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Health Spiritual Med Ethics 2021, 8(2): 85-94 Back to browse issues page
The Effects of Acceptance and Commitment Therapy With and Without Compassion on Spiritual Fatalism and Depression in Diabetic Patients
Tahereh Panahi , Fatemeh Shahabizadeh , Alireza Mahmoudirad
Department of Psychology, Faculty of Humanities, Birjand Branch, Islamic Azad University, Birjand, Iran
Abstract:   (439 Views)
Background and Objectives: There exists a relationship between spirituality and depression.
Moreover, psychological interventions are effective in this regard. Thus, this study aimed
to investigate the effects of Acceptance and Commitment Therapy (ACT) with and without
compassion on spiritual fatalism and depression in non-clinically depressed diabetic patients.
Methods: This was a quasi-experimental study with a pre-test, post-test and follow-up and a
control group design. The statistical population included all non-clinical depressed patients with
type 2 diabetes in the welfare centers of Mashhad City, Iran, in 2020. To form 3 research groups
using the purposive sampling method, 33 subjects were selected and randomly divided into the
study groups. Moreover, after 2 months, a follow-up test was performed on the research groups.
The research instruments included the Patient Health Questionnaire (Depression) by Arbi et al.
and the Diagnosis Scale of Egede and Ellis Diabetes.
Results: The repeated measures analysis of variance data suggested that the ACT approaches
with and without compassion intervention were effective in increasing spiritual fatalism (P<0.05)
and reducing depression (P<0.05) in the explored nonclinical depressed diabetic patients.
Moreover, the follow-up data revealed the stability of the collected results (P<0.05).
Conclusion:ACT, as an effective intervention can be used in medical centers to increase spiritual
fatalism and reduce depression in diabetic patients with depression vulnerability.
 
Keywords: Depression, Fate, Spirituality, Acceptance and Commitment Therapy, Compassion
Full-Text [PDF 1160 kb]   (206 Downloads) |   |   Full-Text (HTML)  (85 Views)  
Type of Study: Original Article | Subject: Special
Received: 2020/12/22 | Accepted: 2021/07/4 | Published: 2021/11/10
References
1. [1] American Diabetes Association. Standards of medical care
2. in diabetes - 2016 Abridged for primary care providers.
3. Clin Diabetes. 2016; 34(1):3-21. [DOI:10.2337/diaclin.34.1.3] [DOI:10.2337/diaclin.34.1.3]
7. [PMID] [PMCID]
8. [2] Saito J, Shoji W, Kumano H. The reliability and validity for
9. Japanese type 2 diabetes patients of the Japanese version of
10. the acceptance and action diabetes questionnaire. Biopsychosoc Med. 2018; 12:9. [DOI:10.1186/s13030-018-0129-9] [PMID] [DOI:10.1186/s13030-018-0129-9]
14. [PMCID]
15. [3] Mikaliūkštienė A, Žagminas K, Juozulynas A, Narkauskaitė
16. L, Sąlyga J, Jankauskienė K, et al. Prevalence and determinants of anxiety and depression symptoms in patients with
17. Panahi R, et al. The Effects of ACT With Compassion on Spiritual Fatalism. Health Spiritual Med Ethics J. 2021; 8(2):85-94.92
18. June 2021. Volume 8. Number 2
19. type 2 diabetes in Lithuania. Med Sci Monit. 2014; 20:182-90. [DOI:10.12659/MSM.890019]
23. [DOI:10.12659/MSM.890019] [PMID] [PMCID] [DOI:10.12659/MSM.890019]
27. [4] Zysberg L, Lang T. Supporting parents of children with type
28. I diabetes mellitus: A literature review. Patient Intell. 2015;
29. 7:21-31. [DOI:10.2147/PI.S77566] [DOI:10.2147/PI.S77566]
33. [5] Graham EA, Deschênes SS, Khalil MN, Danna S, Filion KB,
34. Schmitz N. Measures of depression and risk of type 2 diabetes: A systematic review and meta-analysis. J Affect Disord.
35. 2020; 265:224-32. [DOI:10.1016/j.jad.2020.01.053] [PMID] [DOI:10.1016/j.jad.2020.01.053]
39. [6] Chin YW, Lai PSM, Chia YC. The validity and reliability of
40. the English version of the diabetes distress scale for type 2
41. diabetes patients in Malaysia. BMC Fam Pract. 2017; 18:25.
