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The Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) on Acceptance and Action in Patients with Type 2 Diabetes
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Tina Karbasi   , Mohammadreza Khodabakhsh * , Zahra Bagherzadeh Golmakani |
| Department of Psychology, Ne. C., Islamic Azad University, Neyshabur, Iran. , Khodabakhsh@iau.ac.ir |
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Abstract: (20 Views) |
Introduction: Type 2 diabetes is one of the most common chronic diseases with extensive physical and psychological consequences. Effective management requires adherence to self-care behaviors, in which disease acceptance and committed action play a crucial role. Mindfulness-based cognitive therapy, as a third-wave psychotherapy, may enhance patients’ ability to accept their illness and adhere to healthy behaviors, thereby improving disease management. This study aimed to determine the effectiveness of mindfulness-based cognitive therapy on acceptance and action in patients with type 2 diabetes.
Methods: This quasi-experimental study employed a pretest–posttest design with a control group and a two-month follow-up. The statistical population consisted of patients with type 2 diabetes who attended Parsian Diabetes Clinic in Mashhad during the summer of 2024. Twenty-eight individuals were recruited, but after sample attrition, data from 24 participants were analyzed (12 in the experimental group and 12 in the control group). The experimental group received eight 90-minute sessions of mindfulness-based cognitive therapy. The study instrument was the Acceptance and Action Questionnaire-Revised (Bond et al., 2011). Data were analyzed using repeated measures ANOVA in SPSS_21.
Results: The results revealed a significant difference between the two groups in acceptance and action at posttest and follow-up (p < 0.05). The experimental group showed increased scores from pretest to posttest and follow-up, and the effect of the intervention remained stable over time. Effect size analyses also indicated that a considerable proportion of the variance was attributable to the intervention.
Conclusion: Mindfulness-based cognitive therapy effectively improved acceptance and action among patients with type 2 diabetes, and these effects persisted at the two-month follow-up. The results suggest that this approach can be considered a complementary psychological intervention in diabetes management programs, enhancing disease acceptance, improving adherence to self-care behaviors, and promoting patients’ quality of life.
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| Keywords: Type 2 Diabetes Mellitus, Mindfulness-Based Cognitive Therapy, Disease Acceptance, Diabetes Adherence |
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Type of Study: Psychiatric and Mental Health Nursing |
Subject:
behavioral sciences
Received: 2025/09/23 | Accepted: 2025/10/5 | Published: 2025/10/2
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