Journal of Health And Care
Volume 27, Issue 3 (Autumn 2025)
JHC 2025, 27(3): 309-319 |
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Ethics code: R.IAU.TMU.REC.1403. 131
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Nazari M, Ali Mehdi M, Rahmani S. The Effectiveness of Acceptance and Commitment Therapy on Alexithymia and Adherence to Treatment in women with Type 2 Diabetes. JHC 2025; 27 (3) :309-319
URL: http://hcjournal.arums.ac.ir/article-1-1648-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1648-en.html
Department of Psychology, Tehran Medical Branch, Islamic Azad University, Tehran, Iran
Abstract: (74 Views)
Background: Diabetes is the most common metabolic disease in the world that affects both physical and mental health. Therefore, it is necessary to take effective measures to reduce the physical and psychological problems of women with diabetes. This study aimed to determine the effectiveness of acceptance and commitment therapy on alexithymia and adherence to treatment in women with type 2 diabetes.
Methods: This was a quasi-experimental study with a pre-test-post-test and follow-up design with a control group. Among women with type 2 diabetes who were referred to the Golhay Comprehensive Health Center in Islamshahr in 2023, thirty people were selected through convenience sampling. They were randomly assigned to two experimental and control groups (15 people in each group). Data collection tools in the pre-test, post-test, and follow-up stages were the Toronto Alexithymia Scale and the Medanlou Adherence to Treatment Questionnaire. The experimental group underwent a group intervention based on Ross Harris Acceptance and Commitment Therapy for 8 sessions of 1.5 hours each (one session per week). Data analysis was performed using analysis of covariance and repeated analysis of variance using SPSS-26 software.
Results: Based on the results, the variables of alexithymia (F=9.41, p <0.01) and adherence to treatment (F=10.09, p <0.01) were statistically different in the experimental and control groups. Furthermore, the results of repeated measures analysis of variance indicated that the effectiveness of treatment method was sustained on both variables measured after two months of treatment (p <0.01).
Conclusion: Acceptance and commitment therapy has reduced alexithymia and increased adherence to treatment in the study population. Therefore, this therapeutic intervention can be used alongside other pharmacological and non-pharmacological treatments in women with type 2 diabetes.
Methods: This was a quasi-experimental study with a pre-test-post-test and follow-up design with a control group. Among women with type 2 diabetes who were referred to the Golhay Comprehensive Health Center in Islamshahr in 2023, thirty people were selected through convenience sampling. They were randomly assigned to two experimental and control groups (15 people in each group). Data collection tools in the pre-test, post-test, and follow-up stages were the Toronto Alexithymia Scale and the Medanlou Adherence to Treatment Questionnaire. The experimental group underwent a group intervention based on Ross Harris Acceptance and Commitment Therapy for 8 sessions of 1.5 hours each (one session per week). Data analysis was performed using analysis of covariance and repeated analysis of variance using SPSS-26 software.
Results: Based on the results, the variables of alexithymia (F=9.41, p <0.01) and adherence to treatment (F=10.09, p <0.01) were statistically different in the experimental and control groups. Furthermore, the results of repeated measures analysis of variance indicated that the effectiveness of treatment method was sustained on both variables measured after two months of treatment (p <0.01).
Conclusion: Acceptance and commitment therapy has reduced alexithymia and increased adherence to treatment in the study population. Therefore, this therapeutic intervention can be used alongside other pharmacological and non-pharmacological treatments in women with type 2 diabetes.
Type of Study: article |
Subject:
Psychiatric Nursing
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