Comparing the Effectiveness of Acceptance and CommitmentBased Therapy and Mindfulness-Based Cognitive Therapy on the Cognitive Flexibility of Patients with Type 2 Diabetes

People with diabetes face psychological challenges. Therefore, it is important to pay attention to treatments based on commitment and acceptance and cognitive therapy based on mindfulness in this field. The purpose of this study was to compare the effectiveness of commitment and acceptance based cognitive therapy on cognitive flexibility of patients with type 2 diabetes. The research method was semi-experimental with a pre-test-post-test design with a witness group. The statistical population of the current study was all type 2 diabetic patients who referred to Maternal Diabetes Center, Tubi Specialized and Subspecialized Clinic, and Mostafavian Clinic in Sari city in 2018-2019. 30 people were selected as a sample by purposive sampling method. Simple randomization was performed in two experimental (15 people) and control (15 people) groups. Dennis and Vanderwaal (2010) cognitive flexibility scale were used to collect data. Descriptive statistics (mean, standard deviation) and multivariate covariance analysis and post hoc test were used to analyze the research data. The results showed that treatment based on commitment and acceptance and cognitive therapy based on mindfulness are effective on distress tolerance and cognitive flexibility of patients with type 2 diabetes at a significance level of P<0.01. Also, there is no significant difference between this type of treatment. Considering the effectiveness of treatments based on commitment and acceptance and cognitive therapy based on mindfulness on cognitive flexibility, it seems that this treatment can be used to reduce the psychological problems of patients with type 2 diabetes.