Comparison of the effectiveness of acceptance and commitment-based therapy and compassion-focused therapy on the quality of life of mothers with gestational diabetes

Document Type : Original Article

Authors

1 Ph.D. student, Department of Management, UAE Branch, Islamic Azad University, Dubai, UAE.

2 Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.

3 Department of Psychology, Karaj Branch, Islamic Azad University, Alborz, Iran.

Abstract

Introduction: The aim of this study was to compare the effectiveness of acceptance and commitment-based therapy and compassion-focused therapy on the quality of life of mothers with gestational diabetes.
Methods: The research method is quasi-experimental with pre-test-post-test-three-group follow-up. The statistical population of the study was all pregnant mothers who referred to Milad Hospital in Tehran in 2019, who were diagnosed with gestational diabetes. In order to form three groups using purposive sampling method (considering the inclusion and exit criteria), 45 patients were selected and then randomly divided into three groups of 15 (acceptance and commitment therapy, compassionate treatment and group Witness) were assigned. Forman and Herbert (2008) acceptance and commitment group training, and Gilbert (2007) self-compassion training were performed for the second experimental group. Also, a three-month follow-up phase was performed on all three groups. The research tool was the quality of life of the World Health Organization (1986). Data analyzed by repeated measure analysis of variance and spss.22.
Results: The results showed that acceptance and commitment therapy and compassion-focused therapy had a significant effect on improving the quality of life in mothers with gestational diabetes (p <0.001).
Conclusion: As a result, acceptance and commitment therapy has a greater impact on the quality of life of mothers with gestational diabetes than compassion-focused therapy.

