Predicting the Meaning of Life-Based on Moral Development and Cognitive Styles in Patients with Type 2 Diabetes

Document Type : Original Article


1 M.A., Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.

2 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.



Background and objectives: Diabetes is the fifth leading cause of death in most countries of the world and causes disability, disability, high medical costs, and increased mortality. The aim of this study was to predict the meaning of life based on moral development and cognitive styles in patients with type 2 diabetes.
Methods: This study was an applied and descriptive-correlational study. The statistical population consisted of all patients of the Karaj Diabetes Association in 2019, among whom 200 were selected by convenience sampling method and Cochran formula. In order to collect data, the Meaning of Life Questionnaire of Steger et al. (2006), Kolberg's Moral development Test (1981), and Kolb Cognitive Styles Scale (1981) were used. Pearson correlation test and multiple linear regression were used to analyze the data. Data were analyzed by SPSS software version 23, and the significance level was 0.05.
Results: The results showed that moral development and cognitive styles have a positive and significant relationship with the meaning of life in people with diabetes (p <0.001) and altruism, moral development level, objective experience cognitive style, reflective observation, abstract conceptualization, and active testing can predict the meaning of life in people with diabetes (p <0.001)
Conclusion: It can be concluded that moral development and cognitive styles can predict the meaning of life among people with type 2 diabetes and these results support the importance of the role of the meaning of life in people with type 2 diabetes.


 Zheng Y, Ley SH, Hu FB. Global aetiology and
epidemiology of type 2 diabetes mellitus and its
complications. Nature Reviews Endocrinology.
2. Lascar N, Brown J, Pattison H, Barnett AH, Bailey
CJ, Bellary S. Type 2 diabetes in adolescents and
young adults. The Lancet Diabetes &
Endocrinology. 2018;6(1):69-80.
3. Cho N, Shaw JE, Karuranga S, Huang Y, da Rocha
Fernandes JD, Ohlrogge AW, Malanda B. IDF
Diabetes Atlas: Global estimates of diabetes
prevalence for 2017 and projections for 2045.
Diabetes research and clinical practice.
4. Ogurtsova K, da Rocha Fernandes J, Huang Y,
Linnenkamp U, Guariguata L, Cho NH, et al. IDF
Diabetes Atlas: Global estimates for the prevalence
of diabetes for 2015 and 2040. Diabetes research
5. Mokhtari Z, Gheshlagh RG, Kurdi A. Healthrelated quality of life in Iranian patients with type 2
diabetes: An updated meta-analysis. Diabetes &
Metabolic Syndrome: Clinical Research &
6. Laiteerapong N, Ham SA, Gao Y, Moffet HH, Liu
JY, Huang ES, Karter AJ. The legacy effect in type
2 diabetes: impact of early glycemic control on
future complications (the Diabetes & Aging
Study). Diabetes Care. 2019;42(3):416-26.
7. Craig ME, Jefferies C, Dabelea D, Balde N, Seth
A, Donaghue KC. Definition, epidemiology, and
classification of diabetes in children and
adolescents. Pediatric diabetes. 2014;15(S20):4-17.
8. Czekierda K, Banik A, Park CL, Luszczynska A.
Meaning in life and physical health: systematic
review and meta-analysis. Health Psychology
Review. 2017;11(4):387-418.
9. Ghashghaie S, Farnam R. The effectiveness of
mindfulness-based cognitive therapy on quality-oflife in outpatients with diabetes. Iranian Journal of
Diabetes and Metabolism. 2014;13(4):319-30.
10. Bommer C, Sagalova V, Heesemann E, ManneGoehler J, Atun R, Bärnighausen T, Davies J,
Vollmer S. Global economic burden of diabetes in
adults: projections from 2015 to 2030. Diabetes
11. Engström MS, Leksell J, Johansson UB, Borg S,
Palaszewski B, Franzén S, Gudbjörnsdottir S, EegOlofsson K. Health-related quality of life and
glycaemic control among adults with type 1 and
type 2 diabetes–a nationwide cross-sectional study.
Health and quality of life outcomes. 2019
12. Paula JS, Braga LD, Moreira RO, Kupfer R.
Correlation between parameters of self-monitoring
of blood glucose and the perception of healthrelated quality of life in patients with type 1
diabetes mellitus. Archives of endocrinology and
13. Putra AP, Ibrahim M. Are There Levels of
Students Morales? The Effects of Biological
Problem Solving on Moral Development.
International Education Studies. 2020;13(6):32-47.
14. Dahl A. The science of early moral development:
On defining, constructing, and studying morality
from birth. Advances in Child Development and
15. Putra AP, Ibrahim M. Are There Levels of
Students Morales? The Effects of Biological
Problem Solving on Moral Development.
International Education Studies. 2020;13(6):32-47.
16. Noviana D, Atur S. The Character of Respect as
Viewed from Moral Development and Language
Politeness in College Students. In3rd International
Conference on Learning Innovation and Quality
Education (ICLIQE 2019) 2020: 279-288. Atlantis
17. Vihos J, Myrick F, Yonge O. Socializing for
authentic caring engagement in nursing practice:
Nursing student moral development in
preceptorship. Canadian Journal of Nursing
18. Scallion LM, Cummings JA. Comparison of team
and participant ratings of event dependence:
Inferential style, cognitive style, and stress
generation. Journal of Social and Clinical
19. Budiharso T, Solikhah I, Mutaqin W. The effect of
analogy variations on academic writing: How
Indonesian EFL students perform with different
cognitive styles. Journal of Social Studies
Education Research. 2019;10(1):116-32.
20. Varela P, Antúnez L, Berget I, Oliveira D,
Christensen K, Vidal L, Naes T, Ares G. Influence
of consumers' cognitive style on results from
projective mapping. Food Research International.
21. Palamenghi L, Carlucci MM, Graffigna G.
Measuring the Quality of Life in Diabetic Patients:
A Scoping Review. Journal of Diabetes Research.

