The Effectiveness of Metacognitive Therapy On Psychological Helplessness and Psychological Coherence in Patients with Type II Diabetes

Type 2 diabetes is known as one of the most challenging and dangerous chronic diseases. In the present study, the effectiveness of metacognitive therapy on psychological helplessness and psychological coherence of patients with type 2 diabetes was investigated. The current research was a semi-experimental with repeated measurement design, pre-test and post-test with a control group. The statistical population included male and female diabetic patients aged 45 to 60 who referred to Karaj diabetes clinic in 2022. 40 people were selected by the available sampling method and randomly replaced in two groups of 20 people, test and control. The intervention group received metacognitive therapy for 10 sessions of 90 minutes. Data were collected from two groups using questionnaires of psychological helplessness and psychological coherence in the pre-test, post-test and follow-up stages. SPSS-25 software and mixed variance analysis method were used to analyze the results. The average difference of the components of psychological helplessness and psychological coherence in two groups of metacognitive treatment and control is statistically significant. So that the metacognitive therapy caused the average psychological helplessness components to decrease in the post-test and follow-up stages compared to the pre-test stage (P<0.001). Also, metacognitive therapy has led to a stable increase in the mean of psychological coherence components (P<0.001). Based on the results of this research, metacognitive therapy is effective in reducing psychological helplessness and increasing psychological coherence of patients with type 2 diabetes. Therefore, metacognitive therapy is useful for the problems of patients with diabetes.