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Volume 22, Issue 126 (9-2023)                   Journal of Psychological Science 2023, 22(126): 1191-1206 | Back to browse issues page


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Neamatizade Z, Sabet M, Rafiepoor A, Abolmaali alhosseini K. (2023). Structural model of self-care of patients with type-2 diabetes based on emotional symptoms, and spirituality: The mediating role of self-compassion. Journal of Psychological Science. 22(126), 1191-1206. doi:10.52547/JPS.22.126.1191
URL: http://psychologicalscience.ir/article-1-1745-en.html
Assistant Professor, Department of Psychology, Faculty of Psychology and Social Sciences, Roudehen Branch, Islamic Azad University, Roudehen, Iran , mehrdadsabet@yahoo.com
Abstract:   (639 Views)
 Background: Diabetes is a chronic, growing disease with serious and important physical and mental consequences. Self-care is very important in controlling this disease, and identifying factors affecting self-care such as emotional symptoms, spirituality, and self-compassion can help us better control this type of disease. A review of the research background shows that there are few studies in the field of type 2 diabetes self-care, so the present study tries to investigate the role of self-compassion on diabetes self-care through emotional symptoms and spirituality.
Aims: The present study was conducted with the aim of investigating the structural model of the self-care relationship of patients with type 2 diabetes based on emotional symptoms and spirituality with the mediation of self-compassion.
Method: The design of the current research was descriptive-correlational and structural equation modeling. The statistical population of the study included all patients with type 2 diabetes in Tehran in 2020-2021, 423 of whom were selected from Shariati, imam Khomeini hospitals, and Taban specialized health and diabetes polyclinic using available sampling method. In order to collect data, type 2 diabetes self-care questionnaires (Neamatizade et al., 2022), emotional symptoms (Wardenaar et al., 2010), self-compassion (Neff, 2003) and spirituality (Parsian & Dunning, 2009) were used. Also, research data were analyzed using structural equation modeling method and SPSS24 and AMOS24 software.
Results: The findings of this research showed that the overall effect of emotional symptoms (β=0.274, P<0.01), spirituality (β=0.485, P<0.01) and self-compassion (P<0.01, 369) β=0/0) on self-care of type 2 diabetic patients was significant at the level of 0.01. Also, the results showed the indirect effect of emotional symptoms (β=-0.164, P < 0.01), spirituality (β = 0.098, P < 0.01) on the self-care of type 2 diabetic patients was significant at the level of 0.01. Based on this, it was found that self-compassion mediates the effect of emotional symptoms on self-care in a negative way and the effect of spirituality on self-care of diabetic patients in a positive and meaningful way. Also, the results showed that the variables of spirituality, emotional symptoms and self-compassion explain a total of 51% of the variance of self-care in type 2 diabetes patients.
Conclusion: According to the obtained results, it seems that self-compassion has a mediating role in the relationship between emotional symptoms and spirituality and self-care of type 2 diabetes patients. Therefore, increasing self-compassion in these patients can be effective in improving the self-care of these patients by controlling negative emotional symptoms such as depression and anxiety and increasing spirituality.
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Type of Study: Research | Subject: Special
Received: 2022/06/29 | Accepted: 2022/09/1 | Published: 2023/09/2

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