The Effect of Acceptance and Commitment Therapy on Anxiety and Emotion Regulation in Adolescents with Diabetes Type 1: A Randomized Controlled Trial

AuthorZahra Zanjanien
AuthorFatemeh Moqbelien
AuthorAbdollah Omidien
AuthorKobra Shiasi Aranien
OrcidZahra Zanjani [0000-0003-4450-9397]en
OrcidFatemeh Moqbeli [0009-0002-0517-4619]en
OrcidAbdollah Omidi [0000-0001-5538-7693]en
OrcidKobra Shiasi Arani [0000-0002-5021-3819]en
Issued Date2025-12-31en
AbstractBackground: Type 1 diabetes (T1D) is a chronic condition that significantly impacts the psychological health of adolescents. Objectives: This study aimed to examine the effect of acceptance and commitment therapy (ACT) on anxiety and emotion regulation in adolescents with T1D. Methods: In this randomized controlled trial, 40 adolescents aged 13 - 18 were randomly assigned to an ACT group (n = 20) or a control group (n = 20). The intervention included eight weekly 60-minute group sessions. Participants completed the Beck Anxiety Inventory (BAI) and the Emotion Regulation Questionnaire (ERQ) at pre-test, post-test, and three-month follow-up. The data were analyzed using multivariate analysis of variance (MANOVA) with a repeated measurement design and through SPSS-22 statistical software. Results: The ACT significantly reduced anxiety (-8.10 ± 4.65, ηp2 = 0.81) and improved both reappraisal (+7.75 ± 4.56, ηp2 = 0.87) and suppression in emotion regulation (-3.30 ± 3.14, ηp2 = 0.28) compared to the control group (P < 0.001), with effects maintained at follow-up. Conclusions: The findings indicate that psychological treatment methods, including ACT, significantly enhance the effectiveness of medical treatments, especially for adolescents with T1D.en
DOIhttps://doi.org/10.5812/ijpbs-162129en
URIhttps://brieflands.com/journals/ijpbs/articles/162129en
KeywordAcceptance and Commitment Therapyen
KeywordAnxietyen
KeywordControlled Trialen
KeywordDiabetesen
KeywordEmotion Regulationen
KeywordRandomizeden
PublisherBrieflandsen
TitleThe Effect of Acceptance and Commitment Therapy on Anxiety and Emotion Regulation in Adolescents with Diabetes Type 1: A Randomized Controlled Trialen
TypeResearch Articleen

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