Comparison of the Effectiveness of Training based on Positive Psychology and Motivational Interviewing on Emotional Distress in Patients with Type 2 Diabetes
International Journal of Applied Behavioral Sciences,
Vol. 7 No. 3 (2020),
1 September 2020
,
Page 25-35
https://doi.org/10.22037/ijabs.v7i3.31484
Abstract
Introduction: Prevalence of diabetes has been rising in Iran that causes many social and economic problems. The aim of this study was to compare the effectiveness of training based on positive psychology and motivational interviewing on emotional distress in patients with type 2 diabetes.
Method: Quasi-experimental research design with pretest-posttest and control group were utilized in this study. The statistical population included patients with type 2 diabetes referring to the Endocrinology and Metabolism Research Institute. 48 patients were selected with convenient sampling method and divided into two experimental group and a control group. The first group received positive psychology training. The second group received a motivational interviewing and the control group did not receive any treatment. The groups were evaluated before and after the intervention using emotional distress questionnaire. Data were analyzed by using multivariate analysis of covariance.
Result: The result showed positive psychology training and motivational interview training are effective on decreasing components of psychological distress including psychological distress in relation to diabetes management and depression-related problems in patients with diabetes and positive psychological training was more effective (p<0.05).
Conclusion: Based on results of this study, positive psychological and motivational interviewing training have positive effect on emotional distress of type 2 diabetes patients. Both of the interventions by strengthening positive motivation and modifying the levels of negative effects reduced emotional distress scores.
Keywords:
- Emotional distress, Positive psychology, Motivational interviewing, Type 2 of diabetes
How to Cite
Hosseini Tavan, S. H., Taher, M. . ., Nouhi, S. ., & Rajab, A. . (2020). Comparison of the Effectiveness of Training based on Positive Psychology and Motivational Interviewing on Emotional Distress in Patients with Type 2 Diabetes . International Journal of Applied Behavioral Sciences, 7(3), 25–35. https://doi.org/10.22037/ijabs.v7i3.31484
References
1- Sneha N, Gangil T. Analysis of diabetes mellitus for early prediction using optimal features selection. Journal of Big data. 2019;6(1):13-26.
2- Glovaci D, Fan W, Wong ND. Epidemiology of diabetes mellitus and cardiovascular disease. Current cardiology reports. 2019;21(4):21.
3- Moosazadeh M, Asemi Z, Lankarani KB, Tabrizi R, Maharlouei N, Naghibzadeh-Tahami A, Yousefzadeh G, Sadeghi R, Khatibi SR, Afshari M, Khodadost M. Family history of diabetes and the risk of gestational diabetes mellitus in Iran: a systematic review and meta-analysis. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2017;11:S99-104-115.
4- Oguntibeju OO. Type 2 diabetes mellitus, oxidative stress and inflammation: examining the links. International journal of physiology, pathophysiology and pharmacology. 2019;11(3):45.
5- Lopes G, Andrade PB, Valentão P. Phlorotannins: Towards new pharmacological interventions for diabetes mellitus type 2. Molecules. 2017;22(1):56-66.
6- Perrin NE, Davies MJ, Robertson N, Snoek FJ, Khunti K. The prevalence of diabetes‐specific emotional distress in people with Type 2 diabetes: a systematic review and meta‐analysis. Diabetic Medicine. 2017;34(11):1508-20.
7- Perrin N, Bodicoat DH, Davies MJ, Robertson N, Snoek FJ, Khunti K. Effectiveness of psychoeducational interventions for the treatment of diabetes-specific emotional distress and glycaemic control in people with type 2 diabetes: a systematic review and meta-analysis. Primary care diabetes. 2019;13(6):556-67.
8- Iturralde E, Rausch JR, Weissberg-Benchell J, Hood KK. Diabetes-related emotional distress over time. Pediatrics. 2019;143(6):405-412.
