The Effectiveness of Self-Working Therapy on Emotional Self-regulation, Self-Efficacy in Diabetes Management, and Cognitive Flexibility

Abstract

The present study aimed to investigate the effectiveness of the Self-working Educational Therapeutic Program on emotional self-regulation, diabetes management self-efficacy, and cognitive flexibility in patients with type 2 diabetes. The research method was experimental with a pretest-posttest design and a control group. The statistical population included all patients with type 2 diabetes who were referred to Golestan Hospital in 2024, from whom 30 participants were purposefully selected and randomly assigned to experimental and control groups (15 in each group). The experimental group received 14 sessions of 90 minutes of the self-working therapeutic program, while the control group did not receive any intervention. Data were collected using the Emotional Self-Regulation Questionnaire (Garnefski & Kraaij, 2006), the Diabetes Management Self-Efficacy Scale (Pápa et al., 2016), and the Cognitive Flexibility Inventory (Dennis & Vander Wal, 2010). The data were analyzed through multivariate and univariate covariance analyses (MANCOVA and ANCOVA). The results indicated that the self-working educational therapeutic program had a significant effect on emotional self-regulation and cognitive flexibility, but no significant effect on self-efficacy in diabetes management. These findings suggest that interventions based on self-working can serve as an effective approach to improving psychological aspects of patients with type 2 diabetes.

Keywords: Self-working, emotional self-regulation, diabetes management self-efficacy, cognitive flexibility, type 2 diabetes.

Johari Fard, R. & Mosavat, N. (2025). The Effectiveness of Self-Working Therapy on Emotional Self-regulation, Self-Efficacy in Diabetes Management, and Cognitive Flexibility. IAU: Master’s thesis in clinical psychology.

،