Mon, Dec 15, 2025
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Ethics code: IR.IAU.TABRIZ.REC.1403.216
1- Islamic Azad University, Tabriz, Iran
2- , Islamic Azad University, Ahar, Iran
2- , Islamic Azad University, Ahar, Iran
Abstract: (25 Views)
Abstract
Introduction: Diabetes is a huge risk factor for cognitive impairment especially when the glycemic control is inadequate with marked hyperglycemia and recurrent hypoglycemia. The present study aimed to compare the effects of Mindfulness-Integrated Cognitive Behavioral Therapy (MiCBT) and Acceptance and Commitment Therapy (ACT) on executive functions and self-regulation in patients with type 2 diabetes.
Method: Forty-five patients with type 2 diabetes who visited the Diabetes Association in Karaj were selected using judgmental sampling and randomly assigned to two intervention groups and one control group. The MiCBT and ACT interventions were delivered in eight group sessions. The Adult Executive Functioning Scale (ADEXI; Holst, & Thorell,, 2018) and the Self-Regulation Questionnaire (Grosart & Eising, 1995) were administered at pre-test, post-test, and follow-up stages for all three groups. The obtained data were analyzed using mixed ANOVA and Bonferroni post hoc tests in SPSS27.
Findings: The results of the statistical analyses indicated that the MiCBT and ACT interventions had significant effects on improving executive functions and self-regulation in patients with type 2 diabetes, and these improvements were sustained during the two-month follow-up. Additionally, according to the Bonferroni post hoc test results, the MiCBT intervention showed a greater impact on enhancing executive functions in patients with type 2 diabetes compared to ACT. Conversely, both interventions (MiCBT and ACT) demonstrated similar effects on enhancing self-regulation in patients with type 2 diabetes, with no significant differences observed between the effectiveness of the two interventions.
Conclusion: The results of this study emphasize the importance of using Mindfulness-Integrated Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to enhance cognitive abilities in patients with type 2 diabetes in Iran. Therefore, specialists, researchers, and therapists in this field can utilize these interventions as effective, evidence-based treatment options to improve cognitive functions in patients with type 2 diabetes alongside their medical and pharmacological treatments.
Introduction: Diabetes is a huge risk factor for cognitive impairment especially when the glycemic control is inadequate with marked hyperglycemia and recurrent hypoglycemia. The present study aimed to compare the effects of Mindfulness-Integrated Cognitive Behavioral Therapy (MiCBT) and Acceptance and Commitment Therapy (ACT) on executive functions and self-regulation in patients with type 2 diabetes.
Method: Forty-five patients with type 2 diabetes who visited the Diabetes Association in Karaj were selected using judgmental sampling and randomly assigned to two intervention groups and one control group. The MiCBT and ACT interventions were delivered in eight group sessions. The Adult Executive Functioning Scale (ADEXI; Holst, & Thorell,, 2018) and the Self-Regulation Questionnaire (Grosart & Eising, 1995) were administered at pre-test, post-test, and follow-up stages for all three groups. The obtained data were analyzed using mixed ANOVA and Bonferroni post hoc tests in SPSS27.
Findings: The results of the statistical analyses indicated that the MiCBT and ACT interventions had significant effects on improving executive functions and self-regulation in patients with type 2 diabetes, and these improvements were sustained during the two-month follow-up. Additionally, according to the Bonferroni post hoc test results, the MiCBT intervention showed a greater impact on enhancing executive functions in patients with type 2 diabetes compared to ACT. Conversely, both interventions (MiCBT and ACT) demonstrated similar effects on enhancing self-regulation in patients with type 2 diabetes, with no significant differences observed between the effectiveness of the two interventions.
Conclusion: The results of this study emphasize the importance of using Mindfulness-Integrated Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to enhance cognitive abilities in patients with type 2 diabetes in Iran. Therefore, specialists, researchers, and therapists in this field can utilize these interventions as effective, evidence-based treatment options to improve cognitive functions in patients with type 2 diabetes alongside their medical and pharmacological treatments.
Keywords: Acceptance and Commitment Therapy, Executive Functions, Mindfulness-Integrated Cognitive Behavioral Therapy, Self-regulation, Type 2 diabetes
Type of Study: Research |
Received: 2025/05/23 | Accepted: 2025/12/15
Received: 2025/05/23 | Accepted: 2025/12/15
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