Comparison of the Effectiveness of Mindfulness-Based Therapy and Acceptance and Commitment Therapy on Resilience, Psychological Well-Being and Blood Sugar levels in patients with type 2 diabetes

Diabetes is one of the most common chronic diseases in Iran and the world that imposes many physical and psychological complications on patients. The aim of this study was to Comparison of the Effectiveness of Mindfulness-Based Therapy and Acceptance and Commitment Therapy on Resilience, Psychological Well-Being and Blood Sugar levels in patients with type 2 diabetes Tehran in 2019.

This research was a quasi-experimental study with a pretest-posttest design (three groups) with two experimental groups and one control group. The statistical population of the study consisted of all patients with type 2 diabetes referred to health centers in Tehran in 2019, from which 45 people were selected by convenience sampling method and randomly divided into two experimental groups (each A group of 15 people) and a control group (15 people) were assigned. Research data were collected using Connor and Davidson resilience questionnaires and Reef psychological well-being questionnaires and fasting blood sugar was measured by blood test. Data analysis was performed using SPSS software version 19 in two parts: descriptive (mean, standard deviation) and inferential (multivariate analysis of covariance and post hoc tests).

The results showed that both interventions had a significant effect on increasing resilience and psychological well-being and lowering blood sugar in patients with type 2 diabetes (Wilkes lambda = 0.15, P <0.05). Also, group therapy of acceptance and commitment is more effective than group therapy of mindfulness on improving resilience (F = 6.23, P <0.05) and psychological well-being (F = 8.71, P <0.05) in post-test and Is a follow-up. But there was no significant difference between the effect of treatment methods on blood sugar levels.

The results show a significant effect of mindfulness and commitment based therapy and acceptance on resilience, psychological well-being and blood sugar in patients with type 2 diabetes. Therefore, psychologists and medical centers can use these methods to improve the condition of patients with type 2 diabetes.