The effect of problem solving and decision making skills on tendency to depression and anxiety in patients with type 2 diabetes

Abazarian, Elaheh; Baboli, M Teimourzadeh; Abazarian, Elham; Ghashghaei, F Esteki

The effect of problem solving and decision making skills on tendency to depression and anxiety in patients with type 2 diabetes

Authors

¹ Department of Psychology, Payame Noor University, Babol, Iran

² Department of Internal Medicine, Faculty of Medicine, Mazandaran University of Medical School, Sari, Iran

³ Department of Psychologist, Sari Azad University, Sari, Iran

⁴ Department of Neurology, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, Iran

Abstract

Background: Diabetes is the most prevalent disease that has involved 177 million people all over the world and, due to this, these patients suffer from depression and anxiety and they should use special methods for controlling the same. The aim of this research is the study of the effect of problem solving and decision making skill on the rate of the tendency to depression and anxiety.
Materials and Methods: This research is a quasi-experimental (case-control) study. Statistically, the population of the present study was all diabetic patients of Qaemshahr who were controlled by physicians in 2011-2012. Thirty files were selected randomly from them and divided into two 15 patients' groups (control and subject group) randomly. The measurement tools were Back depression inventory (21 items) and Zank anxiety questionnaire that were distributed among two groups. Then, the subject group participated in eight sessions of teaching problem solving and decision making courses separately, and the second group (control group) did not receive any instruction.
Results: Finally, both groups had passed post-test and the data obtained from the questionnaires were studied by variance analysis statistical methods.
Conclusion: The results showed that teaching problem solving and decision making skills was very effective in reducing diabetic patients' depression and anxiety and resulted in reducing their depression and anxiety.

References

1.	Petrak F, Herpertz S. Treatment of depression in diabetes: An update. Curr Opin Psychiatry 2009;22:211-7.
2.	Simon GE, Katon WJ, Lin EH, Rutter C, Manning WG, Von Korff M, et al. Cost-effectiveness of systematic depression treatment among people with diabetes mellitus. Arch Gen Psychiatry 2007;64:65-72.
3.	Home P, Mant J, Diaz J, et al.; Management of type 2 diabetes: Summary of updated NICE guidance. BMJ. 2008; 336(7656):1306-8.
4.	Katon WJ, Russo JE, Von Korff M, Lin EH, Ludman E, Ciechanowski PS. Long-term effects on medical costs of improving depression outcomes in patients with depression and diabetes. Diabetes Care 2008;31:1155-9.
5.	Mosavi M, Haghshenas H, Alishahi MJ, Najmi B. Anxiety and personal factors-related to the social in highschool students in Shiraz. J Behav Sci Res 2008;6:17-25.
6.	Katon W, Fan MY, Unützer J, Taylor J, Pincus H, Schoenbaum M. Depression and diabetes: A potentially lethal combination. J Gen Intern Med 2008;23:1571-5.
7.	Sahota PK, Knowler WC, Looker HC. Depression, diabetes, and glycemic control in an American Indian community. J Clin Psychiatry 2008;69:800-9.
8.	Roy MS, Roy A, Affouf M. Depression is a risk factor for poor glycemic control and retinopathy in African-Americans with type 1 diabetes. Psychosom Med 2007;69:537-42.
9.	Gross R, Olfson M, Gameroff MJ, Carasquillo O, Shea S, Feder A, et al. Depression and glycemic control in Hispanic primary care patients with diabetes. J Gen Intern Med 2005;20:460-6.
10.	Malouff JM, Thorsteinsson EB, Schutte NS. The efficacy of problem solving therapy in reducing mental and physical health problems: A meta-analysis School of Psychology. Clin Psychol Rev 2007;27:46-57.
11.	Funke J, Frensch PA. Complex problem solving: The European assen (Ed.) Le perspective - 10 years after. In D. H. Jonarning to Solve Complexm. 25-47). 2007; 25-47.
12.	Nezu AM, Nezu CM, Felgoise SH. Problem solving therapy improved quality of life and reduced psycological distress in adults in with of cancer. Evid Based Med 2004;26.
13.	Mosavi M, Haghshenas H, Alishahi MJ, Najmi B. Anxiety and personal factors-related to the social in highschool students in Shiraz. J Behav Sci Res 2008;6:17-25.
14.	Davis W, Lysaker L. Cognitive behavioral therapy and functional and met cognitive outcomes in schizophrenia: A single case study. Cogn Behav Pract 2005;12:468-78.
15.	Dowrick C, Dunn G. Problem solving treatment and group psychoeducation for depreession. Evid Based Med 2000; 22:1450-5.
16.	McNaughton N, Gray JA. Anxiolytic action on the behavioural inhibition system implies multiple types of arousal contribute to anxiety. J Affect Disord 2000;61:161-76.

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