Investigation of the Efficacy of Acceptance and Commitment Therapy (ACT) on Psychological Indices (Stress, Quality of Life, and Coping Strategies) among the Patients with Type II Diabetes

Document Type : Original Article (s)

Authors

1 Associate Professor, Department of Psychology, School of Psychology, Payame Noor University, Tehran, Iran

2 Professor, Department of Psychology, School of Psychology, Payame Noor University, Tehran, Iran

3 Associate Professor, Department of Internal Medicine, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

4 PhD Student, Department of Psychology, School of Psychology, Payame Noor University, Tehran, Iran

Abstract

Background: Type II diabetes is considered as one of the chronic illnesses and has several physical and mental effects on patient. This research aimed to study the effect of acceptance and commitment therapy on psychological markers in patients with type II diabetes.Methods: This was a quasi-experimental research with pretest/posttest design and follow-up evaluations. Statistical population of the research included all the patients with type II diabetes with registered medical records referred to Kermanshah Diabetes Center, Kermanshah City, Iran, in 2016. 40 patients were selected using convenience sampling method and were randomly placed in two equal groups of control and intervention. They answered Lazarous-Folkman coping strategies, family inventory of life events (FILE) and short form of diabetes quality of life-brief clinical inventory (DQOL-BCL) questionnaires. Data analysis was done using SPSS software.Findings: There were significant differences between the posttest mean scores of problem- and emotion-oriented coping strategies, and stress in intervention and control groups (P < 0.010). However, there was no significant differences in quality of life in intervention and control group (P > 0.050).Conclusion: According to the results, it can be said that acceptance and commitment therapy may reduce the problems in patients with chronic diseases such as type II diabetes.

