Determining the Effect of Using the Fordyce Joy Pattern on Stress Anxiety and Depression of Diabetics in the Selected Hospitals of the Faculty of Medical Sciences of Abadan


  • Samaneh Naeimi Nursing Student, Student Research Committee, Abadan Faculty of Medical Sciences, Abadan, Iran.
  • Soheila Beigi M.Sc Student of Nursing, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Masoud Torabpour Department of Nursing, Abadan Faculty of Medical Sciences, Abadan, Iran, Abadan, Iran.
  • Shilan Azizi Instructor, Department of Nursing, Bandar Abbas Branch, Islamic Azad University, Bandar Abbas, Iran.
  • Elham Merdasi M.Sc Student of Nursing, Ahvaz Jundishapour University of Medical Sciences, Ahvaz, Iran.


Fordyce, Happiness Pattern, Diabetes, Depression.


Background and Aims: Diabetes is one of the most common metabolic diseases with debilitating effects, with a chronic and imperceptible course, and is on the rise, and is a source of stress for people with the disease. In addition to the physical effects of diabetes, stress also has a negative psychological effect, the most important of which is depression. Therefore, the aim of this study was to investigate the effect of using Fordyce happiness pattern on stress, anxiety, and depression in diabetic patients.

Method: The present study was a two-group intervention study in two stages before and immediately after the intervention, which was performed on 50 patients with diabetes hospitalized in Abadan educational and medical hospitals in 2019. Samples were randomly selected and then randomly divided into intervention and control groups. Happiness training was given to patients in 3 sessions by the researcher and to collect data, a 21-item DASS questionnaire was used as a pre-test and post-test in both groups.

Results: The results of independent t-test showed that the mean stress, anxiety, and depression before the intervention were not significantly different between the two groups (p> 0.05) but in the intervention group between the two groups were statistically different (p <0.05). Intragroup comparisons also showed that the mean stress, anxiety, and depression in the control group after the intervention did not have a statistically significant difference (p <0.05) but in the test group after the intervention there was a statistically significant difference (p <0.05).

Conclusion: The results indicate the effectiveness of Forday's happiness model on the level of anxiety, stress, and depression of diabetic patients, so it is recommended that this model be used as a suitable guide and solution in clinics and diabetes centers.