Document Type : Original Article
Authors
1
PhD student in Psychology, Islamic Azad University, Shahrood Branch, Shahrood, Iran
2
Associate Professor, Department of Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran
3
Assistant Professor, Department of Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran.
4
Assistant Professor, Department of Mathematics, Shahrood Bransh, Islamic Azad University
Abstract
Introduction: Diabetes is a chronic metabolic disease and a common disease in which the metabolism of starch, protein and fats is impaired due to decreased insulin secretion. Therefore, the aim of the study was to determine the effectiveness of systemic behavioral family therapy on coping styles and cognitive flexibility in adolescents with type 1 diabetes.
Method: The method of this study was a quasi-experimental type with a pre-test and post-test design with two experimental and control groups. The statistical population included adolescents with type 1 diabetes aged 14-18 years who referred to the Iranian Diabetes Association in Tehran and their parents in 2019, and 30 volunteers from among them were purposefully enrolled in the study and randomly assigned to two experimental and control groups (each group consisting of 15 people). Then, the coping styles questionnaires of Frydenberg and Lewis (1993) and the cognitive flexibility questionnaires of Dennis and Vanderwaal (2010) were completed by both groups. After that, systemic behavioral family therapy was implemented on the experimental group. And then the questionnaires were completed by both groups. The data were analyzed using SPSS version 24 software and the analysis of covariance method.
Results: The results of the analysis of covariance for both variables showed that there was a significant difference in the coping styles subscales including reference to others (P=0.012) and problem-focused (P<0.001) between the experimental and control groups in the post-test. Also, there was a significant difference in the cognitive flexibility subscales including alternatives (P=0.002), control (P<0.001) and alternatives to human behavior (P<0.001) between the experimental and control groups in the post-test, after removing the pre-test effect.
Conclusion: Therefore, it can be said that systemic-behavioral family therapy can be used to improve and modify the psychological protective factors of type 1 diabetic adolescents.
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