Investigating the Effect of two Methods of Dialectic Behavioral Therapies and Metacognitive Therapy on the Body Mass Index and Emotional Eating Behavior in Patients with Type 2 Diabetes
Authors
-
Shima Sheikh 1
1. PhD student in Health Psychology, Department of Health psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
http://orcid.org/0000-0002-5189-5356
-
Saied Malihi Alzackerini 2*
2. PhD in Health Psychology, Department of Health psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
http://orcid.org/0000-0003-4702-1004
-
Fatemeh Mohammadi Shirmahaleh 2
2. PhD in Health Psychology, Department of Health psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
http://orcid.org/0000-0001-5501-8783
-
Fatemeh Zam 3
3. PhD in General Psychology, Department of psychology, karaj Branch, Islamic Azad University, Karaj, Iran.
http://orcid.org/0000-0003-3008-9272
-
Ahmad Baseri 4
4. Assistant Professor, PhD in General Psychology, Department of psychology, Faculty of Social and Cultural Sciences, Imam Hossein University, Tehran, Iran.
http://orcid.org/0000-0002-4759-7268
DOI:
https://doi.org/10.22100/ijhs.v7i2.855Keywords:
Diabetes, Dialectic behavioral therapies, Metacognitive therapyAbstract
Background: Diabetes is one of the chronic multifactorial metabolic diseases that in addition to affecting the clinical condition of the individual, incurs many costs to different communities around the world and also in Iran. This study aimed to investigate the effect of dialectical behavior therapy and metacognitive psychotherapy on the body mass index and emotional eating behavior in patients with type 2 diabetes.
Methods: This study was an applied and controlled clinical trial one with a pre-test and post-test design with a control group and random assignment and quarterly follow-up. The participants were selected from among patients referring to Mashhad diabetes research center. The patients were randomly divided into two experimental (n=40) and control group (n=20). The experimental groups received weekly sessions for 2 months (8 sessions), while the control group did not receive any intervention. To collect the data, in addition to the demographic questionnaire, the standard Dutch Eating Behavior questionnaire was used to collect data. Data were analyzed and examined by SPSS 21 and statistical tests. Significant level was set at 0.05.
Results: Based on the study, it was found that there was a significant difference between the mean of intervention and control groups (Pvalue<0.05). In other words, dialectical behavior therapy and metacognitive psychotherapy significantly reduced the body mass index and emotional eating behavior in patients with type 2 diabetes.
Conclusions: According to the results, it seems that dialectical behavior therapy and metacognitive psychotherapy can be used as effective psychological interventions to reduce body mass index and emotional eating behavior in patients, which requires further investigation.
Keywords: Diabetes, Dialectic behavioral therapies, Metacognitive therapy.
References
1. Diabetes C. Summary of revisions to the 2011 clinical practice recommendations. Diabetes Care. 2011;34: S3.
2. Wu J, Shi S, Wang H, Wang S. Mechanisms underlying the effect of polysaccharides in the treatment of type 2 diabetes: A review. Carbohydrate Polymers. 2016; 144:474-94.
3. Alirezaei Shahraki R, Sahaf R, Abolfathi Momtaz Y. Effects of nationwide program for prevention and control of diabetes initiated by the ministry of health on elderly diabetic patients’ knowledge, attitude and practice in Isfahan. Iranian Journal of Ageing. 2019;14(1):84-95.
4. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes research and clinical practice. 2014;103(2):137-49.
5. Mehdikhani S, Gohari MR, Banazade Z. Determining factors affecting fasting blood sugar in patients with type 2 diabetes using Copula functions. Razi Journal of Medical Sciences. 2014;21(122):1-8.
6. Izadi A, Sepahvand F, Naderifar M, Mohammadipour F. The effect of an educational intervention on quality of life in patients with type 2 diabetes referring to Tamin Ejtemaei Hospital in 2013. Journal of Diabetes Nursing. 2014; 2(2): 18-28.
7. Arab S, Akhundi N, Javadani Masroor M, Riahi Madvar. Designing a model for psychological capital promotion in diabetic patients: explaining the role of quality of life. Journal of Health Psychology. 2017; 5 (18): 35-51.
8. Fattahi S, Naderi F, Askari P, Ahadi H. Comparison of the performance of neurofeedback training and medication to reduce food intake and public health in women with additives. Journal of Neuropsychology 2018; 3 (8): 119-132. [Persian].
