The comparison of the effectiveness of cognitive behavioral therapy with mindfulness training on psychological self-care behavior in patients with type 2 diabetes

research showed about the effectiveness of cognitive behavioral therapy and mindfulness training on self-care behaviors, but which one of this can have more improvement on patients with type 2 diabetes?.

The present study aimed to compare the effectiveness of cognitive behavioral therapy and mindfulness training on self-care behaviors in patients with type 2 diabetes.

This research was a quasi-experimental study with pretest-posttest design with experimental and control groups. Sixty patients with type 2 diabetes who were members of the Tehran Charity Association for the Support of Diabetic Patients in 2018 were examined. Among them, 48 patients with the lowest scores on Tubert and Glasgow self-care behaviors questionnaire (1994) were assigned and randomly placed into three groups (two experimental groups and one control group)  8 session of cognitive behavioral therapy (Crane, 2011) for the first group and mindfulness(Baer,  2014) for the second group were applied.  

The results of covariance analysis showed significant effectiveness of both cognitive-behavioral therapy (p<0/05) and mindfulness training (p<0/05) on increasing the levels of patients’ self-care behaviors. Based on the results of Bonferroni post‐hoc test, there were no significant differences between the effectiveness of two psychological interventions on increasing self-care behaviors in patients (p<0/01).

cognitive-behavioral intervention by changing and coping to patients’ irrational beliefs as well as mindfulness by increasing the range of self-attention and adherence to treatment programs can enhance adherence to diabetes self-care programs in patients.