Effectiveness of Acceptance and Commitment Therapy for Depression, Psychological Well-Being and Feeling of Guilt in 7 - 15 Years Old Diabetic Children

Vahid Ataie Moghanloo, Roghayyeh Ataie Moghanloo, Mousa Moazezi, Vahid Ataie Moghanloo, Roghayyeh Ataie Moghanloo, Mousa Moazezi

Abstract

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

Objectives: The aim of this study was to determine effectiveness of acceptance and commitment therapy (ACT) for depression, psychological well-being and feeling of guilt in 7 - 15 years old diabetic children.

Patients and methods: This was a clinical trial with pre-test and post-test design with control group. The study population consisted of 34 participants selected using convenient sampling out of all 7 - 15 years old patients that referred to the Diabetes Association of Tabriz. They were randomly allocated into two equal groups (experimental and control). The experimental group participated in therapy sessions and the control group did not receive any intervention. The research instruments were reynolds child depression scale (RCDS), eysenck feelings of guilt scale and satisfaction with life scale (SWLS).

Results: Multivariate covariance analysis (MANCOVA) showed that the treatment was effective on variables of depression, psychological well-being and feeling guilty in 7 - 15 years old diabetic children (P < 0.001).

Conclusions: The aforementioned treatment is effective and suggested to be used in other psychosomatic diseases of children.

Keywords: Acceptance and Commitment Therapy; Depression; Diabetes; Feeling of Guilt; Psychological Well-Being.

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. Sadock VV, Sadock BJ, Kaplan HI. Comprehensive Textbook of Psychiatry. 7 ed. Baltimore: Lippincott Wiliams and Wilkins; 2005.
    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. Mousavi SA, Aghayan SH, Razavianzadeh N, Nourouzi N, Khosravi A. [Depression and General Health Status in Type II Diabetic Patients]. J Knowledge & Health. 2008;3(1):44–8.
    1. Egan SJ, Wade TD, Shafran R. Perfectionism as a transdiagnostic process: a clinical review. Clin Psychol Rev. 2011;31(2):203–12. doi: 10.1016/j.cpr.2010.04.009.
    1. Bruno S, Lutwak N, Agin MA. Conceptualizations of guilt and the corresponding relationships to emotional ambivalence, self-disclosure, loneliness and alienation. Personality and Individual Differences. 2009;47(5):487–91. doi: 10.1016/j.paid.2009.04.023.
    1. Jaser SS. Psychological problems in adolescents with diabetes. Adolesc Med State Art Rev. 2010;21(1):138–51.
    1. Mortazavi Moghadam S, Hosseiny B. [Study of quality of life in Asthmatic patient perspectives]. Birjand Univ Med Sci. 2003;1:27–9.
    1. Roothman B, Kirsten DK, Wissing MP. Gender Differences in Aspects of Psychological Well-Being. South African Journal of Psychology. 2003;33(4):212–8. doi: 10.1177/008124630303300403.
    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. Gonzalez-Menendez A, Fernández P, Rodríguez F, Villagra 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. doi: 10.1016/s1697-2600(14)70033-x.
    1. Forman EM, Herbert D. New directions in cognitive behavior therapy: acceptance based therapies, chapter to appear. In: O'donohue W, Fisher J, editors. cognitive behavior therapy: Applying empirically supported treatments in your practice. 2 ed. Hoboken, NJ: Wiley; 2009. pp. 263–8.
    1. Witkiewitz K, Marlatt GA, Walker D. Mindfulness-Based Relapse Prevention for Alcohol and Substance Use Disorders. Journal of Cognitive Psychotherapy. 2005;19(3):211–28. doi: 10.1891/jcop.2005.19.3.211.
    1. Lillis J, Kendra KE. Acceptance and Commitment Therapy for weight control: Model, evidence, and future directions. J Contextual Behav Sci. 2014;3(1):1–7. doi: 10.1016/j.jcbs.2013.11.005.
    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. doi: 10.1037/h0100960.
    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. doi: 10.1037/0022-006X.75.2.336.
    1. Abolghasemi A, Narimani M. psychological tests. Iran: Rezvan Garden Pub; 2007.
    1. Asgari P. Guide of psychological tests. Iran: Islamic Azad University of Ahvaz Publishing; 2010.
    1. Di Cagno A, Iuliano E, Aquino G, Fiorilli G, Battaglia C, Giombini A, et al. Psychological well-being and social participation assessment in visually impaired subjects playing Torball: a controlled study. Res Dev Disabil. 2013;34(4):1204–9. doi: 10.1016/j.ridd.2012.11.010.
    1. Park N, Song H, Lee KM. Social networking sites and other media use, acculturation stress, and psychological well-being among East Asian college students in the United States. Computers in Human Behavior. 2014;(36):138–46.
    1. Schimmack U, Radhakrishnan P, Oishi S, Dzokoto V, Ahadi S. Culture, personality, and subjective well-being: integrating process models of life satisfaction. J Pers Soc Psychol. 2002;82(4):582–93.
    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. Kaviani H, Hatami N, Javaheri F. The impact of mindfulness-based cognitive therapy (MBCT) on mental health and quality of life in a sub-clinically depressed population. Archives of Psychiatry and Psychotherapy. 2012;1:21–8.
    1. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change. 2 ed. New York: Guilford Press; 2011.
    1. Zettle R. Acceptance and commitment therapy vs. systematic desensitization in treatment of mathematics anxiety. Psychol Rec. 2003;53(2):197–215.
    1. Vowles KE, Witkiewitz K, Sowden G, Ashworth J. Acceptance and commitment therapy for chronic pain: evidence of mediation and clinically significant change following an abbreviated interdisciplinary program of rehabilitation. J Pain. 2014;15(1):101–13. doi: 10.1016/j.jpain.2013.10.002.
    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. doi: 10.1016/j.cbpra.2012.03.001.

Source: PubMed

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