Comparison of the Effectiveness of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on Quality of Life and Self-Care of Patients with Type 2 Diabetes

The aim of this study was to compare the effectiveness of cognitive behavioral therapy and acceptance and commitment therapy on quality of life and self-care of patients with type 2 diabetes in Shahrekord Diabetes Association in 2018.

The method of this research is quasi-experimental and for data collection, pre-test-post-test design (three groups) with two experimental groups, a control group and a follow-up group have been used. The statistical population of the study consisted of all patients with type 2 diabetes of Shahrekord Diabetes Association, from which 45 people were selected by available sampling method and randomly divided into two experimental groups (15 people in each group) and one control group (15 people) were appointed. The experimental group of cognitive-behavioral therapy was trained for 9 sessions of 60 minutes and the treatment group based on acceptance and commitment were trained for 8 sessions of 60 minutes and the control group remained on the waiting list. The instruments used in the present study included quality of life of diabetic patients (Thomas et al., 2004) and self-care (Tubert et al., 2000) which were used in two stages of pre-test and post-test. The analysis of the information obtained from the implementation of the questionnaire was performed through spss24 software in two descriptive and inferential sections (repeated analysis of variance).

The results showed that cognitive-behavioral therapy and acceptance and commitment therapy did not have a significant effect on patientschr('39') quality of life. The results also showed that both interventions used in this study could significantly improve self-care (p <0.05), with the difference that the intervention based on acceptance and commitment therapy had a greater impact on patientschr('39') self-care. The follow-up phase continued.

Based on the results of this study, acceptance and commitment based therapy can increase the level of self-care of patients with type 2 diabetes.