The Effectiveness of Positive Psychotherapy on the Well-Being and Glycemic Control of Patients with Type 2 Diabetes: A Randomized Controlled Trial

Abstract

Background: Diabetes is one of most widespread diseases that disturb the mental and physical health of patients. Objectives: The aim of study was searching a therapeutic method to enhance the diabetic’s health by supposing the effectiveness of positive psychotherapy on the well-being and glycemic of patients with type 2 diabetes in Iran. Methods: In a randomized, single-blinded clinical-trial study, from January 2016 to February 2017, a total of 30 type 2 diabetic patients of Yazd Diabetes Research Center, with purposeful sampling method, were selected randomly and put in two groups (Experimental and Control groups). While participants of both groups continued their drug therapy, the experimental group received 10 sessions of 90 minutes (a session per week) group positive psychotherapy while the control group remained on the waiting list. Data were gathered before the intervention and two weeks after intervention. At the end of the treatment sessions three of the experimental group (n = 12) and two of the control group (n = 13) were excluded from the study for their absence in post-test. Data were gathered by demographic form, general well-being questionnaire (GWB), and Glycemic test (HbA1c). SPSS software, version 16 with P = 0.05 level, Kolmogorov-Smirnov (K-S), chi-square, and analysis of covariance (ANCOVA) were used for analyzing data. Results: The results showed that positive psychotherapy significantly increases mental well-being, and its subscales in comparison with the control group (P < 0.01). Also, other results showed that glycemic in the experimental group in comparison with the control group significantly decreased (P < 0.05). Conclusions: It can be deduced that positive therapy intervention can be effective in mental well-being and to some extent, blood glucose of diabetics. So, this therapy can be used when diabetic patient’s psychological factors should be carefully considered.