The relationship between cognitive fusion and cognitive distortion with death anxiety in patients with diabetes mellitus

Seyfullah Aghajani, Hamidreza Samadifard

DOI: 10.22122/cdj.v6i1.248


BACKGROUND: Nowadays, one of the most important methods for evaluation of treatment and care in diabetes mellitus, as a chronic disease, is to assess the death anxiety. The present study aimed to determine the relationship between cognitive fusion and cognitive distortion with death anxiety in patients with diabetes mellitus.

METHODS: In this descriptive correlational study, the statistical population consisted of all patients with type 2 diabetes mellitus in Ardabil City, Iran, in year 2016. 110 patients with diabetes mellitus were selected as the statistical sample using the convenience sampling method. For data collection, the cognitive fusion scale, cognitive distortion scale, and death anxiety scale were used. Data analysis was made using Pearson correlation coefficient and multiple regression analysis at the significant level of P < 0.050.

RESULTS: There was a significant relationship between the cognitive fusion (0.59) and cognitive distortion (0.62) with death anxiety in patients with diabetes mellitus. Moreover, multiple regression analysis showed that cognitive fusion and cognitive distortion could predict the death anxiety among the patients with diabetes mellitus (0.48).

CONCLUSION: It can be concluded that cognitive fusion and cognitive distortion are considered among the predicting variables related to death anxiety among the patients with diabetes mellitus.


Cognition; Anxiety; Diabetes Mellitus

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Halici Kurtulan M, Karairmak O. Examination of the relationship among death anxiety, spirituality, religious orientation and existential anxiety. Spiritual Psychology and Counseling 2016; 1(2): 206-17.

Aqajani S, Samadifard HR. The role of cognitive fusion, locus of control and cognitive avoidance in the prediction of death anxiety in the elderly. Journal of Health and Care 2017; 19(1): 62-74. [In Persian].

Gillanders DT, Sinclair AK, MacLean M, Jardine K. Illness cognitions, cognitive fusion, avoidance and self-compassion as predictors of distress and quality of life in a heterogeneous sample of adults, after cancer. J Contextual Behav Sci 2015; 4(4): 300-11.

Trindade IA, Ferreira C. The impact of body image-related cognitive fusion on eating psychopathology. Eat Behav 2014; 15(1): 72-5.

Samadifard HR, Mikaeili N. The role of locus of control and cognitive fusion in the prediction of quality of life in diabetic patients. Pajouhan Scientific Journal 2016; 15(1): 9-18. [In Persian].

Rnic K, Dozois DJ, Martin RA. Cognitive distortions, humor styles, and depression. Eur J Psychol 2016; 12(3): 348-62.

Ellis A, MacLaren C. Rational emotive behavior therapy: A therapist's guide. Manassas, VA: Impact Publishers; 2004.

Belir S, Erfani N, SafaeeRad I. Investigate the relationship between cognitive distortions and quality of life among postmenopausal women, infertility, underwent hysterectomy, uterine leiomyoma and normal. Health Research Journal 2016; 1(4): 207-14. [In Persian].

Samadifard H, Narimani M. The role of cognitive belief, fusion and distortion in predicting the general health of couples. J Community Health Res 2017; 6(3): 132-40. [In Persian].

Tsai YW, Kann NH, Tung TH, Chao YJ, Lin CJ, Chang KC, et al. Impact of subjective sleep quality on glycemic control in type 2 diabetes mellitus. Fam Pract 2012; 29(1): 30-5.

EydiBaygi M, Mehrabizade M, Davoudi I, Ahmadi V, Dehghanizade Z, Babaei B. Comparison the quality of life in patients with diabetes type 2 and non-diabetic individuals. J Ilam Univ Med Sci 2014; 22(5): 55-62. [In Persian].

Potes A, Gagnon G, Toure EH, Perreault M. Patient and clinician assessments of symptomatology changes on older adults following a psycho-educational program for depression and anxiety. Psychiatr Q 2016; 87(4): 649-62.

Cunningham JB, Gardner E. Power, effect and sample size using GPower: Practical issues for researchers and members of research ethics committees. Evidence Based Midwifery 2007; 5(4): 132-6.

Hamamci Z, Buyukozturk S. The interpersonal cognitive distortions scale: Development and psychometric characteristics. Psychol Rep 2004; 95(1): 291-303.

Rahmani MA, Amini N, Siratisabet Foumani Z. Investigate the relationship betweencognitive distortionsandpsychological well-being with maritaldisenchantment in couplesapplicant divorce. Journal of Educational Psychology 2015; 5(2): 29-39. [In Persian].

Templer DI. The construction and validation of a death anxiety scale. J Gen Psychol 1970; 82(2d Half): 165-77.

Rajabi GR, Bohrani M. Item factor analysis of the death anxiety scale. Journal of Psychology 2002; 5(4): 331-44. [In Persian].


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