EVALUATION OF THE EFFECTIVENESS OF COGNITIVE BEHAVIORAL THERAPY ON DECREASING DEPRESSION LEVELS AND IMPROVING THE LIFESTYLE OF PATIENTS WITH TYPE 2 DIABETES

Diabetes mellitus type 2 (formerly noninsulin-dependent diabetes mellitus
(NIDDM) or adult-onset diabetes) is a metabolic disorder that is characterized by high blood glucose
in the context of insulin resistance and relative insulindeficiency.Mental health promotion in
accordance with its central role in health care is in focus. Given that diabetic patients have improper
lifestyles and suffer from the upper levels of depression, the aim of this study is therefore is to
determine theeffectiveness of cognitive-behavior therapy on reducing of the level of depression and
improving the life style of patients with type 2 diabetes.
Materials and methods: a statistical sample, 30 people with type 2 diabetes mellitus patients of
Salmas City that were available for sampling methods selected and tested randomly in two groups (15
people) and the control group (n = 15) were appointed. The tools used in this study, the Walker and
lifestyle questionnaire surveys, Beck Depression inventory. Experimental Group exposed tothe
independent variable (cognitive behavior therapy) a 90-minute session for 12 session. Research design
was pre- post-test with control group and data analyzed by Multivariate analysis of covariance
(MANCOVA)Single-Factor Analysisofcovariance - ANCOVA).
Results: the results showed that cognitive-behavioral therapy can change life style of patients with
type 2 diabetes in their self-actualization, accountability, interpersonal relationships, nutrition,
physical activity and stress management (p <0/001)and reduce depression (p <0/001)
Conclusion: Finally, it can be stated that regular cognitive-behavioral treatments can improve lifestyle
oftype 2 diabetic patients and reduce depression among them.