9. Christie D, Thompson R, Sawtell M, Allen E, Cairns J, Smith F, Jamieson E, Hargreaves K, Ingold A, Brooks L, Wiggins M. Structured, intensive education maximising engagement, motivation and long-term change for children and young people with diabetes: a cluster randomized controlled trial with integral process and economic evaluation-the CASCADE study. Health Technology Assessment (Winchester, England). 2014;18(20):1.
10. Nouwen A, Winkley K, Twisk J, Lioyd C.E, Peyrot M, Ismail K, Pouwer F. Type 2 diabetes mellitus as a risk factor for the onset of depression: a systematic review and meta-analysis. Diabetologai, 2010; 53:2480-2486.
11. Shahsavari M, Fathi Ashtiani A, Rasoulzadeh Tabatabai, K. Body mass index: A comparison of emotion regulation and eating behavior. Journal of Lorestan University of Medical Sciences, 2017; 18(3):69. [Persian].
12. Sadock b, Sadock V. Summary of Psychiatry. Translation: Farzin Rezaei (2015). Tehran: Arjmand Publications,2015.
13. Hughes AE, Berg CA, Wiebe DJ. Emotional processing and self-control in adolescents with type 1 diabetes. Journal of Pediatric Psychology. 2012; 37(8): 925-34.
14. Fava GA, Cosci F, Guidi J, Tomba E. Well‐being therapy in depression: New insights into the role of psychological well‐being in the clinical process. Depression and anxiety. 2017;34(9):801-8.
15. Cuijpers P, Van Straten A, Warmerdam L, Smits N. Characteristics of effective psychological treatments of depression; A metaregression analysis. Psychotherapy Research, 2008; 18. pp. 225-236.
16. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press; 2012.
17. Mohammadi J, Azizi A. Dialectical behavior therapy group on the perception of the disease and quality of life of patients with irritable bowel syndrome. scientific journal of ilam university of medical sciences. 2017 Jul 10;25(2):18-26.
18. Moritz S, Stöckert K, Hauschildt M, Lill H, Jelinek L, Beblo T, Diedrich S, Arlt S. Are we exaggerating neuropsychological impairment in depression: Reopening a closed chapter. Expert Review of Neurotherapeutics. 2017;17(8):839-46.
19. Van Strien T, Frijters J.E, Bergers G.P, Defares P.B. The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders, 1986; 5(2), 295–315.
20. Salehi Fedredi J, Madahe Shurcheh R, Nemati, M. Comparison of motivational structure and eating styles in women with overweight and obesity and normal weight. Journal of Principles of Mental Health, 2012; 2: 170-181.
21. Alipour A, Abdekhodaie E, Muhammadi H. The Relationship between Morningness, Positive and Negative Affect, Eating Behaviors, and Eating Chocolate in Students. Iranian Journal of Psychiatry and Clinical Psychology. 2016 Aug 10;22(2):112-21.
22. Braden A, Ferrell E, Redondo R, Watford T. Dialectical Behavior Therapy Skills and Behavioral Weight Loss for Emotional Eating and Obesity: A Case Study. Journal of Contemporary Psychotherapy. 2020 Jan 14:1-0.
23. Beaulac J, Sandre D, Mercer D. Impact on mindfulness, emotion regulation, and emotional overeating of a dbt skills training group: a pilot study. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2019 Apr;24(2):373-7.
24. Roosen MA, Safer D, Adler S, Cebolla i Martí AJ, Van Strien T. Group dialectical behavior therapy adapted for obese emotional eaters; a pilot study. Nutricion Hospitalaria, 2012, vol. 27, num. 4, p. 1141-1147. 2012.
25. Robertson S, Strodl E. Metacognitive therapy for binge eating disorder: A case series study. Clinical Psychologist. 2020 Jul;24(2):143-54.
26. Vann A, Strodl E, Anderson E. The transdiagnostic nature of metacognitions in women with eating disorders. Eating disorders. 2014 Aug 8;22(4):306-20.
27. Cooper MJ, Grocutt E, Deepak K, Bailey E. Metacognition in anorexia nervosa, dieting and non‐dieting controls: A preliminary investigation. British Journal of Clinical Psychology. 2007 Mar;46(1):113-7.
28. Rezaei Karkard, F. Evaluation of the relationship between personality type and adherence to the recommended treatment regimens in diabetic patients. Master Thesis in Nursing and Internal Medicine and Surgery, Mashhad University of Medical Sciences, 2003.
