Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1404
3
1
gregorian
2025
6
1
24
3
online
1
fulltext
fa
اثربخشی درمان شناختی-رفتاری بر بیخوابی، خودمراقبتی و بهزیستی روانشناختی بیماران مبتلاء به دیابت: یک مطالعه مروری نظاممند
The Effectiveness of Cognitive-Behavioral Therapy on Insomnia, Self-Care, and Psychological Well-Being in Patients with Diabetes: A Systematic Review
روانپزشكي
Psychiatry
مقاله مروري
Review Article
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">چکیده</span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b> <span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">دیابت یکی از بیماریهای مزمن و گسترده در سراسر جهان است که نه تنها بر سلامت جسمی، بلکه بر ابعاد مختلف روانشناختی بیماران نیز تأثیر میگذارد. پژوهش مروری حاضر با هدف تعیین اثربخشی درمان شناختی-رفتاری بر بیخوابی، خودمراقبتی، و بهزیستی روانشناختی بیماران مبتلاء به دیابت انجام شد.</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">مواد و روشها: از طریق مطالعه مروری نظام</span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">مند، تمامی مقالات منتخب با توجه به کلمات کلیدی تخصصی در پایگاه</span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">های اطلاعاتی خارجی طی سال</span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"Cambria",serif"></span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">های 2010 (از ماه آگوست) تا 2024 (تا ماه فوریه) و اطلاعات مورد نظر جهت دستیابی به هدف پژوهش، توسط نویسندگان پژوهش ارزیابی شد. تعداد ۹۱۷ مقاله انگلیسی بررسی شدند و پس از ارزیابی کیفیت با استفاده از الگوی پریزما، ۲۲ مقاله منتخب مورد بررسی قرار گرفتند.</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> نتایج نشان داد درمان شناختی-رفتاری در بهبود جنبههای مختلف دیابت، از جمله کنترل قند خون، رفتارهای خودمراقبتی، کاهش افسردگی و اضطراب، و ارتقاء بهزیستی روانشناختی مؤثر است. مداخلات دیجیتال و گروهی، بهویژه در مدیریت بیخوابی و کاهش استرس تأثیرات مثبتی داشتند. این روشها برای افراد مبتلا به دیابت و بیماریهای همراه، مانند درد مزمن یا مشکلات خواب، در بهبود کیفیت زندگی، سلامت روان و دستیابی به اهداف متابولیک مؤثر بودند. همچنین، آموزش مربیان و ارائه مداخلات در مناطق کمبرخوردار به عنوان راهبردهای مؤثر مطرح شدند.</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> درمان شناختی-رفتاری به بهبود جنبههای روانشناختی و جسمانی بیماران دیابتی کمک کرده، علائم افسردگی و اضطراب را کاهش، کیفیت خواب را بهبود و رفتارهای خودمراقبتی را ارتقاء میدهد. این درمان میتواند در دستیابی به اهداف متابولیک و بهبود کیفیت زندگی بیماران کمک کند.</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%"></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:11.5pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">واژه</span></span></span><span dir="RTL" lang="FA" style="font-size:11.5pt"><span style="line-height:107%"><span style="font-family:"Cambria",serif"></span></span></span><span dir="RTL" lang="FA" style="font-size:11.5pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">های کلیدی:</span></span></span></b><span dir="RTL" lang="FA" style="font-size:11.5pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""> دیابت، درمان شناختی-رفتاری، بیخوابی، خودمراقبتی، بهزیستی روانشناختی </span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span dir="LTR" style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span></span>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives: </span></span></b></a><span style="font-size:9.0pt"><span style="line-height:150%">Diabetes is a widespread chronic disease worldwide that not only affects physical health but also impacts various psychological aspects of patients. This review study aimed to determine the effectiveness of cognitive-behavioral therapy (CBT) on insomnia, self-care, and psychological well-being in patients with diabetes.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Through a systematic review, all selected articles based on specialized keywords were evaluated from foreign databases between August 2010 and February 2024. A total of 917 English articles were reviewed, and after assessing quality using the PRISMA model, 22 selected articles were further analyzed.</span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The results indicated that CBT was effective in improving various aspects of diabetes, including blood sugar control, self-care behaviors, reducing depression and anxiety, and enhancing psychological well-being. Digital and group interventions, especially in managing insomnia and reducing stress, had positive effects. These approaches were beneficial for individuals with diabetes and comorbid conditions such as chronic pain or sleep problems in improving quality of life and mental health and achieving metabolic goals. Furthermore, training coaches and providing interventions in underserved areas were proposed as effective strategies.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Cognitive-behavioral therapy helps in improving both the psychological and physical aspects of diabetes, reducing symptoms of depression and anxiety, improving sleep quality, and enhancing self-care behaviors. This therapy can contribute to achieving metabolic goals and improving the quality of life for patients.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Keywords: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Diabetes, Cognitive-behavioral therapy, Insomnia, Self-care, Psychological well-being </span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Funding: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">This study did not have any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conflict of interest: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Ethical considerations: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Not applicable.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Authors’ contributions:</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Conceptualization: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Fatemeh Madani, Sedigheh Ebrahimzadeh</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Methodology: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Fatemeh Madani<sup> </sup></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">-Data collection: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Fatemeh Madani, Sedigheh Ebrahimzadeh</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Supervision: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Sedigheh Ebrahimzadeh</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Project administration: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Sedigheh Ebrahimzadeh</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Writing - original draft: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Sedigheh Ebrahimzadeh</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Writing - review & editing: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Fatemeh Madani</span></span></span></span></span></span></span><br>
<br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span>
دیابت, درمان شناختی-رفتاری, بیخوابی, خودمراقبتی, بهزیستی روانشناختی
Diabetes, Cognitive-behavioral therapy, Insomnia, Self-care, Psychological well-being
286
302
http://journal.rums.ac.ir/browse.php?a_code=A-10-6924-1&slc_lang=fa&sid=1
Fatemeh
Madani
فاطمه
مدنی
madanipsych@gmail.com
6900319475328460060676
0009-0004-7645-6650
No
M.A in Clinical Psychology, Shahre Qods Branch, Islamic Azad University, Tehran, Iran
کارشناس ارشد روانشناسی بالینی، واحد شهر قدس، دانشگاه آزاد اسلامی، تهران، ایران
Sedigheh
Ebrahimzadeh
صدیقه
ابراهیم زاده
Ebrahimzadeh.se@gmail.com
6900319475328460060677
6900319475328460060677
Yes
Assistant Professor, Department of Clinical Psychology, Shahre Qods Branch, Islamic Azad University, Tehran, Iran
استادیار گروه روانشناسی بالینی، واحد شهر قدس، دانشگاه آزاد اسلامی، تهران، ایران