The Effectiveness of Group Psychotherapy Based on Acceptance and Commitment on Emotional Expressiveness and Self – Care behaviors in Patients with Type 2 Diabetes

Document Type : Original Article


1 Ph.D. student, Department of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran

2 MA, Department of Psychology, Tehran University of Science and Research Branch, Islamic Azad University, Tehran, Iran

3 MA, Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran

4 MA, consulting and guidance, Department of consulting and guidance, Rooden Branch, Islamic Azad University, Rodehen, Iran

5 Ph.D. student of clinical psychology, Department of clinical and Healt Psycology, Shahid Beheshti University, Tehran, Iran


Background and Objective: In line withincreasing urbanization and lifestyle changes, diabetes has become a common disease, which puts many problems on the lives of infected people. The aim of this study was to evaluate the effectiveness of group psychotherapy based on acceptance and commitment on emotional expressiveness and self-care behaviors in patients with type 2 diabetes.
Materials and Methods: This quasi-experimental study was a post-test pre-test with control group. The statistical population of the study consisted of 36 women with type 2 diabetes referring to health centers under the Diabetes Association of Tehran in 2017-2018. The eligible participants were divided into experimental (18 people) and control (18 people) groups. The experimental group received 8 sessions of intervention using group psychotherapybased on acceptance and commitment, and the control group was placed on the waiting list. Data were collected in pre-test and post-test stages using emotional expressivenessquestionnaire (Emmons & king) and Tober & Glasgow self-care behaviors questionnaire, and analyzed by MANCOVA analysis with SPSS v.23 software.
Results: Data analysis showed that there was a significant difference between the mean of emotional expressiveness and self-care of the experimental and control groups in the post-test stage. In other words, group psychotherapy based on acceptance and commitment significantly increased emotional expressiveness and self-care behaviors in patients with type 2 diabetes (P<0/001).
Conclusion: Considering the effect of group psychotherapy based on the acceptance and commitment on emotional expressiveness and self – care behaviors, it is recommended that psychiatrists, clinical psychologists and mental health professionals use this method to increase on emotional expressiveness and self – care behaviors in patients with type 2 diabetes.
Paper Type: Research Article


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