Comparison of "Combined Therapy Package Focused on Compassion and Acceptance and Commitment Therapy" with "Cognitive Behavioral Therapy" (CBT) on Depression and Glycosylated Hemoglobin in Female with Type II Diabetes

Diabetes is a chronic disease that affects all aspects of a person›s life. The aim of this study was to compare «Combined Therapy Package Focused on Compassion and Acceptance and Commitment Therapy» with «Cognitive Behavioral Therapy» on depression and glycosylated hemoglobin in women with type 2 diabetes.

The present study was performed in a quasi-experimental 3-group method with pre-test post-test and 2-month follow-up. 47 women with type 2 diabetes referred to Shahid Asghar Shabani Diabetes Clinic in Isfahan in 2017 were selected by purposive sampling. Then, by simple random assignment and using the lottery method in 3 treatment groups, «Combined Therapy Package Focused on Compassion and Acceptance and Commitment Therapy» with «Cognitive Behavioral Therapy» and control were replaced. Data were collected using a demographic questionnaire, “Beck Depression Inventory” and Glycosylated Hemoglobin test (HbA1C). Both groups received 10 sessions of 2 hours per week of treatment intervention. The control group did not receive any treatment intervention. Data were analyzed in SPSS. 24.

The scores of the participants in the post-test intervention groups «Combined Therapy Package Focused on Compassion and Acceptance and Commitment Therapy» « and «Cognitive Behavioral Therapy» had a significant decrease compared to the control group in depression (P<0.05). «Combined Therapy Package Focused on Compassion and Acceptance and Commitment Therapy» was significantly higher than «Cognitive Behavioral Therapy» on depression (P<0.05), but in the case of Glycosylated Hemoglobin, the results showed that the scores of participants in the intervention groups there were no significant differences in the post-test of «Combined Therapy Package Focused on Compassion and Acceptance and Commitment Therapy” and «Cognitive Behavioral Therapy” (P> 0.05).

«Combined Therapy Package Focused on Compassion and Acceptance and Commitment Therapy» and «Cognitive Behavioral Therapy» reduced depression in patients with diabetes. Therefore, the use of this method to reduce depression in diabetic patients is suggested.