ﻓﺼﻠﻨﺎﻣﻪ ﺗﻨﺪرﺳﺘﻲ و داﻧﺶ، دوره7 ﺷﻤﺎره، 4 ، زﻣﺴﺘﺎن1391 ﭘﺰﺷﻜ ﻋﻠﻮم داﻧﺸﮕﺎه ﺷﺎﻫﺮود درﻣﺎﻧﻲ ﺑﻬﺪاﺷﺘﻲ ﺧﺪﻣﺎت و ﻲ * ﻧﻮﻳﺴﻨﺪه ﻣﺴﺌﻮل: ﻛﺮج- ﺑﻬﺸﺘﻲ ﺷﻬﻴﺪ ﺧﻴﺎﺑﺎن- داﻧﺸﮕﺎه ﻣﻴﺪان- ﺧﻮار داﻧﺸﮕﺎه زﻣﻲ- ﺗﺮﺑﻴﺘﻲ ﻋﻠﻮم و رواﻧﺸﻨﺎﺳﻲ داﻧﺸﻜﺪه- ﻣﺸﺎوره، ﮔﺮوه ﺗﻠﻔﻦ: 09123589538 Email: dr_zahrakar@yahoo.com ﭘﮋوﻫﺸﻲ ﻣﻘﺎﻟﻪ ﻫﻴﺠﺎﻧﻲ ﻋﻘﻼﻧﻲ، درﻣﺎن اﺛﺮﺑﺨﺸﻲ ﺑﺮرﺳﻲ و رﻓﺘﺎري ﺑﻪ ﺷﻴﻮ ه ﺑﻪ ﻣﺒﺘﻼ ﺑﻴﻤﺎران اﺳﺘﺮس ﻛﺎﻫﺶ در ﮔﺮوﻫﻲ دﻳﺎﺑﺖ زﻫﺮاﻛﺎر ﻛﻴﺎﻧﻮش * 1 ) Ph.D. ( 1 - ﺧﻮارزﻣﻲ داﻧﺸﮕﺎه- ﺗﺮﺑﻴﺘﻲ ﻋﻠﻮم و رواﻧﺸﻨﺎﺳﻲ داﻧﺸﻜﺪه- ﻣﺸﺎوره ﮔﺮوه- اﺳﺘﺎدﻳﺎر. درﻳﺎﻓﺖ ﺗﺎرﻳﺦ: 12 / 9 / 1390 ، ﭘﺬﻳﺮش ﺗﺎرﻳﺦ: 19 / 2 / 1391 ﭼﻜﻴﺪه ﻣﻘﺪﻣﻪ: ﻫﻴﺠﺎﻧﻲ ﻋﻘﻼﻧﻲ، درﻣﺎن و رﻓﺘﺎري) Rational, Emotive Behavior Therapy ( ﻣﺒﺘﻨﻲ روﻳﻜﺮدﻫﺎي از ﻳﻜﻲ ﻣﻲ اﺳﺘﺮس درﻣﺎن در ﺷﻨﺎﺧﺘﻲ ﺑﺎزﺳﺎزي ﺑﺮ ﺑﺎﺷﺪ. ﺣﺎﺿـﺮ ﭘـﮋوﻫﺶ ﻫﺪف اﺳﺖ دﻳﺎﺑﺖ ﺑﻪ ﻣﺒﺘﻼ ﺑﻴﻤﺎران اﺳﺘﺮس ﻛﺎﻫﺶ در درﻣﺎن اﻳﻦ اﺛﺮﺑﺨﺸﻲ ﺑﺮرﺳﻲ. روش و ﻣﻮاد ﻫﺎ: ﻣﺪاﺧﻠﻪ ﻣﻄﺎﻟﻌﻪ اﻳﻦ در ا اي، ﺑﺘﺪا200 ﻣﺮاﺟﻌﻪ دﻳﺎﺑﺘﻲ ﺑﻴﻤﺎران از ﻧﻔﺮ از ﻛﺮج ﺷﻬﺮﺳﺘﺎن دﻳﺎﺑﺖ اﻧﺠﻤﻦ ﺑﻪ ﻛﻨﻨﺪه ﺷﺪﻧﺪ ﺑﺮرﺳﻲ اﺳﺘﺮس ﻣﻴﺰان ﻧﻈﺮ. ﺳﭙﺲ30 ﻛﻪ ﺑﻴﻤﺎراﻧﻲ از ﻧﻔﺮ اﺳﺘﺮس ﻧﻤﺮات و اﻧﺘﺨﺎب داﺷﺘﻨﺪ ﺑﺎﻻﻳﻲ ﺑﻪ ﺻﻮرت آزﻣﻮن ﮔﺮوه دو ﺑﻪ ﺗﺼﺎدﻓﻲ ﻛﻨﺘﺮل و) ﮔﺮوه ﻫﺮ15 ﻧﻔﺮ( ﺷﺪﻧﺪ ﺗﻘﺴﻴﻢ. ﺑﺮاي آزﻣﻮن، ﮔﺮوه8 ﺟﻠﺴﻪ آﻣﻮزﺷﻲ- درﻣﺎﻧﻲ5 / 1 ﺑـﻪ ﺳﺎﻋﺘﻪ ﺻـﻮرت ﻫﻔﺘﻪ ﻳﻚ اي ﮔﺮدﻳﺪ ﺑﺮﮔﺰار ﺑﺎر. اﺳﺘﺮس ﻧﺸﺎﻧﮕﺎن ﻣﻘﻴﺎس از اﺳﺘﺮس ﺳﻨﺠﺶ ﺟﻬﺖ) SSI ( ﺷﺪ اﺳﺘﻔﺎده. ﺗﺠﺰﻳﻪ و ﺗ داده ﺤﻠﻴﻞ اﻧﺠﺎم ﻛﻮوارﻳﺎﻧﺲ ﺗﺤﻠﻴﻞ از اﺳﺘﻔﺎده ﺑﺎ ﻫﺎ ﺷﺪ. ﻧﺘﺎﻳﺞ: ﻳﺎﻓﺘﻪ ﻣﻴﺎﻧﮕﻴﻦ ﺑﻴﻦ ﻣﻌﻨﺎدار ﺗﻔﺎوت وﺟﻮد از ﺣﺎﻛﻲ ﭘﮋوﻫﺶ ﻫﺎي آزﻣﺎﻳﺶ ﮔﺮوه ﺑﻮد رﻓﺘﺎري و ﺷﻨﺎﺧﺘﻲ ﻫﻴﺠﺎﻧﻲ، ﺟﺴﻤﺎﻧﻲ، ﺷﺎﻣﻞ اﺳﺘﺮس ﻧﺸﺎﻧﮕﺎن ﺗﻤﺎم در ﻛﻨﺘﺮل و. ﻧﺘﻴﺠﻪ ﮔﻴﺮي: اﺛﺮ ﺑﺮ دال ﺣﺎﺿﺮ ﭘﮋوﻫﺶ ﻧﺘﺎﻳﺞ ﺑﺨﺶ ﺑﻮدنREBT ﺑﻮده دﻳﺎﺑﺖ ﺑﻪ ﻣﺒﺘﻼ ﺑﻴﻤﺎران اﺳﺘﺮس ﻛﺎﻫﺶ در اﺳﺖ. ﺑﻪ ﺑﺎﺗﻮﺟﻪ ﺑﻴﻤﺎر اﺳﺘﺮس اﻓﺰاﻳﺶ ا ﻣﺆﺛﺮ و دﻳﺎﺑﺘﻲ ن رواﻧـﻲ، ﻣﺪاﺧﻠﻪ ﺑﻮدن درﻣ ﺑﻪ ﺟﺪي ﺗﻮﺟﻪ ﺎ ن ﻫﺎ ﺑﻴﻤﺎران ﮔﺮوه اﻳﻦ در رواﻧﺸﻨﺎﺧﺘﻲ ي، ﺿﺮوري ﺑﻪ ﻣﻲ ﻧﻈﺮ رﺳﺪ. واژه ﻛﻠﻴﺪي ﻫﺎي: ﻋﻘﻼﻧﻲ درﻣﺎن- ﻫﻴﺠﺎﻧﻲ- رﻓﺘﺎري) REBT ( دﻳﺎﺑﺖ اﺳﺘﺮس،، . Original Article Knowledge & Health 2013;7(4):160-164 A Study of Effectiveness of Rational, Emotive, Behavior