Acceptance and Commitment Therapy Intervention to Improve Psychological Symptoms in Diabetes Mellitus Patients
Abstract
Psychological problems that occur in DM patients need to be a serious concern. Psychological problems that occur in DM casein can be caused by health changes that occur due to natural DM disease. The purpose of this systematic search is to determine the benefits and implementation of acceptance and commitment therapy (ACT) in improving psychological symptoms in diabetes mellitus patients. Article search using systematic review method conducted on several electronic databases such as EBSCOhost, ProQuest, PubMed, ScienceDirect, Scopus, and International Archives of Health Science. The selected article is a study that uses an intervention design with a sample of diabetes mellitus patients, measures at least 1 psychological symptom, and is published in the last 10 years. Search results showed that 12 articles met the criteria for analysis. The psychological symptoms most often measured in these articles are depression, anxiety, and distress. The results showed that ACT was effective in improving psychological symptoms in diabetes mellitus patients. The implementation of ACT consists of 6 – 10 sessions and several articles recommend including diabetes education in the initial session of giving ACT. ACT is effective for treating psychological problems such as depression, anxiety, and distress in patients with diabetes mellitus.
References
Akça-Doğan, D., Ek, H., Zengi, S., Pehlivan, S., & Ersoy, C. (2023). Association between effect of acceptance of illness and medication adherence, metabolic control, and risk of diabetic foot in individuals with diabetes. Primary care diabetes, 17(4), 334–340. https://doi.org/10.1016/j.pcd.2023.05.003
As’hab, P. P., Keliat, B. A., & Wardani, I. Y. (2020). Pengaruh Acceptance and Commitment Therapy (ACT) terhadap ansietas, depresi, ide bunuh diri dan kepatuhan pada klien (MDR-TB). [Tesis, Fakultas Ilmu Keperawatan Universitas Indonesia]. https://lib.ui.ac.id/detail?id=20508507&lokasi=lokal
A-Tjak, J. G., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A., & Emmelkamp, P. M. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and psychosomatics, 84(1), 30–36. https://doi.org/10.1159/000365764
Barker, T. H., Stone, J. C., Sears, K., Klugar, M., Tufanaru, C., Leonardi-Bee, J., Aromataris, E., & Munn, Z. (2023). The revised JBI critical appraisal tool for the assessment of risk of bias for randomized controlled trials. JBI evidence synthesis, 21(3), 494–506. https://doi.org/10.11124/JBIES-22-00430
Bendig, E., Bauereiss, N., Schmitt, A., Albus, P., & Baumeister, H. (2021). ACTonDiabetes-a guided psychological internet intervention based on Acceptance and Commitment Therapy (ACT) for adults living with type 1 or 2 diabetes: results of a randomised controlled feasibility trial. BMJ open, 11(7), e049238. https://doi.org/10.1136/bmjopen-2021-049238
Centers for Disease Control and Prevention. (2023). Diabetes and mental health. https://www.cdc.gov/diabetes/managing/mental-health.html
Davoudi, M., Taheri, A. A., Foroughi, A. A., Ahmadi, S. M., & Heshmati, K. (2020). Effectiveness of acceptance and commitment therapy (ACT) on depression and sleep quality in painful diabetic neuropathy: a randomized clinical trial. Journal of diabetes and metabolic disorders, 19(2), 1081–1088. https://doi.org/10.1007/s40200-020-00609-x
Fayazbakhsh, E., & Mansouri, A. (2019). Effectiveness of Acceptance and Commitment Therapy on Intolerance of Uncertainty, Experiential Avoidance, and Symptoms of Generalized Anxiety Disorder in Individuals With Type II Diabetes. International Archives of Health Sciences 6(1):p 30-35, DOI: 10.4103/iahs.iahs_52_18
Goyal, R., Singhal, M., & Jialal, I. (2023). Type 2 Diabetes. [Updated 2023 Jun 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/boos/NBK513253/
Gloster, A. T., Walder, N., Levin, M. E., Twohig, M. P., & Karekla, M. (2020). The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of Contextual Behavioral Science, 18, 181–192. https://doi.org/10.1016/j.jcbs.2020.09.009
Handayani, B., Hamid, A. Y. S., & Mustikasari. (2017). Pengaruh logoterapi medical ministry dan terapi komitmen penerimaan (TKP) terhadap tingkat depresi klien gagal ginjal kronis yang menjalani hemodialisa di Rumah Sakit Pelni. Jurnal JUMANTIK, 2(2), 78 – 88.
Harris, R. (2019). Act made simple: An easy-to-read primer on acceptance and commitment therapy. New Harbinger Publications.
Harris-Hayes, M., Schootman, M., Schootman, J. C., & Hastings, M. K. (2020). The Role of Physical Therapists in Fighting the Type 2 Diabetes Epidemic. The Journal of orthopaedic and sports physical therapy, 50(1), 5–16. https://doi.org/10.2519/jospt.2020.9154
Kaboudi, M., Dehghan, F., & Ziapour, A. (2017). The effect of acceptance and commitment therapy on the mental health of women patients with type II diabetes. Annals of Tropical Medicine and Public Health, 10(6). https://doi.org/10.4103/ATMPH.ATMPH_607_17
Khosravani1, E., Sanagou, G., Shirazi, M., & Rezaei, M. (2022). Effectiveness of Acceptance and Commitment Therapy on Stress, Cognitive-Attentional Syndrome, and Blood Sugar Indices in Patients with Type II Diabetes. Jundishapur J Chronic Dis Care,11(2): e120697. https://doi.org/10.5812/jjcdc-120697.
