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Diabetes therapy

Effectiveness of Reality Therapy and Dialectical Behavior Therapy in Type 2 Diabetes Management

Strategic Insights

— 2 min read

Investigators from the Islamic Azad University in Karaj, Iran, have published a study comparing the effectiveness of reality therapy and dialectical behavior therapy (DBT) on the health locus of control in women with type 2 diabetes. The study aimed to assess the impact of these therapies on internal, powerful others, and chance control in diabetic patients. The research employed a quasi-experimental design with a control group and a sample of 45 eligible participants randomly assigned to two experimental groups and one control group.

Key Takeaways:

  • The study found a significant difference in the mean scores of health locus of control between the experimental groups and the control group, with reality therapy leading to an increase in internal health control and control by powerful others, while reducing chance control in patients.
  • The results suggested that the difference between the two experimental groups, reality therapy and DBT, was not statistically significant at the post-test and follow-up stages.
  • The study concluded that both reality therapy and DBT are effective in increasing health locus of control in women with type 2 diabetes, and their use is recommended for promoting appropriate health control in these patients.
  • The study included 45 eligible participants, aged 40 to 60 years, with at least one year since the diagnosis of type 2 diabetes.
  • The participants were randomly assigned to two experimental groups and one control group, with each group receiving either reality therapy or DBT, or no intervention.
  • The health locus of control questionnaire was used to assess the three groups at three stages: Pre-test, post-test, and follow-up.
  • The data were analyzed using descriptive statistics and mixed analysis of variance methods.

Statistics:

  • 45 eligible participants were selected for the study.
  • The participants were aged 40 to 60 years, with at least one year since the diagnosis of type 2 diabetes.
  • 12 sessions of 90 minutes each of reality therapy or DBT were administered to the experimental groups.
  • The health locus of control questionnaire was used to assess the three groups at three stages: Pre-test, post-test, and follow-up.
  • The data were analyzed using descriptive statistics and mixed analysis of variance methods.
  • The results showed a significant difference in the mean scores of health locus of control between the experimental groups and the control group.

Sources:

  • "The Effectiveness of Reality Therapy and Dialectical Behavior Therapy on the Health Locus of Control in Diabetic Patients" (Practice in Clinical Psychology, 2025, 13(3):263-274)
  • NewsRx. Research Reports on Type 2 Diabetes from Islamic Azad University Provide New Insights (The Effectiveness of Reality Therapy and Dialectical Behavior Therapy on the Health Locus of Control in Diabetic Patients). Diabetes Week. October 20, 2025; p 485.

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