Keywords

References

  1. Domanski G, Lange AE, Ittermann T, Allenberg H, Spoo RA, Zygmunt M, Heckmann M. Evaluation of neonatal and maternal morbidity in mothers with gestational diabetes: a population-based study. BMC Pregnancy and Childbirth. 2018 Dec 1;18(1):367. https://doi.org/10.1186/s12884-018-2005-9
  2. Jafari-Shobeiri M, Ghojazadeh M, Azami-Aghdash S, Naghavi-Behzad M, Piri R, Pourali-Akbar Y, Nasrollah-Zadeh R, Bayat-Khajeh P, Mohammadi M. Prevalence and risk factors of gestational diabetes in Iran: a systematic review and meta-analysis. Iranian journal of public health. 2015 Aug;44(8):1036.
  3. Kubo A, Ferrara A, Brown SD, Ehrlich SF, Tsai AL, Quesenberry Jr CP, Crites Y, Hedderson MM. Perceived psychosocial stress and gestational weight gain among women with gestational diabetes. PLoS One. 2017 Mar 28;12(3):e0174290. https://doi.org/10.1371/journal.pone.0174290 
  4. Kamana KC, Shakya S, Zhang H. Gestational diabetes mellitus and macrosomia: a literature review. Annals of Nutrition and Metabolism. 2015;66(Suppl. 2):14-20. https://doi.org/10.1159/000371628 
  5. Hinkle SN, Louis GM, Rawal S, Zhu Y, Albert PS, Zhang C. A longitudinal study of depression and gestational diabetes in pregnancy and the postpartum period. Diabetologia. 2016 Dec 1;59(12):2594-602. https://doi.org/10.1007/s00125-016-4086-1
  6. Lydon K, Dunne FP, Owens L, Avalos G, Sarma KM, O'Connor C, Nestor L, McGuire BE. Psychological stress associated with diabetes during pregnancy: a pilot study. Irish medical journal. 2012 May;105(5 Suppl):26-8.
  7. Sauder KA, Starling AP, Shapiro AL, Kaar JL, Ringham BM, Glueck DH, Leiferman JA, Siega‐Riz AM, Dabelea D. Diet, physical activity and mental health status are associated with dysglycaemia in pregnancy: the Healthy Start Study. Diabetic Medicine. 2016 May;33(5):663-7. https://doi.org/10.1111/dme.13093 
  8. Horsch A, Kang JS, Vial Y, Ehlert U, Borghini A, Marques‐Vidal P, Jacobs I, Puder JJ. Stress exposure and psychological stress responses are related to glucose concentrations during pregnancy. British journal of health psychology. 2016 Sep;21(3):712-29. https://doi.org/10.1111/bjhp.12197
  9. Gharachourlo M, Mahmoodi Z, Kamrani MA, Tehranizadeh M, Kabir K. The effect of a health literacy approach to counselling on the lifestyle of women with gestational diabetes: A clinical trial. F1000Research. 2018;7. https://doi.org/10.12688/f1000research.13838.1
  10. Badon SE, Enquobahrie DA, Wartko PD, Miller RS, Qiu C, Gelaye B, Sorensen TK, Williams MA. Healthy lifestyle during early pregnancy and risk of gestational diabetes mellitus. American journal of epidemiology. 2017 Aug 1;186(3):326-33. https://doi.org/10.1093/aje/kwx095 
  11. Zhang CQ, Leeming E, Smith P, Chung PK, Hagger MS, Hayes SC. Acceptance and commitment therapy for health behavior change: a contextually-driven approach. Frontiers in psychology. 2018 Jan 11;8:2350. https://doi.org/10.3389/fpsyg.2017.02350 
  12. Gedik Z. Self-compassion and health-promoting lifestyle behaviors in college students. Psychology, health & medicine. 2019 Jan 2;24(1):108-14. https://doi.org/10.1080/13548506.2018.1503692 
  13. Terry ML, Leary MR, Mehta S, Henderson K. Self-compassionate reactions to health threats. Personality and Social Psychology Bulletin. 2013 Jul;39(7):911-26. https://doi.org/10.1177/0146167213488213
  14. Friis AM, Consedine NS, Johnson MH. Does kindness matter? Diabetes, depression, and self-compassion: a selective review and research agenda. Diabetes Spectrum. 2015 Nov 1;28(4):252-7. https://doi.org/10.2337/diaspect.28.4.252 
  15. Callaghan D. The influence of basic conditioning factors on healthy behaviors, self-efficacy, and self-care in adults. Journal of Holistic Nursing. 2006 Sep;24(3):178-85. https://doi.org/10.1177/0898010106289854 
  16. Viskovich S, Pakenham KI. Pilot evaluation of a web‐based acceptance and commitment therapy program to promote mental health skills in university students. Journal of Clinical Psychology. 2018 Dec;74(12):2047-69. https://doi.org/10.1002/jclp.22656
  17. Khayatan S, Aghaei A, Abedi M, Golparvar M. Effectiveness of Compassion-Acceptance and Commitment Combined Therapy with Cognitive-Behavioral Therapy on Interpersonal Forgiveness in Female Patients with Type II Diabetes. Iranian Journal of Diabetes and Obesity. 2018 Oct 10;10(4):194-203.
  18. Borgermans L, Marchal Y, Busetto L, Kalseth J, Kasteng F, Suija K, Oona M, Tigova O, Rösenmuller M, Devroey D. How to improve integrated care for people with chronic conditions: Key findings from EU FP-7 Project INTEGRATE and beyond. International journal of integrated care. 2017 Jul;17(4). https://doi.org/10.5334/ijic.3096
  19. Cooper R, Frearson J. Adapting compassion focused therapy for an adult with a learning disability-A case study. British Journal of Learning Disabilities. 2017 Jun;45(2):142-50. https://doi.org/10.1111/bld.12187
  20. Gilbert P, Basran J. Imagining one's compassionate self and coping with life difficulties. 2018.
  21. Amirian K, Mami S, Ahmadi V, Mohamadzadeh J. Effectiveness of Group Psychotherapy Based on Acceptance and Commitment Therapy on Difficultes Emotion Regulation and Distress Tolerance in Substance Abusers. J Educ Community Health. 2018 Sep 10;5(2):53-61. https://doi.org/10.21859/jech.5.2.53
  22. Lucas JJ, Moore KA. Psychological flexibility: positive implications for mental health and life satisfaction. Health promotion international. 2020 Apr;35(2):312-20. https://doi.org/10.1093/heapro/daz036
  23. Ramaci T, Bellini D, Presti G, Santisi G. Psychological Flexibility and Mindfulness as predictors of individual outcomes in hospital health workers. Frontiers in Psychology. 2019;10:1302. https://doi.org/10.3389/fpsyg.2019.01302

 

Razavi International Journal of Medicine
Volume 9, Issue 1
January 2021
Pages 47-56

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