Therapy (REBT) with Group Method on Decrease of Stress among Diabetic Patients Kianoush Zahrakar 1* 1- Associate Professor, Dept. of Counseling, Kharazmi University, Tehran, Iran. Abstract: Introduction: The purpose of the present research was studying the effectiveness of Rational Emotive Behavior Therapy (REBT) with Group method in decreasing stress of diabetic patients. Methods: The population of research consisted of all diabetic patients that are member of diabetic patient’s association 0f karaj city. The sample consisted of 30 diabetic patients (experimental group 15 persons and control group 15 persons) that selected through random sampling. Research design was experimental (pretest – posttest with control group). Stress inoculation training on experimental group was performance for 10 sessions. Research instrument were stress signs test. 5 hypotheses were formulated about effectiveness of Rational Emotive Behavior Therapy (REBT) on decrease stress signs (physical, emotional, behavioral, cognitive and total stress). Analysis of covariance was used for analyzing the data. Results: The finding indicated that Rational Emotive Behavior Therapy (REBT) had significant effect on decrease every dimension of stress signs. Conclusion: The results of present study demonstrate the effectiveness of Rational Emotive Behavior Therapy (REBT) in decreasing stress of diabetic patients. Due to the increase of stress in diabetic patients and the effectiveness of mental intervention, special attention should be given psychological treatment in this group of patients. Keywords: Rational emotive behavior therapy (REBT) ، Stress, Diabetes. Conflict of Interest: No Received: 3 December 2011 Accepted: 8 May 2012 *Corresponding author: K. Zahrakar, Email: dr_zahrakar@yahoo.com