An investigation of effectiveness of cognitive behavioral therapy on attitudes of insulin-dependent patients with type II diabetes towards continuity of treatment among the patients referring to Mahdieh Hospital of Tehran, Iran

BACKGROUND: Today, type 2 diabetes mellitus (DM) is one of the most common metabolic diseases that is still on the rise. Present study aimed at investigation of effectiveness of cognitive behavioral therapy (CBT) on attitudes of the patients with type II DM taking insulin towards continuity of treatment, considering the increasing trend of this disease and the necessity of providing appropriate treatment facilities. METHODS: The study was conducted in semi-experimental method based on pretest-posttest and control group design. The statistical population included all insulin-dependent patients with type II DM, who were clients of Mahdieh Hospital of Tehran, Iran, in 2014. The convenience sampling was used based on which, 30 patients with type II DM were divided into two experimental (15 subjects) and control (15 subjects) groups and they responded to the questionnaire developed by the author. Then, the experimental group members experienced eight 90-minute sessions of CBT, while the controls received no intervention. Analysis of covariance (ANCOVA) with the SPSS software was used to analyze data. RESULTS: CBT led to increased cognitive, behavioral, and affective attitudes of the patients with type II DM who were taking insulin. Given the derived F, the difference between experimental and control groups was significant in terms of cognitive, affective, and behavioral attitudes (P < 0.01). CONCLUSION: Totally, our results emphasize the role of CBT in attitudes of patients with type II DM taking insulin towards continuance of treatment.