29. Souza LA, Cancian AC, Castro TG, Oliveira MD. Problematic and adaptive eating in people with obesity after a DBT-based skills training intervention: 3-and 8-month follow-up and mediation analysis. Psicologia: Reflexão e Crítica. 2019;32.
30. Cancian AC, de Souza LA, Liboni RP, de Lara Machado W, da Silva Oliveira M. Effects of a dialectical behavior therapy-based skills group intervention for obese individuals: A Brazilian pilot study. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2019 Dec;24(6):1099-111.
31. Matin Far E. Comparison of the effectiveness of group acceptance and commitment therapy and group dialectical behavior therapy for weight loss, anxiety and depression in women on diet. Master Thesis in Clinical Psychology, Ferdowsi University of Mashhad, 2015.
32. Rahimi Mehr A, Agha Yousefi A, Abbas pour P. Evaluation of the effectiveness of acceptance and commitment-based treatment (ACT) on biomarkers (FBS, HBA1C and 2HPP) in type 2 diabetic patients. Journal of Lorestan University of Medical Sciences, 2020; 21 (2).
33. Pajoheshgar M, Rajaei A, Khoeinejad G, Bayazi M. The effect of wellness therapy on depression, self-management and blood sugar control in women with type 2 diabetes. Zabol Diabetes Nursing Scientific Research Quarterly, 2020; 7 (4): 943-957
2. Wu J, Shi S, Wang H, Wang S. Mechanisms underlying the effect of polysaccharides in the treatment of type 2 diabetes: A review. Carbohydrate Polymers. 2016; 144:474-94.
3. Alirezaei Shahraki R, Sahaf R, Abolfathi Momtaz Y. Effects of nationwide program for prevention and control of diabetes initiated by the ministry of health on elderly diabetic patients’ knowledge, attitude and practice in Isfahan. Iranian Journal of Ageing. 2019;14(1):84-95.
4. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes research and clinical practice. 2014;103(2):137-49.
5. Mehdikhani S, Gohari MR, Banazade Z. Determining factors affecting fasting blood sugar in patients with type 2 diabetes using Copula functions. Razi Journal of Medical Sciences. 2014;21(122):1-8.
6. Izadi A, Sepahvand F, Naderifar M, Mohammadipour F. The effect of an educational intervention on quality of life in patients with type 2 diabetes referring to Tamin Ejtemaei Hospital in 2013. Journal of Diabetes Nursing. 2014; 2(2): 18-28.
7. Arab S, Akhundi N, Javadani Masroor M, Riahi Madvar. Designing a model for psychological capital promotion in diabetic patients: explaining the role of quality of life. Journal of Health Psychology. 2017; 5 (18): 35-51.
8. Fattahi S, Naderi F, Askari P, Ahadi H. Comparison of the performance of neurofeedback training and medication to reduce food intake and public health in women with additives. Journal of Neuropsychology 2018; 3 (8): 119-132. [Persian].
9. Christie D, Thompson R, Sawtell M, Allen E, Cairns J, Smith F, Jamieson E, Hargreaves K, Ingold A, Brooks L, Wiggins M. Structured, intensive education maximising engagement, motivation and long-term change for children and young people with diabetes: a cluster randomized controlled trial with integral process and economic evaluation-the CASCADE study. Health Technology Assessment (Winchester, England). 2014;18(20):1.
10. Nouwen A, Winkley K, Twisk J, Lioyd C.E, Peyrot M, Ismail K, Pouwer F. Type 2 diabetes mellitus as a risk factor for the onset of depression: a systematic review and meta-analysis. Diabetologai, 2010; 53:2480-2486.
11. Shahsavari M, Fathi Ashtiani A, Rasoulzadeh Tabatabai, K. Body mass index: A comparison of emotion regulation and eating behavior. Journal of Lorestan University of Medical Sciences, 2017; 18(3):69. [Persian].
12. Sadock b, Sadock V. Summary of Psychiatry. Translation: Farzin Rezaei (2015). Tehran: Arjmand Publications,2015.
13. Hughes AE, Berg CA, Wiebe DJ. Emotional processing and self-control in adolescents with type 1 diabetes. Journal of Pediatric Psychology. 2012; 37(8): 925-34.
14. Fava GA, Cosci F, Guidi J, Tomba E. Well‐being therapy in depression: New insights into the role of psychological well‐being in the clinical process. Depression and anxiety. 2017;34(9):801-8.
15. Cuijpers P, Van Straten A, Warmerdam L, Smits N. Characteristics of effective psychological treatments of depression; A metaregression analysis. Psychotherapy Research, 2008; 18. pp. 225-236.
16. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press; 2012.
17. Mohammadi J, Azizi A. Dialectical behavior therapy group on the perception of the disease and quality of life of patients with irritable bowel syndrome. scientific journal of ilam university of medical sciences. 2017 Jul 10;25(2):18-26.
18. Moritz S, Stöckert K, Hauschildt M, Lill H, Jelinek L, Beblo T, Diedrich S, Arlt S. Are we exaggerating neuropsychological impairment in depression: Reopening a closed chapter. Expert Review of Neurotherapeutics. 2017;17(8):839-46.
19. Van Strien T, Frijters J.E, Bergers G.P, Defares P.B. The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders, 1986; 5(2), 295–315.
20. Salehi Fedredi J, Madahe Shurcheh R, Nemati, M. Comparison of motivational structure and eating styles in women with overweight and obesity and normal weight. Journal of Principles of Mental Health, 2012; 2: 170-181.
21. Alipour A, Abdekhodaie E, Muhammadi H. The Relationship between Morningness, Positive and Negative Affect, Eating Behaviors, and Eating Chocolate in Students. Iranian Journal of Psychiatry and Clinical Psychology. 2016 Aug 10;22(2):112-21.
22. Braden A, Ferrell E, Redondo R, Watford T. Dialectical Behavior Therapy Skills and Behavioral Weight Loss for Emotional Eating and Obesity: A Case Study. Journal of Contemporary Psychotherapy. 2020 Jan 14:1-0.
23. Beaulac J, Sandre D, Mercer D. Impact on mindfulness, emotion regulation, and emotional overeating of a dbt skills training group: a pilot study. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2019 Apr;24(2):373-7.
24. Roosen MA, Safer D, Adler S, Cebolla i Martí AJ, Van Strien T. Group dialectical behavior therapy adapted for obese emotional eaters; a pilot study. Nutricion Hospitalaria, 2012, vol. 27, num. 4, p. 1141-1147. 2012.
25. Robertson S, Strodl E. Metacognitive therapy for binge eating disorder: A case series study. Clinical Psychologist. 2020 Jul;24(2):143-54.
26. Vann A, Strodl E, Anderson E. The transdiagnostic nature of metacognitions in women with eating disorders. Eating disorders. 2014 Aug 8;22(4):306-20.
27. Cooper MJ, Grocutt E, Deepak K, Bailey E. Metacognition in anorexia nervosa, dieting and non‐dieting controls: A preliminary investigation. British Journal of Clinical Psychology. 2007 Mar;46(1):113-7.
28. Rezaei Karkard, F. Evaluation of the relationship between personality type and adherence to the recommended treatment regimens in diabetic patients. Master Thesis in Nursing and Internal Medicine and Surgery, Mashhad University of Medical Sciences, 2003.
29. Souza LA, Cancian AC, Castro TG, Oliveira MD. Problematic and adaptive eating in people with obesity after a DBT-based skills training intervention: 3-and 8-month follow-up and mediation analysis. Psicologia: Reflexão e Crítica. 2019;32.
30. Cancian AC, de Souza LA, Liboni RP, de Lara Machado W, da Silva Oliveira M. Effects of a dialectical behavior therapy-based skills group intervention for obese individuals: A Brazilian pilot study. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2019 Dec;24(6):1099-111.
31. Matin Far E. Comparison of the effectiveness of group acceptance and commitment therapy and group dialectical behavior therapy for weight loss, anxiety and depression in women on diet. Master Thesis in Clinical Psychology, Ferdowsi University of Mashhad, 2015.
32. Rahimi Mehr A, Agha Yousefi A, Abbas pour P. Evaluation of the effectiveness of acceptance and commitment-based treatment (ACT) on biomarkers (FBS, HBA1C and 2HPP) in type 2 diabetic patients. Journal of Lorestan University of Medical Sciences, 2020; 21 (2).
33. Pajoheshgar M, Rajaei A, Khoeinejad G, Bayazi M. The effect of wellness therapy on depression, self-management and blood sugar control in women with type 2 diabetes. Zabol Diabetes Nursing Scientific Research Quarterly, 2020; 7 (4): 943-957
Published
2021-04-25
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How to Cite
Investigating the Effect of two Methods of Dialectic Behavioral Therapies and Metacognitive Therapy on the Body Mass Index and Emotional Eating Behavior in Patients with Type 2 Diabetes. (2021). International Journal of Health Studies, 7(2), 36-42. https://doi.org/10.22100/ijhs.v7i2.855
