Efficacy of Unified Transdiagnostic Treatment on the Cognitive Fusion and Self-Care Behaviors of Students with Type-1 Diabetes

Document Type : Research Paper

Authors

1 Department of Psychology, Faculty of Humanities, Bandar Abbas Branch, Islamic Azad University, Bandar Abbas, Iran.

2 Assistant Professor Department of Psychology, Faculty of Humanities, Bandar Abbas Branch, Islamic Azad University, Bandar Abbas, Iran.

Abstract

The objective of the current study was to investigate the efficacy of unified trans-diagnostic treatment on the cognitive fusion and self-care behaviors of students with type-1 diabetes. It was a quasi-experimental study with pretest, posttest, with control group design. The follow-up period was also conducted within a two-month timeframe. The statistical population of the present study consisted of first- and second-grade high school pupils in the town of Shiraz in academic year 2021-2022 who had type-1 diabetes. Through purposive sampling, thirty-six students (20 males, 16 females) diagnosed with type 1 diabetes were randomly assigned to experimental and control groups. Over the course of two and a half months, the experimental group was administered ten sessions of unified trans-diagnostic treatment. The applied questionnaires included Cognitive Fusion Questionnaire (CFQ) and Self-Care Questionnaire (SCQ). The collected data were analyzed through mixed ANOVA via SPSS23 software. The results showed that unified trans-diagnostic treatment has significant effect on the cognitive fusion (F=41.34; Eta=0.54; P<0001) and self-care behaviors (F=48.66; Eta=0.58; P<0001) of the students with type-1 diabetes. Based on the results of the current study, it can be inferred that unified trans-diagnostic treatment is a highly effective method for reducing cognitive fusion and enhancing self-care behaviors in students with type-1 diabetes. This is achieved by implementing techniques such as knowing emotions, cognitive reevaluation training, identifying emotion avoidance models and investigating behaviors coming from emotion.

Keywords

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Volume 16, Issue 3
October 2025
Pages 291-305
  • Receive Date: 19 May 2022
  • Revise Date: 08 June 2022
  • Accept Date: 21 June 2022
  • First Publish Date: 20 July 2025
  • Publish Date: 23 September 2025