9- Schinckus L, Dangoisse F, Van den Broucke S, Mikolajczak M. When knowing is not enough: Emotional distress and depression reduce the positive effects of health literacy on diabetes self-management. Patient education and counseling. 2018 Feb 1;101(2):324-30.
10- Weissberg‐Benchell J, Vesco AT, Rychlik K. Diabetes camp still matters: Relationships with diabetes‐specific distress, strengths, and self‐care skills. Pediatric diabetes. 2019;20(3):353-60.
11- Halepian L, Saleh MB, Hallit S, Khabbaz LR. Adherence to insulin, emotional distress, and trust in physician among patients with diabetes: a cross-sectional study. Diabetes Therapy. 2018;9(2):713-26.
12- Gonzalez JS, Kane NS, Binko DH, Shapira A, Hoogendoorn CJ. Tangled up in blue: unraveling the links between emotional distress and treatment adherence in type 2 diabetes. Diabetes care. 2016;39(12):2182-9.
13- Bai JW, Lovblom LE, Cardinez M, Weisman A, Farooqi MA, Halpern EM, Boulet G, Eldelekli D, Lovshin JA, Lytvyn Y, Keenan HA. Neuropathy and presence of emotional distress and depression in longstanding diabetes: results from the Canadian study of longevity in type 1 diabetes. Journal of Diabetes and its Complications. 2017;31(8):1318-24.
14- Schinckus L, Dangoisse F, Van den Broucke S, Mikolajczak M. When knowing is not enough: Emotional distress and depression reduce the positive effects of health literacy on diabetes self-management. Patient education and counseling. 2018;101(2):324-30.
15- Jannoo Z, Wah YB, Lazim AM, Hassali MA. Examining diabetes distress, medication adherence, diabetes self-care activities, diabetes-specific quality of life and health-related quality of life among type 2 diabetes mellitus patients. Journal of clinical & translational endocrinology. 2017;9:48-54.
16- Fisher L, Gonzalez JS, Polonsky WH. The confusing tale of depression and distress in patients with diabetes: a call for greater clarity and precision. Diabetic medicine. 2014;31(7):764-72.
17- Hernandez R, Bassett SM, Boughton SW, Schuette SA, Shiu EW, Moskowitz JT. Psychological well-being and physical health: Associations, mechanisms, and future directions. Emotion Review. 2018;10(1):18-29.
18- Winkley K, Upsher R, Stahl D, Pollard D, Kasera A, Brennan A, Heller S, Ismail K. Psychological interventions to improve self-management of type 1 and type 2 diabetes: a systematic review. Health Technology Assessment (Winchester, England). 2020;24(28):1-10.
19- Tsenkova VK, Karlamangla AS, Ryff CD. Parental history of diabetes, positive affect, and diabetes risk in adults: Findings from MIDUS. Annals of Behavioral Medicine. 2016;50(6):836-43.
20- Seligman ME, Rashid T, Parks AC. Positive psychotherapy. American psychologist. 2006;61(8):774-782.
21- Hingle MD, Wertheim BC, Tindle HA, Tinker L, Seguin RA, Rosal MC, Thomson CA. Optimism and diet quality in the Women's Health Initiative. Journal of the Academy of Nutrition and Dietetics. 2014;114(7):1036-45.
22- Seligman ME, Csikszentmihalyi M. Positive psychology: An introduction. InFlow and the foundations of positive psychology 2014 (pp. 279-298). Springer, Dordrecht.
23- Donaldson SI, Dollwet M, Rao MA. Happiness, excellence, and optimal human functioning revisited: Examining the peer-reviewed literature linked to positive psychology. The Journal of Positive Psychology. 2015;10(3):185-95.
24- Jaser SS, Datye K, Morrow T, Sinisterra M, LeStourgeon L, Abadula F, Bell GE, Streisand R. THR1VE! Positive psychology intervention to treat diabetes distress in teens with type 1 diabetes: Rationale and trial design. Contemporary Clinical Trials. 2020:22(10):188-198.
