The effectiveness of the stress management method based on the cognitive behavioral approach and self-care training and the combination of both on the health status of people with type 2 diabetes

In diabetes, stress lack of adherence to therapy, and poor self-care can worsen the condition of the affected people. Therefore, the study aimed to determine the effectiveness of stress management methods based on cognitive behavioral approach and self-care training and the combination of both on health status in people with type 2 diabetes. The present study is a randomized four-group double-blind clinical trial. The research sample included 60 people with type 2 diabetes selected purposefully among the members of the Diabetes Association and Private offices in Kerman City. The participants, after matching in terms of age and gender, were randomly replaced into 4 groups of 15 people (group 1: stress management based on cognitive-behavioral therapy, group 2: self-care training, group 3: stress management based on cognitive-behavioral therapy + self-care training, the control group: without any intervention) and the experimental groups received the relevant interventions in 8 sessions and the control group did not receive any intervention. Pre-test, post-test, and 2-month follow-up of the members of all 4 groups were performed by health status questionnaire from the World Health Organization. According to the results of the SPANOVA analysis, the mean scores of health status in the post-test and follow-up phases were increased compared to the pre-test phase and the occurred increase remained stable until the follow-up phase. Conclusion According to the findings of the study, the combination of medical and psychological interventions is necessary to improve the health status and stability of the obtained results.