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:: Volume 8, Issue 2 (5-2019) ::
Int J Med Invest 2019, 8(2): 61-69 Back to browse issues page
The effectiveness of the acceptance and commitment therapy (ACT) approach on quality of life and hemoglobin A1c among patients with type 2 diabetes
Masome Rahimi *, Robabeh Nouri, Mozhgan Raimi
Department of Clinical Psychology, Kharazmi University of Tehran, Iran
Abstract:   (1226 Views)
Background and aim: Diabetes is a chronic disease which is accompanied by high risk of disability and mortality, especially when it does not comply with the individual’s lifestyle. The present study was conducted by the aim of investigating the effectiveness of the acceptance and commitment therapy (ACT) approach on quality of life and hemoglobin A1c among patients with type 2 diabetes.
Methods: The current study was conducted by semi-experimental method with pretest-posttest with control group design in which 30 patients referring to specialized diabetes clinic of Dr. Gharazi subspecialty hospital were assigned into two experiment and control groups through random sampling method. First, for examining lack of Axis-I disorders in patients, a structured interview questionnaire (SCID-I), and then the diabetes quality of life questionnaire (DQL) and hemoglobin A1c test were administered for both experiment and control groups. Afterwards, the acceptance and commitment therapy was provided for the experiment group in 10 120-minute sessions. After administering the therapy, both groups completed the diabetes quality of life questionnaire and hemoglobin A1c test again.
Results: The mean of the experimental group was higher in the quality of life than the control group and decreased in the hemoglobin A1c. The effect of the interventional factor on quality of life was not statistically significant and the independent variable has not caused differences among the groups (P=0.859). The effect of intervention on Hemoglobin A1C was statistically significant and the independent variable caused differences among the groups (P=.046).
Conclusion: The acceptance and commitment therapy, in 10 sessions, can significantly decrease hemoglobin A1c which, eventually, leads to decrease in diabetes complications and patient’s recovery, reduced mortality, reduced direct and indirect expenses for the patient, the patient’s family and the health care system of the country.
Keywords: acceptance and commitment therapy (ACT), quality of life, hemoglobin A1c, patients with type 2 diabetes.
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Type of Study: Research | Subject: General
References
1. Ahmadi, A, Hasanzadeh y, Rayaefard A. (2009). Meta – bolic control and care assessment patients with type Z diates, in chaharmahal&Bakhtiari province 2008. Iranian Journal of Endocrinology &metalbolic, 11(1): 33-39. Andréoli, B (2004). Fundamentals of Sicily Internal Medicine. "Endocrine Diseases and Metallolism." Translated by Mohammad Jafar Khani and Maryam Bastanzadeh. Tehran: Timurzadeh Bagheri, H. Ebrahimi, H. Iaghari, N. S.Hassani, M.R. (2005).evaluation of quality of life in patients whit diabetes mellitus based on its complications referred to EmamHossein Hospital, shahroud. Shahrekord university of medical science, Journal , 2(7): 50-6. Breivik, H.,Collett, B., Ventafridda, V., Cohen, R.,Gallacher, D. (2006) Survey of chronic pain in Europe:prevalence, impact on daily life, and treatment. Eur J Pain, 10, 287-333. Casper, D.L. (2005). The Harrison Internal Medicine Principle. "Endocrine Diseases and Metabolism and Nutrition." Translation by Bagher Larijani, Mojtaba Hosseinzadeh, Mohammad Hadizadeh, Farzin Ronianzadeh. Tehran: Timurzadeh. Forman, E. M. & Herbert, J. D. (2009).New directions in cognitive behavior therapy: Acceptance-based therapies (PDF). In W. O'Donohue& J. E. Fisher, (Eds.), General principles and empirically supported techniques of cognitive behavior therapy (pp. 77-101), Hoboken, NJ: Wiley. Gregg, J. A., Callaghan, G. M., Hayes, S. C., Glenn-Lawson, J. L. (2007). Improving diabetes self-management throughacceptance, mindfulness, and values: A randomized controlled trial.Journal of Consulting and Clinical Psychology, 75(2), 336-343. Grigg, A., Thommasen, H.V., Tildesley, H., Michalos, A.C., 2006. Comparingself-rated health, satisfaction and quality of life scores betweendiabetics and others living in the Bella Coola valley. Social IndicatorsResearch 76, 263–281. Ghanbari A, parsa Yekta D, Atrkar R. Effective Factors on quality of life in Diabeties patients Iranian. Journal of Medical Science of Gillan University 2000; 38: 82-9. Hayes, S. C., Luoma, J., Bond, F., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes, and outcomes. Behaviour Research and Therapy, 44, 1–25. Hayes, S, C., Strosahl, K, D.,Wilson, K, G., Bissett, R, T., Pistorello, J., Toarmino, D., et al. (2004). Measuring experiential avoidance: a preliminary test of a working model.Psychol Rec, 54, 553-578. Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behaviochange. New York: Guilford Hayes, S. C., &Strosahl, K. D. (Eds.).(2010). A practical guide to Acceptance and Commitment Therapy. New York: Springer Science and Business Media Inc Hayes SC (1987). A contextual approach to therapeutic change. In N Jacobson (Ed.), Psychotherapists inclinical practice: Cognitive and behavioral perspectives (pp. 327 387). New York: GuilfordHayes SC (2004). Acceptance and Commitment Therapy, Relational Frame Theory, and the third wave of behavior therapy. Behavior Therapy,35, 639-665. Litaker, D. Mion, L. Planavsky, L. Kippes, C. Mehta, N. Frolkis, J. (2003). Physician - nurse practitioner teams in chronic diseasemanagement: the impact on costs, clinical effectiveness, andpatients' perception of care. J Interprof Care :17(3):223-37. Mohammadi, M. Rashidi, M. Afkhami Ardakani, M. (2011). Types II risk factors. Journal of Shaheed Sadoughi University of Medical Sciences and Health Services. 19) 22: (266 – 278 Norris SL, Engelgau MM, Naranyan KMV. (2001). Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care; 24: 561–587 Proof. F (1391). The effect of empowerment program on glycosylated hemoglobin in patients with type 2 diabetes. Quarterly Journal of Internal Nursing – Surgery: 1( 2) : 29-2 Twohig, M. P., Hayes, S. C., & Masuda, A. (2006a). Increasing willingness to experience obsessions: Acceptance and commitment therapy as a treatment for obsessive-compulsive disorder. Behavior Therapy, 37, 3-13. Vinter-Repalust, N., Petricek, G., Katić, M.(2004). Obstacles which patients with type2 diabetes meet while adhering to the therapeutic regimen in every day life; qualitative study. Croat Med J, 45: 630-6. Woods, D. W., Wetterneck, C. T., & Flessner, C. A.(2007). A controlled evaluation of Acceptance and Commitment Therapy plus habit reversal for trichotillomania. Behaviour Research and Therapy. Zare, h .Hasanzadeh ,S. Oruki ,M. Shirazi, N. (2012). Effectiveness of Anger Management Training with Cognitive-Behavioral Approach on Adherence to Therapy and Blood Glucose Control in Patients with Type 2 Diabetes. Journal of Health: 1( 4): 56-70.
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Rahimi M, Nouri R, Raimi M. The effectiveness of the acceptance and commitment therapy (ACT) approach on quality of life and hemoglobin A1c among patients with type 2 diabetes. Int J Med Invest. 2019; 8 (2) :61-69
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Volume 8, Issue 2 (5-2019) Back to browse issues page
International Journal of Medical Investigation
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