25- Huffman JC, DuBois CM, Millstein RA, Celano CM, Wexler D. Positive psychological interventions for patients with type 2 diabetes: rationale, theoretical model, and intervention development. Journal of diabetes research. 2015;17(8):69-78.
26- DuBois CM, Millstein RA, Celano CM, Wexler DJ, Huffman JC. Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes. The primary care companion for CNS disorders. 2016;18(3):89-97.
27- Boehm JK, Trudel-Fitzgerald C, Kivimaki M, Kubzansky LD. The prospective association between positive psychological well-being and diabetes. Health Psychology. 2015 Oct;34(10):1013.
28- Cohn MA, Pietrucha ME, Saslow LR, Hult JR, Moskowitz JT. An online positive affect skills intervention reduces depression in adults with type 2 diabetes. The journal of positive psychology. 2014;9(6):523-34.
29- Celano CM, Gianangelo TA, Millstein RA, Chung WJ, Wexler DJ, Park ER, Huffman JC. A positive psychology–motivational interviewing intervention for patients with type 2 diabetes: proof-of-concept trial. The International Journal of Psychiatry in Medicine. 2019;54(2):97-114.
30- Jones A, Vallis M, Pouwer F. If it does not significantly change HbA1c levels why should we waste time on it? A plea for the prioritization of psychological well‐being in people with diabetes. Diabetic Medicine. 2015;32(2):155-63.
31- Miller WR, Rollnick S. Motivational interviewing: preparing people for change. 2nd ed: New York, Guilford Press; 2002.
32- Lundahl B, Moleni T, Burke BL, Butters R, Tollefson D, Butler C, Rollnick S. Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Educ Couns. 2013;93(2):157–68.
33- Thepwongsa I, Muthukumar R, Kessomboon P. Motivational interviewing by general practitioners for type 2 diabetes patients: a systematic review. Fam Pract. 2017;34(4):376–83.
34- Wang YC, Stewart SM, Mackenzie M, et al. A randomized controlled trial comparing motivational interviewing in education to structured diabetes education in teens with type 1 diabetes. Diabetes Care. 2010;33:1741–1753.
35- Song D, Xu TZ, Sun QH. Effect of motivational interviewing on self-management in patients with type 2 diabetes mellitus: a meta-analysis. Int J Nurs Sci. 2017:291–7.
36- Ekong G, Kavookjian J. Motivational interviewing and outcomes in adults with type 2 diabetes: a systematic review. Patient Educ Couns. 2016;99(6):944–52.
37- Polonsky WH, Anderson BJ, Lohrer PA, Welch G, Jacobson AM, Aponte JE, Schwartz CE: Assessment of diabetes-related distress. Diabetes Care 1995, 18: 754–760.
38- Welch G, Weinger K, Anderson B, Polonsky WH: Responsiveness of the Problem Areas in Diabetes (PAID) questionnaire. Diabetic Med 2003, 20: 69–72.
2- Glovaci D, Fan W, Wong ND. Epidemiology of diabetes mellitus and cardiovascular disease. Current cardiology reports. 2019;21(4):21.
3- Moosazadeh M, Asemi Z, Lankarani KB, Tabrizi R, Maharlouei N, Naghibzadeh-Tahami A, Yousefzadeh G, Sadeghi R, Khatibi SR, Afshari M, Khodadost M. Family history of diabetes and the risk of gestational diabetes mellitus in Iran: a systematic review and meta-analysis. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2017;11:S99-104-115.
4- Oguntibeju OO. Type 2 diabetes mellitus, oxidative stress and inflammation: examining the links. International journal of physiology, pathophysiology and pharmacology. 2019;11(3):45.
5- Lopes G, Andrade PB, Valentão P. Phlorotannins: Towards new pharmacological interventions for diabetes mellitus type 2. Molecules. 2017;22(1):56-66.
