title: Spiritual Development and Death Attitude in Female Patients With Type II Diabetes.
abstract: OBJECTIVE
  The present study aimed to investigate the differences regarding spiritual development dimensions and death attitude profiles, and also to determinate association between them, in patients suffering from type II diabetes.
  
  
  METHODS
  In a cross-sectional design study, 100 female outpatients who were suffering from type II diabetes were recruited in Imam Khomeini Hospital, Sari, Iran. Data were collected through two questionnaires including the Spiritual Assessment Inventory (SAI) and the Death Attitude Profile-Revised (DAPR). Analysis of the data involved analysis of covariance (ANCOVA) with the Fisher's Least Significant Difference (LSD) as post-hoc test plus the Pearson correlation.
  
  
  RESULTS
  There was a statistical significant difference in spiritual development dimensions and death attitude profile. The results showed that spiritual development were significantly associated with some items of death attitude profiles.
  
  
  CONCLUSIONS
  Awareness of God was suitable in diabetic patients, but the quality of relationship with God indicated spiritually immature. It is necessary to provide instruction to improve patient's death attitude and following health behavior.
authors.affiliation: Department of Psychology, Islamic Azad University, Sari Branch, Sari, Iran.
authors.forename: Masoumeh
authors.initials: M
authors.lastname: Nozari
authors.affiliation: Professor, Psychiatry and Behavioral Research Center, Addiction Institute AND Department of Biostatistics, Mazandaran University of Medical Science, Sari, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Khalilian
authors.affiliation: Associate Professor, Department of Psychology, Islamic Azad University, Sari Branch, Sari, Iran.
authors.forename: Yarali
authors.initials: Y
authors.lastname: Dousti
keywords: Death Attitude; Spiritual Development; Type II Diabetes Mellitus