Ajabi M et al.
Razavi Int J Med. 2021; 9(4):e1043.
22. 2020;2(1):20-34.
23. Krok D. When is meaning in life most beneficial to
young people? Styles of meaning in life and wellbeing among late adolescents. Journal of Adult
Development. 2018;25(2):96-106.
24. Karimi Sani P, Rostami H, Hadad Farid M.
Comparison of Identity Styles, Life Meaning and
Ethical Evolution between Guilty and non-Guilty
People. Journal of Modern Psychological
Researches. 2016;11(41):119-132.
25. Mashhadi HB. The role of Mediator’s Spirituality
in Relationship between Resilience and the Quality
of life in Patients with type II diabete. International
Journal of Applied Behavioral Sciences.
26. Martela F, Ryan RM, Steger MF. Meaningfulness
as satisfaction of autonomy, competence,
relatedness, and beneficence: Comparing the four
satisfactions and positive affect as predictors of
meaning in life. Journal of Happiness Studies.
27. Yıldırım M, Kızılgeçit M, Seçer İ, Karabulut F,
Angın Y, Dağcı A, Vural ME, Bayram NN, Çinici
M. Meaning in life, religious coping, and
loneliness during the coronavirus health crisis in
Turkey. Journal of religion and health. 2021:1-5.
28. Parker E. Do non classroom interactions with
faculty affect moral development among college
students?. College Student Affairs Journal.
29. Hooshyari Z, Delavar A, Minaee A, Eskandari H.
Comparison of two approaches for measuring
moral development: Neo-Kohlbergian approach
and moral study challenges. Iranian Journal of
Psychiatry and Clinical Psychology.
30. Reynolds QJ, Gilliland KO, Smith K, Walker JA,
Dallaghan GL. Differences in medical student
performance on examinations: exploring score
variance between Kolb's Learning Style Inventory
classifications. BMC Medical Education.
31. Singer FM, Voica C, Pelczer I. Cognitive styles in
posing geometry problems: implications for
assessment of mathematical creativity. ZDM.