6- Perrin NE, Davies MJ, Robertson N, Snoek FJ, Khunti K. The prevalence of diabetes‐specific emotional distress in people with Type 2 diabetes: a systematic review and meta‐analysis. Diabetic Medicine. 2017;34(11):1508-20.
7- Perrin N, Bodicoat DH, Davies MJ, Robertson N, Snoek FJ, Khunti K. Effectiveness of psychoeducational interventions for the treatment of diabetes-specific emotional distress and glycaemic control in people with type 2 diabetes: a systematic review and meta-analysis. Primary care diabetes. 2019;13(6):556-67.
8- Iturralde E, Rausch JR, Weissberg-Benchell J, Hood KK. Diabetes-related emotional distress over time. Pediatrics. 2019;143(6):405-412.
9- Schinckus L, Dangoisse F, Van den Broucke S, Mikolajczak M. When knowing is not enough: Emotional distress and depression reduce the positive effects of health literacy on diabetes self-management. Patient education and counseling. 2018 Feb 1;101(2):324-30.
10- Weissberg‐Benchell J, Vesco AT, Rychlik K. Diabetes camp still matters: Relationships with diabetes‐specific distress, strengths, and self‐care skills. Pediatric diabetes. 2019;20(3):353-60.
11- Halepian L, Saleh MB, Hallit S, Khabbaz LR. Adherence to insulin, emotional distress, and trust in physician among patients with diabetes: a cross-sectional study. Diabetes Therapy. 2018;9(2):713-26.
12- Gonzalez JS, Kane NS, Binko DH, Shapira A, Hoogendoorn CJ. Tangled up in blue: unraveling the links between emotional distress and treatment adherence in type 2 diabetes. Diabetes care. 2016;39(12):2182-9.
13- Bai JW, Lovblom LE, Cardinez M, Weisman A, Farooqi MA, Halpern EM, Boulet G, Eldelekli D, Lovshin JA, Lytvyn Y, Keenan HA. Neuropathy and presence of emotional distress and depression in longstanding diabetes: results from the Canadian study of longevity in type 1 diabetes. Journal of Diabetes and its Complications. 2017;31(8):1318-24.
14- Schinckus L, Dangoisse F, Van den Broucke S, Mikolajczak M. When knowing is not enough: Emotional distress and depression reduce the positive effects of health literacy on diabetes self-management. Patient education and counseling. 2018;101(2):324-30.
15- Jannoo Z, Wah YB, Lazim AM, Hassali MA. Examining diabetes distress, medication adherence, diabetes self-care activities, diabetes-specific quality of life and health-related quality of life among type 2 diabetes mellitus patients. Journal of clinical & translational endocrinology. 2017;9:48-54.
16- Fisher L, Gonzalez JS, Polonsky WH. The confusing tale of depression and distress in patients with diabetes: a call for greater clarity and precision. Diabetic medicine. 2014;31(7):764-72.
17- Hernandez R, Bassett SM, Boughton SW, Schuette SA, Shiu EW, Moskowitz JT. Psychological well-being and physical health: Associations, mechanisms, and future directions. Emotion Review. 2018;10(1):18-29.
18- Winkley K, Upsher R, Stahl D, Pollard D, Kasera A, Brennan A, Heller S, Ismail K. Psychological interventions to improve self-management of type 1 and type 2 diabetes: a systematic review. Health Technology Assessment (Winchester, England). 2020;24(28):1-10.
19- Tsenkova VK, Karlamangla AS, Ryff CD. Parental history of diabetes, positive affect, and diabetes risk in adults: Findings from MIDUS. Annals of Behavioral Medicine. 2016;50(6):836-43.
20- Seligman ME, Rashid T, Parks AC. Positive psychotherapy. American psychologist. 2006;61(8):774-782.