42. [DOI:10.1186/s12875-017-0601-9] [PMID] [PMCID] [DOI:10.1186/s12875-017-0601-9]
46. [7] Green JD, Sedikides C, Gregg AP. Forgotten but not
47. gone: The recall and recognition of self-threatening memories. J Exp Soc Psychol. 2008; 44(3):547-61. [DOI:10.1016/j. [DOI:10.1016/j.jesp.2007.10.006]
51. jesp.2007.10.006] [DOI:10.1088/1126-6708/2007/10/006]
55. [8] Kim MJ, Kim J, Kho HS. Comparison between burning
56. mouth syndrome patients with and without psychological problems. Int J Oral Maxillofac Surg. 2018; 47(7):879-87. [DOI:10.1016/j.ijom.2018.02.001]
60. [DOI:10.1016/j.ijom.2018.02.001] [PMID] [DOI:10.1016/j.ijom.2018.02.001]
64. [9] Castagna PJ, Calamia M, Davis III TE. Childhood ADHD
65. and negative self-statements: Important differences associated with subtype and anxiety symptoms. Behav Ther. 2017;
66. 48(6):793-807. [DOI:10.1016/j.beth.2017.05.002] [PMID] [DOI:10.1016/j.beth.2017.05.002]
70. [10] Egede LE, Ellis Ch. Development and psychometric properties of the 12-item diabetes fatalism scale. J Gen Intern Med.
71. 2010; 25(1):61-6. [DOI:10.1007/s11606-009-1168-5] [PMID] [DOI:10.1007/s11606-009-1168-5]
75. [PMCID]
76. [11] McIlroy RC, Kokwaro GO, Wu J, Jikyong U, Nam VH,
77. Hoque MS, et al. How do fatalistic beliefs affect the attitudes and pedestrian behaviours of road users in different
78. countries? A cross-cultural study. Accid Anal Prev. 2020;
79. 139:105491. [DOI:10.1016/j.aap.2020.105491] [PMID] [DOI:10.1016/j.aap.2020.105491]
83. [12] Walker RJ, Smalls BL, Hernandez-Tejada MA, Campbell
84. JA, Davis KS, Egede LE. Effect of diabetes fatalism on medication adherence and self-care behaviors in adults with diabetes. Gen Hosp Psychiatry. 2012; 34(6):598-603. [DOI:10.1016/j. [DOI:10.1016/j.genhosppsych.2012.07.005]
88. genhosppsych.2012.07.005] [PMID] [PMCID] [DOI:10.1088/1475-7516/2012/07/005]
92. [13] Asuzu CC, Walker RJ, Williams JS, Egede LE. Pathways
93. for the relationship between diabetes distress, depression,
94. fatalism and glycemic control in adults with type 2 diabetes.
95. J Diabetes Complications. 2017; 31(1):169-74. [DOI:10.1016/j. [DOI:10.1016/j.jdiacomp.2016.09.013]
99. jdiacomp.2016.09.013] [PMID] [PMCID] [DOI:10.1088/1475-7516/2016/09/013]
103. [14] Salazar CL. Evaluating religiosity across the lifespan and
104. fatalistic beliefs among patients of a chronic care management
105. intervention program with type 2 diabetes [PhD. dissertation]. Houston, TX: The University of Texas; 2019. https://
106. digitalcommons.library.tmc.edu/uthsph_dissertsopen/80/
107. [15] Berardi V, Bellettiere J, Nativ O, Ladislav S, Hovell MF,
108. Baron-Epel O. Fatalism, diabetes management outcomes,
109. and the role of religiosity. J Relig Health. 2016; 55(2):602-17. [DOI:10.1007/s10943-015-0067-9]
113. [DOI:10.1007/s10943-015-0067-9] [PMID] [DOI:10.1007/s10943-015-0067-9]
117. [16] Bail JR, Traeger L, Pirl WF, Bakitas MA. Psychological
118. symptoms in advanced cancer. Semin Oncol Nurs. 2018;
119. 34(3):241-51. [DOI:10.1016/j.soncn.2018.06.005] [PMID] [DOI:10.1016/j.soncn.2018.06.005]
123. [17] Twohig MP, Levin ME. Acceptance and commitment
124. therapy as a treatment for anxiety and depression: A review.
125. Psychiatr Clin North Am. 2017; 40(4):751-70. [DOI:10.1016/j.
126. psc.2017.08.009] [PMID]
127. [18] Hayes SC, Smith S. Get out of your mind and into your life:
128. The new acceptance and commitment therapy. Oakland, CA:
129. New Harbinger Publications; 2005. https://books.google.
130. com/books?id=q65CHYyzjzUC&source=gbs_navlinks_s
131. [19] Fraser JL. The future of pain management and research: A
132. dose of fatalism may be good for one's health. Pain Med. 2019;
133. 20(9):1647-50. [DOI:10.1093/pm/pnz047] [PMID] [DOI:10.1093/pm/pnz047]
137. [20] Greer S. Fighting spirit in patients with cancer. Lancet.