Kioskli, K., Whitney, S., Winkley, K., Godfrey, E., & McCracken, L. M. (2020). Online Acceptance and Commitment Therapy for People with Painful Diabetic Neuropathy in the United Kingdom: A Single-Arm Feasibility Trial. Pain Medicine, 21(11), 2777-2788. https://doi.org/10.1093/pm/pnaa110
Kusumawati, H., Keliat, B. A., & Nursasi, A. Y. (2015). Pengaruh cognitive therapy dan acceptance and commitment therapy terhadap ansietas, depresi, kemampuan mengubah pikiran negatif dan kemampuan menerima dan berkomitmen pada klien tuberkulosis di Kota Depok. [Tesis, Fakultas Ilmu Keperawatan Universitas Indonesia]. https://lib.ui.ac.id/detail?id=20445553&lokasi=lokal
Li, Z., Shang, W., Wang, C., Yang, K., & Guo, J. (2022). Characteristics and trends in acceptance and commitment therapy research: A bibliometric analysis. Frontiers in psychology, 13, 980848. https://doi.org/10.3389/fpsyg.2022.980848
Liu, X. (2024). Advances in Psychological and Social Aetiology of Patients with Diabetes. Diabetes, Metabolic Syndrome and Obesity, 16, 4187–4194. https://doi.org/10.2147/DMSO.S439767
Maghsoudi, Z., Razavi, Z., Razavi, M., & Javadi, M. (2019). Efficacy Of Acceptance And Commitment Therapy For Emotional Distress In The Elderly With Type 2 Diabetes: A Randomized Controlled Trial. Diabetes, metabolic syndrome and obesity: targets and therapy, 12, 2137–2143. https://doi.org/10.2147/DMSO.S221245
Merwin, R. M., Moskovich, A. A., Babyak, M., Feinglos, M., Honeycutt, L. K., Mooney, J., Freeman, S. P., Batchelder, H., & Sangvai, D. (2021). An open trial of app-assisted acceptance and commitment therapy (iACT) for eating disorders in type 1 diabetes. Journal of Eating Disorders, 9, 1-13. https://doi.org/10.1186/s40337-020-00357-6
Moghanloo, V. A., Moghanloo, R. A., & Moazezi, M. (2015). Effectiveness of Acceptance and Commitment Therapy for Depression, Psychological Well-Being and Feeling of Guilt in 7 - 15 Years Old Diabetic Children. Iranian Journal of Pediatrics, 25(4), 1-6. https://doi.org/10.5812/ijp.2436
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ (Clinical research ed.), 372, n71. https://doi.org/10.1136/bmj.n71
Roden, M., & Shulman, G. I. (2019). The integrative biology of type 2 diabetes. Nature, 576(7785), 51–60. https://doi.org/10.1038/s41586-019-1797-8
Ryan, A. K., Pakenham, K. I., & Burton, N. W. (2020) A pilot evaluation of a group acceptance and commitment therapy‐informed resilience training program for people with diabetes. Australian Psychologist, 55(3), 196-207, DOI: 10.1111/ap.12429
Sakamoto, R., Ohtake, Y., Kataoka, Y., Matsuda, Y., Hata, T., Otonari, J., Yamane, A., Matsuoka, H., & Yoshiuchi, K. (2022). Efficacy of acceptance and commitment therapy for people with type 2 diabetes: Systematic review and meta-analysis. Journal of diabetes investigation, 13(2), 262–270. https://doi.org/10.1111/jdi.13658
Silitonga, R. O., Keliat, B. A., & Wardani, I. Y. (2013). Pengaruh acceptance and commitment therapy dan family psychoeducation terhadap kemampuan menerima dan berkomitmen dalam mengatasi kondisi depresi dan ansietas pasien HIV/AIDS. [Tesis, Fakultas Ilmu Keperawatan Universitas Indonesia]. https://lib.ui.ac.id/detail?id=20350406&lokasi=lokal
Somaini, G., Kingston, J., Taylor, M. D. (2023). Web-based Acceptance and Commitment Therapy (ACT) for adults with type 1 diabetes: A single case experimental design (SCED). Journal of Contextual Behavioral Science, 29(2023), 33-45. https://doi.org/10.1016/j.jcbs.2023.06.001
Webster, M. (2011). Introduction to acceptance and commitment therapy. Advances in Psychiatric Treatment, 17(4), 309-316. doi:10.1192/apt.bp.107.005256
Whitehead, L. C., Crowe, M. T., Carter, J. D., Maskill, V. R., Carlyle, D., Bugge, C., & Frampton, C. M. A. (2017). A nurse-led education and cognitive behaviour therapy-based intervention among adults with uncontrolled type 2 diabetes: A randomised controlled trial. Journal of evaluation in clinical practice, 23(4), 821–829. https://doi.org/10.1111/jep.12725
Widuri, E., Daulima, N. H. C., & Mustikasari. (2012). Pengaruh acceptance and commitment therapy terhadap respon ketidakberdayaan klien gagal ginjal kronis di RSUP Fatmawati Jakarta. [Tesis, Fakultas Ilmu Keperawatan Universitas Indonesia]. URI: https://lib.ui.ac.id/detail?id=20314548&lokasi=lokal
Copyright (c) 2024 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