Keywords


  1. Haine-Schlagel R, Walsh NE. A review of parent participation engagement in child and family mental health treatment. Clin Child Fam Psychol Rev 2015; 18(2): 133-50.
  2. Wang R, Zhang P, Lv X, Jiang L, Gao C, Song Y, et al. Situation of diabetes and related disease surveillance in rural areas of Jilin Province, Northeast China. Int J Environ Res Public Health 2016; 13(6).
  3. Hatamloo Sadabadi M, Babapour Kheirodin J. Comparison of quality of life and coping strategies in diabetic and non diabetic people .J Shahid Sadoughi Univ Med Sci 2013; 20(5): 581-92. [In Persian].
  4. Fang HJ, Zhou YH, Tian YJ, Du HY, Sun YX, Zhong LY. Effects of intensive glucose lowering in treatment of type 2 diabetes mellitus on cardiovascular outcomes: A meta-analysis of data from 58,160 patients in 13 randomized controlled trials. Int J Cardiol 2016; 218: 50-8.
  5. Beckman JA, Creager MA. Vascular complications of diabetes. Circ Res 2016; 118(11): 1771-85.
  6. Monjamed Z, Ali Asqharpoor M, Mehran A, Peimani T. The quality of life in diabetic patients with chronic complications. Hayat 2006; 12(1): 55-66. [In Persian].
  7. Lee EH, Lee YW, Moon SH. A structural equation model linking health literacy to self-efficacy, self-care activities, and health-related quality of life in patients with type 2 diabetes. Asian Nurs Res (Korean Soc Nurs Sci) 2016; 10(1): 82-7.
  8. Wiernik E, Nabi H, Thomas F, Pannier B, Hanon O, Simon T, et al. Association between current perceived stress and incident diabetes is dependent on occupational status: Evidence from the IPC cohort study. Diabetes Metab 2016; 42(5): 328-35.
  9. Bralic L, V, Bergman MB, Vrdoljak D. The association of lifestyle and stress with poor glycemic control in patients with diabetes mellitus type 2: A Croatian nationwide primary care cross-sectional study. Croat Med J 2015; 56(4): 357-65.
  10. Hapunda G, Abubakar A, van de V, Pouwer F. Living with type 1 diabetes is challenging for Zambian adolescents: qualitative data on stress, coping with stress and quality of care and life. BMC Endocr Disord 2015; 15: 20.
  11. Strickland OL, Giger JN, Nelson MA, Davis CM. The relationships among stress, coping, social support, and weight class in premenopausal African American women at risk for coronary heart disease. J Cardiovasc Nurs 2007; 22(4): 272-8.
  12. DeCoster VA. Challenges of type 2 diabetes and role of health care social work: a neglected area of practice. Health Soc Work 2001; 26(1): 26-37.
  13. Pisula E, Czaplinska C. Coping with stress in adolescents with type 1 diabetes and their mothers. Eur J Med Res 2010; 15(Suppl 2): 115-9.
  14. de Ridder D, Schreurs K. Developing interventions for chronically ill patients: Is coping a helpful concept? Clin Psychol Rev 2001; 21(2): 205-40.
  15. Tuncay T, Musabak I, Gok DE, Kutlu M. The relationship between anxiety, coping strategies and characteristics of patients with diabetes. Health Qual Life Outcomes 2008; 6: 79.
  16. Rubin RR, Peyrot M. Psychological issues and treatments for people with diabetes. J Clin Psychol 2001; 57(4): 457-78.
  17. Rowe M, Allen G. Spirituality as a means of coping with chronic illness. American Journal of Health Studies 2004; 19(1): 62-7.
  18. Moazzezi M, Ataie M, V, Ataie MR, Pishvaei M. Impact of acceptance and commitment therapy on perceived stress and special health self-efficacy in seven to fifteen-year-old children with diabetes mellitus. Iran J Psychiatry Behav Sci 2015; 9(2): 956.
  19. Ataie Moghanloo V, Ataie Moghanloo R, Moazezi M. Effectiveness of acceptance and commitment therapy for depression, psychological well-being and feeling of guilt in 7-15 years old diabetic children. Iran J Pediatr 2015; 25(4): e2436.
  20. Shayeghian Z, Amiri P. Effectiveness of acceptance and commitment group therapy on improvement of glaycated hemoglobin and self-care activities in patients with type II diabetes. Contemporary Psychology 2016; 10(2): 41-50. [In Persian].
  21. Vallis M, Ruggiero L, Greene G, Jones H, Zinman B, Rossi S, et al. Stages of change for healthy eating in diabetes: relation to demographic, eating-related, health care utilization, and psychosocial factors. Diabetes Care 2003; 26(5): 1468-74.
  22. Forman EM, Herbert JD. New directions in cognitive behavior therapy: Acceptance-based therapies. General principles and empirically supported techniques of cognitive behavior therapy. Hoboken, NJ: John Wiley and Sons Inc; 2009. p. 77-101.
  23. Bayat Asgari A, Mossanejad S, Asgari M, Ramazani Farani A, Javaheri J. The relationship between coping styles with adherence in type 2 diabetic patients. Iran J Diabetes Lipid Disord 2015; 14(2): 93-8. [In Persian].
  24. Gal MD, Burg V. Methods of quantitative and qualitative research in behavioral sciences. Trans. Nasr R. Tehran, Iran: SAMT Publications; 2016. [In Persian].
  25. Sharif N. The relationship of biomarkers of cognitive immunology and cardiovascular with personality traits and coping strategies in normal conditions and tension and effects of coping therapy on biological responses [PhD Thesis]. Tehran, Iran: Payame Noor University; 2012. [In Persian].
  26. Agha Yousefi A, Zare H. Effect of coping-therapy on stress reduction of females with coronary artery disease. Journal of Behavioral Sciences 2009; 3(3): 187-93. [In Persian].
  27. Nasihatkon AA, Pishva A, Habibzadeh F, Tabatabaei M., Taher Ghashgayeizadeh M, Hojjat F, et al. Determining the reliability and validity of persian version of Diabetes Quality of Life (DQOL). Iran J Diabetes Lipid Disord 2012; 11(5): 483-7. [In Persian].
  28. Gregg JA, Callaghan GM, Hayes SC, Glenn-Lawson JL. Improving diabetes self-management through acceptance, mindfulness, and values: A randomized controlled trial. J Consult Clin Psychol 2007; 75(2): 336-43.
  29. Boey KW. Adaptation to type II diabetes mellitus: Depression and related factors. International Medical Journal 1999; 6(2): 125-32.
  30. Mazlum Befruei N, Afkhami Ardakani M, Shams Esfand Abadi H, Jalali MR. Investigating the simple and multiple resilience and hardiness with problem-oriented and emotional-oriented coping styles in diabetes type 2 in Yazd City. J Diabetes Nurs 2014; 1(2): 39-49. [In Persian].
  31. Hayes S, Hogan M, Dowd H, Doherty E, O'Higgins S, Nic GS, et al. Comparing the clinical-effectiveness and cost-effectiveness of an internet-delivered Acceptance and Commitment Therapy (ACT) intervention with a waiting list control among adults with chronic pain: study protocol for a randomised controlled trial. BMJ Open 2014; 4(7): e005092.
  32. Anvari MH, Ebrahimi A, Neshatdoost HT, Afshar H, Abedi A. The effectiveness of group-based acceptance and commitment therapy on pain-related anxiety, acceptance of pain and pain intensity in patients with chronic pain. J Isfahan Med Sch 2014; 32(295): 1156-65. [In Persian].
  33. Zarling A, Lawrence E, Marchman J. A randomized controlled trial of acceptance and commitment therapy for aggressive behavior. J Consult Clin Psychol 2015; 83(1): 199-212.
  34. Valerie JR, Cory O, Gary B, Angela J, Jessica V. How Do I Handle My Life Now? Coping and the post traumatic stress disorder checklist - military version. Proc Hum Factors Ergon Soc Annu Meet 2014; 58(1): 1252-6.
  35. Casselman RB, Pemberton JR. ACT-based parenting group for veterans with PTSD: development and preliminary outcomes. Am J Fam Ther 2015; 43(1): 57-66.