجمن خیریه حمایت از بیماران دیابتی کل کشور انجام شد. افراد فوق به شیوه نمونهگیري هدفمند گزینشو به روش تصادفی در دو گروه کنترل و آزمایشجايدهی شدند. براي گروه آزمایشدر کنار درمانهاي معمول، 8 جلسه 90 دقیقه اي جلسات درمان حساسیت زدایی با حرکات چشم و پردازش مجدد انجام شد. براي جمعآوري دادهها از از پرسشنامه اضطراب مرگ تمپلر و همکاران ( 1970 ) و پرسشنامه استرس ادراك شده کوهن و همکاران ( 1983 ) استفاده شد. تجزیه و تحلیل آماري دادههاي بدست آمده با استفاده از آزمون تحلیل واریانس با اندازهگیري مکرر انجام گرفت. 6 و در / 9 و 10 / یافتهها: میانگین نمرات اضطراب مرگ در مراحل قبل و بعد از مداخله در گروه آزمایش به ترتیب 15 8 بود. همچنین میانگین نمرات استرس ادراك شده در مراحل قبل و بعد از مداخله در / 9 و 90 / گروه کنترل به ترتیب 10 26 بود . نتایج تحلیل واریانس با / 26 و 05 / 19 و در گروه کنترل به ترتیب 45 / 27 و 65 / گروه آزمایش به ترتیب 65 اندازهگیري مکرر نشان داد که میانگین اضطراب مرگ و استرس ادراك شده در گروه آزمایش، پساز مداخله حساسیت زدایی با حرکات چشم و پردازش مجدد در مقایسه با گروه کنترل به طور معناداري کاهش پیدا کرده و این تأثیر در .(p<0/ مرحله پیگیري نیز پایدار بوده است ( 01 نتیجه گیري: نتایج نشان داد که مداخله حساسیت زدایی با حرکات چشم و پردازش مجدد منجر به بهبود اضطراب مرگ و استرس ادراك شده در بیماران مبتلا به دیابت نوع دو میشود. بنابرا ین استفاده از ا ی ن مداخله براي توانمندسازي روانشناختی بیماران مبتلا به دیابت نوع دو پیشنهاد میشود. واژههاي کلیدي: حساسیت زدایی با حرکات چشم و پردازش مجدد، اضطراب مرگ، استرس ادراك شده، دیابت نوع دو
Background & aim
Thinking to death is one of the main concerns of patients with diabetes and is associated with anxiety or stress. In addition, limitations imposed by long-term treatment can also cause stress in this group of patients. Therefore, the present study aimed to examine the effectiveness of eye movement desensitization and reprocessing (EMDR) therapy on death anxiety and perceived stress in patients with type 2 diabetes.
Methods
This quasi-experimental research was a pretest-posttest design with follow-up and the statistical population included all patients with type 2 diabetes referred to the Charity Association for Diabetic Patients in Tehran, Iran, 2022. The statistical sample size was 40 patients (20 in the experimental group and 20 in the control group) from the statistical population who were selected by purposeful sampling method and randomly assigned to control and experimental groups. In experimental group, eight 90-minute sessions of EMDR therapy were performed and no treatment received by control group. Death Anxiety Scale Timpler (1970) and Perceived Stress Scale (Cohen and el, 1983) were used to collect data. The collected data were analyzed using the analysis of variance test with repeated measurements.
Results
The average scores of death anxiety in the stages before and after the intervention were 9.15 and 6.10 in the experimental group and 9.10 and 8.90 in the control group, respectively. Also, the average scores of perceived stresses in the stages before and after the intervention in the experimental group were 27.65 and 19.65, respectively, and in the control group, 26.45 and 26.05, respectively. Repeated-measure test showed that the post-intervention scores of mean death anxiety score and perceived stress score in the experimental group had significantly difference with scores from control group, and this effect has also continued in the follow-up stage (p<0.01).
Conclusion
According to the results of this study, it can be concluded that EMDR therapy can decrease death anxiety and perceived stress in patients with type 2 diabetes. Therefore, this intervention is suggested for the psychological rehabilitation of patients with type 2 diabetes.
Background & aim
Thinking to death is one of the main concerns of patients with diabetes and is associated with anxiety or stress. In addition, limitations imposed by long-term treatment can also cause stress in this group of patients. Therefore, the present study aimed to examine the effectiveness of eye movement desensitization and reprocessing (EMDR) therapy on death anxiety and perceived stress in patients with type 2 diabetes.
Methods
This quasi-experimental research was a pretest-posttest design with follow-up and the statistical population included all patients with type 2 diabetes referred to the Charity Association for Diabetic Patients in Tehran, Iran, 2022. The statistical sample size was 40 patients (20 in the experimental group and 20 in the control group) from the statistical population who were selected by purposeful sampling method and randomly assigned to control and experimental groups. In experimental group, eight 90-minute sessions of EMDR therapy were performed and no treatment received by control group. Death Anxiety Scale Timpler (1970) and Perceived Stress Scale (Cohen and el, 1983) were used to collect data. The collected data were analyzed using the analysis of variance test with repeated measurements.
Results
The average scores of death anxiety in the stages before and after the intervention were 9.15 and 6.10 in the experimental group and 9.10 and 8.90 in the control group, respectively. Also, the average scores of perceived stresses in the stages before and after the intervention in the experimental group were 27.65 and 19.65, respectively, and in the control group, 26.45 and 26.05, respectively. Repeated-measure test showed that the post-intervention scores of mean death anxiety score and perceived stress score in the experimental group had significantly difference with scores from control group, and this effect has also continued in the follow-up stage (p<0.01).
Conclusion
According to the results of this study, it can be concluded that EMDR therapy can decrease death anxiety and perceived stress in patients with type 2 diabetes. Therefore, this intervention is suggested for the psychological rehabilitation of patients with type 2 diabetes.
Format
Journal
Language
Persian
Original Work Citation
Valizadeh Shafagh, S., Taklavi, S., & Kazemi, R. (2022). The effectiveness of eye movement desensitization and reprocessing therapy on death anxiety and perceived stress in patients with Type 2 diabetes. Journal of Health and Care, 24(3), 245-257. Persian
Citation
“اثربخشی درمان حساسیت زدایی با حرکات چشم و پردازش مجدد بر اضطراب مرگ و استرس ادراكشده بیماران مبتلا به دیابت نوع دو The effectiveness of eye movement desensitization and reprocessing therapy on death anxiety and perceived stress in patients with Type 2 diabetes,” Francine Shapiro Library, accessed May 17, 2024, https://francineshapirolibrary.omeka.net/items/show/27752.