21- Hingle MD, Wertheim BC, Tindle HA, Tinker L, Seguin RA, Rosal MC, Thomson CA. Optimism and diet quality in the Women's Health Initiative. Journal of the Academy of Nutrition and Dietetics. 2014;114(7):1036-45.
22- Seligman ME, Csikszentmihalyi M. Positive psychology: An introduction. InFlow and the foundations of positive psychology 2014 (pp. 279-298). Springer, Dordrecht.
23- Donaldson SI, Dollwet M, Rao MA. Happiness, excellence, and optimal human functioning revisited: Examining the peer-reviewed literature linked to positive psychology. The Journal of Positive Psychology. 2015;10(3):185-95.
24- Jaser SS, Datye K, Morrow T, Sinisterra M, LeStourgeon L, Abadula F, Bell GE, Streisand R. THR1VE! Positive psychology intervention to treat diabetes distress in teens with type 1 diabetes: Rationale and trial design. Contemporary Clinical Trials. 2020:22(10):188-198.
25- Huffman JC, DuBois CM, Millstein RA, Celano CM, Wexler D. Positive psychological interventions for patients with type 2 diabetes: rationale, theoretical model, and intervention development. Journal of diabetes research. 2015;17(8):69-78.
26- DuBois CM, Millstein RA, Celano CM, Wexler DJ, Huffman JC. Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes. The primary care companion for CNS disorders. 2016;18(3):89-97.
27- Boehm JK, Trudel-Fitzgerald C, Kivimaki M, Kubzansky LD. The prospective association between positive psychological well-being and diabetes. Health Psychology. 2015 Oct;34(10):1013.
28- Cohn MA, Pietrucha ME, Saslow LR, Hult JR, Moskowitz JT. An online positive affect skills intervention reduces depression in adults with type 2 diabetes. The journal of positive psychology. 2014;9(6):523-34.
29- Celano CM, Gianangelo TA, Millstein RA, Chung WJ, Wexler DJ, Park ER, Huffman JC. A positive psychology–motivational interviewing intervention for patients with type 2 diabetes: proof-of-concept trial. The International Journal of Psychiatry in Medicine. 2019;54(2):97-114.
30- Jones A, Vallis M, Pouwer F. If it does not significantly change HbA1c levels why should we waste time on it? A plea for the prioritization of psychological well‐being in people with diabetes. Diabetic Medicine. 2015;32(2):155-63.
31- Miller WR, Rollnick S. Motivational interviewing: preparing people for change. 2nd ed: New York, Guilford Press; 2002.
32- Lundahl B, Moleni T, Burke BL, Butters R, Tollefson D, Butler C, Rollnick S. Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Educ Couns. 2013;93(2):157–68.
33- Thepwongsa I, Muthukumar R, Kessomboon P. Motivational interviewing by general practitioners for type 2 diabetes patients: a systematic review. Fam Pract. 2017;34(4):376–83.
34- Wang YC, Stewart SM, Mackenzie M, et al. A randomized controlled trial comparing motivational interviewing in education to structured diabetes education in teens with type 1 diabetes. Diabetes Care. 2010;33:1741–1753.
35- Song D, Xu TZ, Sun QH. Effect of motivational interviewing on self-management in patients with type 2 diabetes mellitus: a meta-analysis. Int J Nurs Sci. 2017:291–7.
36- Ekong G, Kavookjian J. Motivational interviewing and outcomes in adults with type 2 diabetes: a systematic review. Patient Educ Couns. 2016;99(6):944–52.
37- Polonsky WH, Anderson BJ, Lohrer PA, Welch G, Jacobson AM, Aponte JE, Schwartz CE: Assessment of diabetes-related distress. Diabetes Care 1995, 18: 754–760.
38- Welch G, Weinger K, Anderson B, Polonsky WH: Responsiveness of the Problem Areas in Diabetes (PAID) questionnaire. Diabetic Med 2003, 20: 69–72.
- Abstract Viewed: 235 times
- pdf Downloaded: 160 times