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统一协议对1型糖尿病患儿情绪障碍进行跨诊断治疗及模块化认知行为疗法在其正负性情绪及情绪觉察方面有效性的比较研究

A Comparative Study on the Effectiveness of Unified Protocols for Transdiagnostic Treatment of Emotional Disorders and Modular Cognitive-Behavioral Therapy on Positive and Negative Affect, and Emotional Awareness in Children with Type 1 Diabetes Mellitus.

作者信息

Hashemipoor Zavareh Maryam, Bahramipour Isfahani Mansoureh, Sajjadian Ilnaz

机构信息

Department of Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.

出版信息

Adv Biomed Res. 2025 Jan 30;14:4. doi: 10.4103/abr.abr_239_24. eCollection 2025.

Abstract

BACKGROUND

This study aims to compare the effectiveness of unified protocols for transdiagnostic treatment of emotional disorders and modular cognitive-behavioral therapy on positive and negative affect and emotional awareness in children with Type 1 Diabetes (T1D).

MATERIALS AND METHODS

In this semi-experimental pretest-posttest study, T1D patients enrolled in two experimental groups: unified protocols for transdiagnostic treatment of emotional disorders and modular cognitive-behavioral therapy interventions in a unified process and one control group. After the completion of the therapeutic sessions, all three groups responded to the research questionnaires in the post-test phase and after a two-month follow-up and were compared.

RESULTS

The results of the repeated measures analysis of variance showed that the unified protocols for transdiagnostic treatment of emotional disorders and modular cognitive-behavioral therapy interventions had a significant effect on increasing positive affect and emotional awareness, as well as reducing negative affect in children with T1D, and the effects of the treatment remained during the follow-up stage ( < 0.001). A comparison between the two treatments also indicated that the modular cognitive-behavioral therapy intervention had a greater effectiveness in reducing the negative affect variable in the post-test phase compared to the unified protocols for transdiagnostic treatment ( < 0.01). There were no significant differences between the two therapeutic methods in other variables ( > 0.05).

CONCLUSIONS

Based on these findings, both interventions can be used as useful treatments to improve psychological variables in children with T1D. These results underscore its potential as a potent tool for enhancing the emotional well-being of individuals with this condition, thereby contributing to an improved quality of life.

摘要

背景

本研究旨在比较情绪障碍跨诊断治疗统一方案与模块化认知行为疗法对1型糖尿病(T1D)儿童积极和消极情绪及情绪意识的有效性。

材料与方法

在这项半实验性的前测-后测研究中,T1D患者被纳入两个实验组:情绪障碍跨诊断治疗统一方案组和在统一过程中进行的模块化认知行为疗法干预组,以及一个对照组。治疗疗程结束后,所有三组在测试后阶段以及两个月随访后对研究问卷进行了回答,并进行了比较。

结果

重复测量方差分析结果表明,情绪障碍跨诊断治疗统一方案和模块化认知行为疗法干预对增加T1D儿童的积极情绪和情绪意识以及减少消极情绪有显著效果,且治疗效果在随访阶段持续存在(P<0.001)。两种治疗方法之间的比较还表明,与情绪障碍跨诊断治疗统一方案相比,模块化认知行为疗法干预在测试后阶段对减少消极情绪变量方面更有效(P<0.01)。在其他变量方面,两种治疗方法之间没有显著差异(P>0.05)。

结论

基于这些发现,两种干预措施都可作为改善T1D儿童心理变量的有效治疗方法。这些结果强调了其作为增强患有这种疾病个体情绪幸福感的有力工具的潜力,从而有助于提高生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4702/11981033/745cc4e38877/ABR-14-4-g001.jpg

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