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: 30 Downloaded from ijdld.tums.ac.ir at 9:59 IRDT on Friday March 22nd 209.[7 8] 2 -.[9] 3..[0].. 4 : 8 7 6 5..[] [2] 9. (HLC) 2- attachment style 3- patient-centered 4- secure styles 5- insecure styles 6- dismissing 7- preoccupied 8- fearful 9- health locus of control.[]..[2]..[3]...[4 5]..[6].. - self-care

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: 32 Downloaded from ijdld.tums.ac.ir at 9:59 IRDT on Friday March 22nd 209 7 6 5 B A.(C B A). 9 8 : : 6 0 B A 25. : C. B A 8 C B/A. C C. 3.[5] 993. C... 0/703 (994) (SDSCA) 2 3 SDSCA. :. 6 3. ( -. :(D) -2 2 :(C) 3 :(A) -3. (A). - (C). (C) (D).[2] [22] 0/80 0/75 0/52 0/29 [23] 0/74 0/60 0/45.. 4 (MHLC) 5- Wallston, K.A. 6- Wallston, B.S. 7- Devellis, R. 8- Internal 9- Powerful Others 0- Chance - Summary of Diabetes Self Care Activities 2- self-report 3- self-managemetn - dependency 2- close 3- anxiety 4- multidimensional health locus of control

33 (4 ) 2 392 -. Downloaded from ijdld.tums.ac.ir at 9:59 IRDT on Friday March 22nd 209 SPSS 7. P<0/05 40/5 59/5 70/3 4/4 27/9. 3/5 22/5 38/7. 2 0/8 25 22/5 (n=4) - 43 3 2 5 78 6 38/7 27/9 /8 3/5 70/3 4/4 7.[24] 0. 0/82 0/85. 0/653. 66 45 59/5 40/5. 2 (n=) -2 2/65 32/84 4/26 29/07-6/63 4/3-2/99 5/9-4/06 9/99-3/59 7/74 4/5 0/ 5/25 /39. 3. 8 7-0/440 6 0/29-0/247 (n=) -3 5 4 3 2-0/009 0/077-0/06 0/59 0/63 0/265 0/297 0/49-0/07-0/038 * -0/205-0/004-0/00-0/05 0/246 0/2 0/54 0/005-0/045 0/58 0/20-0/020 0/56 0/077 * -0/204 - - - - - - - P<0/0 P<0/05 *

: 34.. 4 3 -.. - Downloaded from ijdld.tums.ac.ir at 9:59 IRDT on Friday March 22nd 209-4 t ß B R 2 R 0/005 2/873 0/265 0/390 /2 0/070 0/265-0/007 2/757 0/247 0/36 0/87 0/32 0/363. -.[25] A - Hirsch Ciechanowski.[26] Katon. 2. -..[2] - Patient-provider 2- Dismissing - %7. %3 %7 R 2.. - ( ) - ). ( - [4 5] [4 5]. - ( ).

35 (4 ) 2 392 -. Downloaded from ijdld.tums.ac.ir at 9:59 IRDT on Friday March 22nd 209...[30] [2]...... [27]. - -. -.. Gregg... [28].[29].. Gillibrand R, Stevenson J. The extended health beliefmodel applied to the experience of diabetes in young people. Br J Health Psychol 2006; ():55-69..2. )..382 :...3..388 4. Day, J.L, Bodmer, C.W, &Dunn, O.M. Development of a questionnaire identifying Factors responsible for successful self-

: 36 Downloaded from ijdld.tums.ac.ir at 9:59 IRDT on Friday March 22nd 209 management of insulintreated diabetes. Diabetes Med 996; 3:564 73. 5. Anderson, R.M. Patient empowerment and the traditional medical model:a case of irreconcilable differences? Diabetes Care 995; 8:42 5. 6. Glasgow R.E, Eakin E.G. Issues in diabetes selfmanagement. In The Handbook of Behaviour Change. 2nd ed. Shumaker S.A. Schron,; E.B. Ockene, J.K.; McBee, W.L.; Eds. New York, Springer, 998; 435 46. 7. Egde L.E, & Zheng D. Independent factors associated with major depressive disorder in a national sample of individuals with diabetes. Diabetes Care 2003; 26: 04-. 8. Nicholas,G.A.; &Brown,J.B. Unadjusted and adjusted prevalence of diagnosed depression in type 2 diabetes. Diabetes Care 2003; 26: 744-749. 9. Bowlby, J.A Secure Base: Clinical Applications of Attachment Theory.London.Routledge, 988. 0. Bowlby. J. Attachment and loss, vol. II: separation: anxiety and anger. New York: Basic Books, 973.. Bartholomew, K., Horowitz, L.M. Attachment styles among young adults: a test of a fourcategory model. J Pers Soc Psychol 99; 6:226 44. 2. Ciechanowski, P.S, Hirsch, I.B,&Katon, W.J. Interpersonal predictors of HbAc in patients with type diabetes. Diabetes Care 2002; 25:73 6. 3. Shehu, J, Mokgwathi, M.M. Health locus of control and internal resilience factors among adolescents in Botswana: a case-control study with implications for physical education. South African Journal for Research in Sport, Physical Education and Recreation 2008; 30(2): 95-05. 4. Ciechanowski, P.S, Walker, E.A, Katon, W.J, & Russo, J.E. Attachment theory: A model for health care utilization and somatization. Psychosomatic Medicine 2002; 64: 660-667. 5. Wallston, K.A.; Wallston, B.S. &Devellis, R. Development of themultidimensional health locus of control (MHLC) Scales. Health Education Monograph 978; 6(2):60-70. 6. Taylor, S.E. Health Psychology. Boston, MA: McGraw-Hill, 999. 7. Pitts, M. & Phillips, K. The psychology of health. London: Routledge, (998). 8. Blaxter, M. Health and lifestyle. London: Routledge, 990. 9. Petersen, C.; Maier, S.F. & Seligman, M.E.P. Learned helplessness: A theory for the age of personal control. New York, NY: Oxford University Press, 995. 20. Kerjcie, R.V & Morgan, D.W. Determining sample size for research, Activities. Educational and Psycholigical Measurments, 970. 2. Feeney, T.A, & Noller, P. Adolescents interactions with the opposite sex: Influence of attachment style and gender. Journal of adolescence 999; 6(2): 69-86. 22. Colins, N.L., & Read, S.J. Adult Attachment Working Models and Relationship Quality in Dating Couplels.Journal of Personality and Sotial Psychology, 990; 58: 644-663...23.92-85:(3) 384. 24. Toobert D.J, & Glasgow R.E. Assessing diabetes self-management: the summary of diabetes selfcare activities questionnaire. In Handbook of Psychology and Diabetes. Bradley C, Ed. Chur, Switzerland, Harwood Academic, 992; 35-375. 25. McLane C.G, Zyzanski S.J, & Flocke S.A. Factors associated with medication noncompliance in rural elderly hypertensive patients. Am J Hypertens 995; 8:206 9...26 -.2.67-75:(2)9 390 27. Ciechanowski P.S, Walker E.A, Katon W.J, Russo J.E, Von korff M, Ludman E, LIN E, Simon, G., & Bush, T. Influence of Patient Attachment Style on Self-care and Outcomes in Diabetes. Psychosomatic Medicine 2004; 66:720 728. 28. Gregg E.W, Kriska A.M, Narayan K.M, & Knowler W.C. Relationship of locus of control to physical activity among people with and without diabetes. Diabetes Care 996; 9(0): 8-2...29 AC 2 ( ). -7 :3 386..30.20-24 :29 383