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      Effect of a religious coping intervention of rational emotive behavior therapy on mental health of adult learners with type II diabetes

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          Abstract

          Background:

          Some previous studies have highlighted the high rate of mental health problems associated with type II diabetes (T2DM). The primary purpose of this study was to investigate the effect of a religious coping intervention of rational emotive behavior therapy (REBT) on the mental health of adult learners with T2DM.

          Methods:

          This study utilized a randomized controlled trial to select 146 adult learners with T2DM and mental health-related problems. The treatment group was made up of 73 adult learners, while the control group was also made up of 73 adult learners. The experimental group received 8 sessions of a religious coping intervention of REBT, while the control group received usual care. Data were collected using the patient health questionnaire, Warwick–Edinburgh mental well-being scale, and Kessler psychological distress scale. Repeated ANOVA and univariate analysis of covariance were used for data analyses.

          Results:

          The religious coping intervention of REBT substantially enhanced the mental health of adult learners with T2DM as measured by Warwick–Edinburgh mental well-being scale ( P < .000) and patient health questionnaire ( P < .000). The religious coping intervention of REBT significantly alleviated the psychological distress of adult learners with T2DM as measured by Kessler psychological distress scale ( P < .000).

          Conclusion:

          In this study, it has been demonstrated that a religious coping intervention of REBT effectively improves the mental health of adult learners with T2DM. The study concludes that the religious coping intervention of REBT is a practical alternative medicine approach to enhancing the mental health of adult learners with T2DM.

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          Most cited references67

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          G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences

          G*Power (Erdfelder, Faul, & Buchner, 1996) was designed as a general stand-alone power analysis program for statistical tests commonly used in social and behavioral research. G*Power 3 is a major extension of, and improvement over, the previous versions. It runs on widely used computer platforms (i.e., Windows XP, Windows Vista, and Mac OS X 10.4) and covers many different statistical tests of the t, F, and chi2 test families. In addition, it includes power analyses for z tests and some exact tests. G*Power 3 provides improved effect size calculators and graphic options, supports both distribution-based and design-based input modes, and offers all types of power analyses in which users might be interested. Like its predecessors, G*Power 3 is free.
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            The PHQ-9: validity of a brief depression severity measure.

            While considerable attention has focused on improving the detection of depression, assessment of severity is also important in guiding treatment decisions. Therefore, we examined the validity of a brief, new measure of depression severity. The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day). The PHQ-9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetrics-gynecology clinics. Construct validity was assessed using the 20-item Short-Form General Health Survey, self-reported sick days and clinic visits, and symptom-related difficulty. Criterion validity was assessed against an independent structured mental health professional (MHP) interview in a sample of 580 patients. As PHQ-9 depression severity increased, there was a substantial decrease in functional status on all 6 SF-20 subscales. Also, symptom-related difficulty, sick days, and health care utilization increased. Using the MHP reinterview as the criterion standard, a PHQ-9 score > or =10 had a sensitivity of 88% and a specificity of 88% for major depression. PHQ-9 scores of 5, 10, 15, and 20 represented mild, moderate, moderately severe, and severe depression, respectively. Results were similar in the primary care and obstetrics-gynecology samples. In addition to making criteria-based diagnoses of depressive disorders, the PHQ-9 is also a reliable and valid measure of depression severity. These characteristics plus its brevity make the PHQ-9 a useful clinical and research tool.
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              Screening for Serious Mental Illness in the General Population

              Public Law 102-321 established a block grant for adults with "serious mental illness" (SMI) and required the Substance Abuse and Mental Health Services Administration (SAMHSA) to develop a method to estimate the prevalence of SMI.
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                Author and article information

                Contributors
                Journal
                Medicine (Baltimore)
                Medicine (Baltimore)
                MD
                Medicine
                Lippincott Williams & Wilkins (Hagerstown, MD )
                0025-7974
                1536-5964
                29 September 2023
                29 September 2023
                : 102
                : 39
                : e34485
                Affiliations
                [a ] Department of Adult Education & Extra-Mural Studies, University of Nigeria, Nsukka, Enugu State, Nigeria
                [b ] Department of Religion & Cultural Studies, University of Nigeria, Nsukka, Enugu State, Nigeria
                [c ] Department of History, University of Buea Cameroon, Buea, Cameroon
                [d ] Department of Educational Psychology, University of Johannesburg, Johannesburg, South Africa
                [e ] Institute of African Studies/Department of Sociology and Anthropology, University of Nigeria, Nsukka, Enugu State, Nigeria
                [f ] Department of Political Science, University of Nigeria, Nsukka, Enugu State, Nigeria
                [g ] Department of Philosophy and Religious and Cultural Studies, Alex Ekwueme Federal University Ndufu-Alike Ikwo, Ebonyi State, Nigeria
                [h ] Department of Sociology, Ibrahim Badamasi Babangida University, Lapai, Niger State, Nigeria.
                Author notes
                [* ]Correspondence: Polycarp M.D. Okeke, Department of Adult Education & Extra-Mural Studies, University of Nigeria, Nsukka, 41001, Enugu State, Nigeria (e-mail: ploycarp.okeke@ 123456unn.edu.ng ).
                Author information
                https://orcid.org/0000-0001-7105-8515
                Article
                00036
                10.1097/MD.0000000000034485
                10545252
                37773818
                f7dd18b0-589a-4b91-a956-0b357eec7dbf
                Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.

                History
                : 23 March 2023
                : 13 June 2023
                : 03 July 2023
                Categories
                5000
                Research Article
                Clinical Trial/Experimental Study
                Custom metadata
                TRUE

                adult learners,anxiety,depression,mental health,psychological distress,rational emotive behavior therapy,religious coping intervention,type ii diabetes

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