138. 2000; 355(9206):847-8. [DOI:10.1016/S0140-6736(05)72464-8] [DOI:10.1016/S0140-6736(05)72464-8]
142. [21] Pauley G, McPherson S. The experience and meaning of
143. compassion and self‐compassion for individuals with depression or anxiety. Psychol Psychother. 2010; 83(2):129-43. [DOI:10.1348/147608309X471000]
147. [DOI:10.1348/147608309X471000] [PMID] [DOI:10.1348/147608309X471000]
151. [22] Morgan TL, Semenchuk BN, Ceccarelli L, Kullman SM,
152. Neilson CJ, Kehler DS, et al. Self-compassion, adaptive reactions and health behaviors among adults with prediabetes
153. and type 1, type 2 and gestational diabetes: A scoping review. Can J Diabetes. 2020; 44(6):555-65.E2. [DOI:10.1016/j. [DOI:10.1016/j.jcjd.2020.05.009]
157. jcjd.2020.05.009] [PMID] [DOI:10.1088/1475-7516/2020/05/009]
161. [23] Wersebe H, Lieb R, Meyer AH, Hofer P, Gloster AT. The
162. link between stress, well-being, and psychological flexibility
163. during an Acceptance and Commitment Therapy self-help
164. intervention. Int J Clin Health Psychol. 2018; 18(1):60-8.
165. [DOI:10.1016/j.ijchp.2017.09.002] [PMID] [PMCID] [DOI:10.1016/j.ijchp.2017.09.002]
169. [24] Ong CW, Barney JL, Barrett TS, Lee EB, Levin ME, Twohig MP. The role of psychological inflexibility and selfcompassion in acceptance and commitment therapy for
170. clinical perfectionism. J Contextual Behav Sci. 2019; 13:7-16. [DOI:10.1016/j.jcbs.2019.06.005]
174. [DOI:10.1016/j.jcbs.2019.06.005] [DOI:10.1016/j.jcbs.2019.06.005]
178. [25] Erbe D, Eichert HC, Rietz Ch, Ebert D. Interformat reliability of the patient health questionnaire: Validation of the computerized version of the PHQ-9. Internet Interv. 2016; 5:1-4. [DOI:10.1016/j.invent.2016.06.006]
182. [DOI:10.1016/j.invent.2016.06.006] [PMID] [PMCID] [DOI:10.1016/j.invent.2016.06.006]
186. [26] Kroenke K, Spitzer RL, Williams JB. The PHQ‐9: Validity
187. of a brief depression severity measure. J Gen Intern Med. 2001;
188. 16(9):606-13. [DOI:10.1046/j.1525-1497.2001.016009606.x] [DOI:10.1046/j.1525-1497.2001.016009606.x]
192. [PMID] [PMCID]
193. [27] Davis WA, Bruce DG, Dragovic M, Davis TME, Starkstein
194. SE. The utility of the diabetes anxiety depression scale in
195. type 2 diabetes mellitus: The Fremantle diabetes study phase
196. II. PloS One. 2018; 13(3):e0194417. [DOI:10.1371/journal. [DOI:10.1371/journal.pone.0194417]
200. pone.0194417] [PMID] [PMCID]
201. [28] Hayes SC, Strosahl K. A practical guide to acceptance and
202. commitment therapy [I. Alizadeh Mousavi, F. Pir Javid, Persian trans]. Mashhad: Fara Angizesh; 2015. http://opac.nlai.
203. ir/opac-prod/bibliographic/3977776
204. [29] Gilbert P. The origins and nature of compassion focused
205. therapy. Br J Clin Psychol. 2014; 53(1):6-41. [DOI:10.1111/ [DOI:10.1111/bjc.12043]
209. bjc.12043] [PMID]
210. [30] Bai Zh, Luo Sh, Zhang L, Wu S, Chi I. Acceptance and Commitment Therapy (ACT) to reduce depression: A systematic
211. review and meta-analysis. J Affect Disord. 2020; 260:728-37. [DOI:10.1016/j.jad.2019.09.040]
215. [DOI:10.1016/j.jad.2019.09.040] [PMID] [DOI:10.1016/j.jad.2019.09.040]
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Panahi T, shahabizadeh F, Mahmoudirad A. The Effects of Acceptance and Commitment Therapy With and Without Compassion on Spiritual Fatalism and Depression in Diabetic Patients. Health Spiritual Med Ethics. 2021; 8 (2) :85-94
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