Effectiveness of Health Promoting Lifestyle Training in Health Hardiness, Self-compassion, and Behavioral Emotion Regulation in Patients with Type 2 Diabetes

• Published in: Taḥqīqāt-i salāmat dar jāmiʻah Vol. 9; no. 1; pp. 75 - 87
• Main Authors: Azadeh Edalat, Zahra DashtBozorgi, Marzieh Talebzadeh Shoshtari
• Format: Journal Article
• Language: Persian
• Published: Mazandaran University of Medical Sciences 01.03.2023
• Subjects: diabetes type 2; emotion regulation; health; healthy lifestyle; self-compassion
• ISSN: 2423-6772; 2423-6764

Introduction and purpose: Patients with diabetes face many problems, especially in the field of health hardiness, self-compassion, and behavioral emotion regulation. As a result, the present research aimed to investigate the effectiveness of health-promoting lifestyle training in health hardiness, self-compassion, and behavioral emotion regulation in patients with type 2 diabetes. Methods: This study was conducted based on a semi-experimental pretest and posttest design with a control group. The statistical research population was patients with type 2 diabetes who were members of Ahvaz Diabetes Association in the winter of 2021. After reviewing the inclusion criteria, 50 people were selected as a sample with the available sampling method and randomly assigned to two equal groups (n=25 in each group). The experimental group underwent eight 90 minutes sessions of  Alijani et al. health-promoting lifestyle training (2015), and the control group remained on the waiting list for training. Data were collected with the demographic information form, revised health hardiness inventory (Gebhardt et al., 2001), self-compassion scale (Neff, 2016), and behavioral emotion regulation questionnaire (Kraaij and Garnefski, 2019) and analyzed in SPSS software (version 19) using chi-square, independent t-test, and multivariate analysis of covariance. Results: The results demonstrated that the experimental and control groups did not significantly differ in terms of gender, education level, and age (P>0.05). The other findings pointed out that health-promoting lifestyle training led to increased health hardiness (F=575.597, P<0.001), self-compassion (F=283.882, P<0.001) and behavioral emotion regulation (F=633.967, P<0.001) in patients with type 2 diabetes (P<0.001). Conclusion: As evidenced by the results of the present study, health professionals and therapists can use the health-promoting lifestyle training method along with other training methods to improve the psychological characteristics of patients with type 2 diabetes, especially increasing health hardiness, self-compassion, and behavioral emotion regulation.