Impact of Acceptance and Commitment Therapy on Perceived Stress and Special Health Self-Efficacy in Seven to Fifteen-Year-Old Children With Diabetes Mellitus

Mousa Moazzezi, Vahid Ataie Moghanloo, Roghayeh Ataie Moghanloo, Malihe Pishvaei, Mousa Moazzezi, Vahid Ataie Moghanloo, Roghayeh Ataie Moghanloo, Malihe Pishvaei

Abstract

Background: Diabetes Mellitus (DM) imposes restrictions on physical, emotional and social functioning of children and adolescents.

Objectives: The aim of this study was to determine the impact of acceptance and commitment therapy (ACT) on perceived stress and special health self-efficacy in seven to fifteen-year-old children with DM.

Patients and methods: The present study was a clinical trial with a pretest-posttest control group design. The study population included all seven to fifteen-year-old patients who had referred to the Diabetes Mellitus Association of Tabriz, Iran, of whom 40 participants were selected using convenient sampling. They were randomly allocated to two matched groups (experimental and control). The experimental group participated in therapy sessions, while the control group did not receive any interventions. The research instruments were perceived stress and special health self-efficacy scales.

Results: The multiple analysis of covariance (MANCOVA) results showed that the treatment was effective on variables of perceived stress and special health self-efficacy (P < 0.001).

Conclusions: The ACT is effective for reducing perceived stress and increasing special health self-efficacy in children with DM.

Keywords: Acceptance and Commitment Therapy; Diabetes Mellitus; Self Efficacy; Stress.

References

    1. Rosenthal MH. The challenge of comorbid disorders in patients with depression. J Am Osteopath Assoc. 2003;103(8 Suppl 4):S10–5.
    1. Zahiroldini AR, Sedighi G. [Depression among 100 diabetics referring to university hospitals]. Pajouhesh Dar Pezeshki. 2003;27(3):203–7.
    1. Strychar I, Elisha B, Schmitz N. Type 2 Diabetes Self-Management: Role of Diet Self-Efficacy. Canadian Journal of Diabetes. 2012;36(6):337–44.
    1. Tsiouli E, Pavlopoulos V, Alexopoulos EC, Chrousos G, Darviri C. Short-term impact of a stress management and health promotion program on perceived stress, parental stress, health locus of control, and cortisol levels in parents of children and adolescents with diabetes type 1: a pilot randomized controlled trial. Explore (NY). 2014;10(2):88–98. doi: 10.1016/j.explore.2013.12.004.
    1. Medline Plus Coping with chronic illness. 2010 Available from: .
    1. Graham JE, Stoebner-May DG, Ostir GV, Al Snih S, Peek MK, Markides K, et al. Health related quality of life in older Mexican Americans with diabetes: a cross-sectional study. Health Qual Life Outcomes. 2007;5:39. doi: 10.1186/1477-7525-5-39.
    1. Lane AM. Self-efficacy and Dissertation Performance Among Sport Students. The Journal of Hospitality Leisure Sport and Tourism. 2003;2(2):59–66.
    1. Mortazavi MS, Hosseini BM. [Study of quality of life in asthmatic patient perspectives]. J Birjand Univ Med Sci. 2003;10(1):23–8.
    1. Koopmanschap M, Code- Advisory Board Coping with Type II diabetes: the patient's perspective. Diabetologia. 2002;45(7):S18–22. doi: 10.1007/s00125-002-0861-2.
    1. Andersson G. Internet-based cognitive-behavioral self help for depression. Expert Rev Neurother. 2006;6(11):1637–42. doi: 10.1586/14737175.6.11.1637.
    1. Bohlmeijer ET, Fledderus M, Rokx TA, Pieterse ME. Efficacy of an early intervention based on acceptance and commitment therapy for adults with depressive symptomatology: Evaluation in a randomized controlled trial. Behav Res Ther. 2011;49(1):62–7. doi: 10.1016/j.brat.2010.10.003.
    1. Hayes SC, Strosahl KD. A practical guide to acceptance and commitment therapy. New York: Springer-Verlag; 2010.
    1. Teasdale JD, Segal ZV, Williams JM, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol. 2000;68(4):615–23.
    1. Whitebird RR, Kreitzer MJ, O'Connor PJ. Mindfulness-Based Stress Reduction and Diabetes. Diabetes Spectr. 2009;22(4):226–30. doi: 10.2337/diaspect.22.4.226.
    1. Boey KW. Adaptation to type ll diabetes mellitus: Depression &related factors. Int Med J. 2000;6(2):125–32.
    1. Karlsen B, Bru E. The relationship between diabetes-related distress and clinical variables and perceived support among adults with type 2 diabetes: a prospective study. Int J Nurs Stud. 2014;51(3):438–47. doi: 10.1016/j.ijnurstu.2013.06.016.
    1. Narimani M, Ahadi B. [Personality tests]. Ardabil, Iran: Mohagheg Ardabili; 2010.
    1. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–96.
    1. Mimura C, Griffiths P. A Japanese version of the perceived stress scale: translation and preliminary test. Int J Nurs Stud. 2004;41(4):379–85. doi: 10.1016/j.ijnurstu.2003.10.009.
    1. Ghorbani N, Bing MN, Watson PJ, Davison HK, Mack DA. Self-reported emotional intelligence: Construct similarity and functional dissimilarity of higher-order processing in Iran and the United States. International Journal of Psychology. 2002;37(5):297–308.
    1. González-Menéndez A, Fernández P, Rodríguez F, Villagrá P. Long-term outcomes of Acceptance and Commitment Therapy in drug-dependent female inmates: A randomized controlled trial. International Journal of Clinical and Health Psychology. 2014;14(1):18–27.
    1. Law GU, Walsh J, Queralt V, Nouwen A. Adolescent and parent diabetes distress in type 1 diabetes: the role of self-efficacy, perceived consequences, family responsibility and adolescent-parent discrepancies. J Psychosom Res. 2013;74(4):334–9. doi: 10.1016/j.jpsychores.2012.12.009.
    1. Hadlandsmyth K, White KS, Nesin AE, Greco LA. Proposing an Acceptance and Commitment Therapy intervention to promote improved diabetes management in adolescents: A treatment conceptualization. International Journal of Behavioral Consultation and Therapy. 2013;7(4):12–5.
    1. Hor M, Aghaei A, Abedi A, Attari A. [The effectiveness of acceptance and commitment therapy on depression in patients with type 2 diabetes]. J Res Behav Sci. 2013;11(2):121–8.
    1. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006;44(1):1–25. doi: 10.1016/j.brat.2005.06.006.
    1. Gregg JA, Callaghan GM, Hayes SC, Glenn-Lawson JL. Improving diabetes self-management through acceptance, mindfulness, and values: a randomized controlled trial. J Consult Clin Psychol. 2007;75(2):336–43.
    1. Clarke S, Kingston J, Wilson KG, Bolderston H, Remington B. Acceptance and Commitment Therapy for a Heterogeneous Group of Treatment-Resistant Clients: A Treatment Development Study. Cognitive and Behavioral Practice. 2012;19(4):560–72.

Source: PubMed

Sponsors en medewerkers

Medische omstandigheden

Geneesmiddelinterventies

3
Abonneren