Effectiveness of Acceptance and Commitment Therapy for Depression, Psychological Well-Being and Feeling of Guilt in 7 - 15 Years Old Diabetic Children

Moghanloo, Vahid Ataie; Moghanloo, Roghayeh Ataie; Moazezi, Mousa

doi:10.5812/ijp.2436

Cited by 24 publications

(21 citation statements)

References 19 publications

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“…One study found significant improvement in psychological wellbeing [66]. Of the two that measured depression, one found a significant reduction post-intervention [58].…”

Section: Resultsmentioning

confidence: 99%

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Well-being interventions for individuals with diabetes: A systematic review

Massey

Feig

Duque-Serrano

et al. 2019

Diabetes Research and Clinical Practice

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In patients with diabetes, psychological well-being constructs (e.g., optimism, positive affect) have been associated with superior medical outcomes, including better glucose control and lower mortality rates. Well-being interventions may be well-suited to individuals with diabetes, as they are simple to deliver, broadly applicable across a range of psychological distress, and may help increase self-efficacy and motivation for diabetes self-care. This systematic review, completed using PRISMA guidelines, examined peer-reviewed studies indexed in PubMed, PsycINFO, and/or Scopus between database inception and October 2017 that investigated the effects of well-being interventions (e.g., positive psychology interventions, mindfulness-based interventions, resilience-based interventions) on psychological and physical health outcomes in individuals with Type 1 or Type 2 diabetes. The search yielded 34 articles (N=1635 participants), with substantial variability in intervention type, measures used, and outcomes studied; the majority found the intervention to provide benefit. Overall, results indicate that a range of well-being interventions appear to have promise in improving health outcomes in this population, but the literature does not yet provide definitive data about which specific interventions are most effective. The variability in interventions and outcomes points to a need for further rigorous, controlled, and well-powered studies of specific interventions, with well-accepted, clinically relevant outcome measures.

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“…One study found significant improvement in psychological wellbeing [66]. Of the two that measured depression, one found a significant reduction post-intervention [58].…”

Section: Resultsmentioning

confidence: 99%

“…Studies on ACT interventions examined well-being, depression, anxiety, and stress. One study found significant improvement in psychological wellbeing [66]. Of the two that measured depression, one found a significant reduction post-intervention [58].…”

Section: Resultsmentioning

confidence: 99%

Well-being interventions for individuals with diabetes: A systematic review

Massey

Feig

Duque-Serrano

et al. 2019

Diabetes Research and Clinical Practice

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“…Guilt feeling is frequently expressed by adolescents with diabetes and psychological therapy can be effective in its management [ 30 ]. The guilt feeling in adolescents with diabetes might arise from their beliefs that they can be a “burden” on their family.…”

Section: Parental Psychopathologymentioning

confidence: 99%

Common Issues Seen in Paediatric Diabetes Clinics, Psychological Formulations, and Related Approaches to Management

Deeb

Aklé

Ozairi

et al. 2018

Journal of Diabetes Research

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Diabetes is a chronic disease and its management is associated with multiple challenges. This is particularly the case in children and adolescents. Factors that contribute to difficulties in managing diabetes in youth include psychological characteristics, family dynamics, and social behavior. The purpose of this article is to highlight some psychological issues in children and adolescents with diabetes. We aim to present selected case scenarios encountered by health professionals and to provide tips on strategies for managing psychological aspect of diabetes. We tackle the psychological issues related to diabetes under four main categories: maladaptive disorders, eating disorders, family psychopathology, and family dysfunction. Psychotherapy and psychoanalysis are useful modalities in diabetes management. The psychological intervention is aimed at supporting patients and families to reach a balance between a normal family routine and a good glycemic control. We demonstrate unique requirements in coordinating care for children and adolescents with diabetes and highlight the importance of encouraging a positive behavior. Managing diabetes in children and adolescents needs to be in the form of a collaborative work between health care professionals, children and adolescents, and their families. Caring, supportive family backed up by experienced multidisciplinary team is the best approach to prevent psychological difficulties.

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“…Four studies were randomized controlled trials [37,[51][52][53], three were quasi-experimental pre-post designs with random assignment [54][55][56], and three were pre-post with control groups and random assignment [57][58][59]. Five studies were conducted in Iran [54][55][56][57][58], two in Australia [51,60], one in Sweden and Australia (one article with a study cohort in each country) [52], and one in Hong Kong [53] and one in the USA [59]. ACT was administered via weekly sessions (average of 8 sessions) with a trained psychologist, or a trained nurse supervised by a psychologist.…”

Section: Study Characteristicsmentioning

confidence: 99%

Acceptance and Commitment Therapy for Children with Special Health Care Needs and Their Parents: A Systematic Review and Meta-Analysis

Parmar

Esser

Barreira

et al. 2021

IJERPH

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Context: Acceptance and Commitment Therapy (ACT) is an emerging treatment for improving psychological well-being. Objective: To summarize research evaluating the effects of ACT on psychological well-being in children with special health care needs (SHCN) and their parents. Data Sources: An electronic literature search was conducted in PubMed, Web of Science, Ovid/EMBASE and PsycINFO (January 2000–April 2021). Study Selection: Included were studies that assessed ACT in children with SHCN (ages 0–17y) and/or parents of children with SHCN and had a comparator group. Data Extraction: Descriptive data were synthesized and presented in a tabular format, and data on relevant outcomes (e.g., depressive symptoms, stress, avoidance and fusion) were used in the meta-analyses to explore the effectiveness of ACT (administered independently with no other psychological therapy) compared to no treatment. Results: Ten studies were identified (child (7) and parent (3)). In children with SHCN, ACT was more effective than no treatment at helping depressive symptoms (standardized mean difference [SMD] = −4.27, 95% CI: −5.20, −3.34; p < 0.001) and avoidance and fusion (SMD = −1.64, 95% CI: −3.24, −0.03; p = 0.05), but not stress. In parents of children with SHCN, ACT may help psychological inflexibility (SMD = −0.77, 95% CI: −1.07, −0.47; p < 0.01). Limitations: There was considerable statistical heterogeneity in three of the six meta-analyses. Conclusions: There is some evidence that ACT may help with depressive symptoms in children with SHCN and psychological inflexibility in their parents. Research on the efficacy of ACT for a variety of children with SHCN and their parents is especially limited, and future research is needed.

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Effectiveness of Acceptance and Commitment Therapy for Depression, Psychological Well-Being and Feeling of Guilt in 7 - 15 Years Old Diabetic Children

Cited by 24 publications

References 19 publications

Well-being interventions for individuals with diabetes: A systematic review

Well-being interventions for individuals with diabetes: A systematic review

Common Issues Seen in Paediatric Diabetes Clinics, Psychological Formulations, and Related Approaches to Management

Acceptance and Commitment Therapy for Children with Special Health Care Needs and Their Parents: A Systematic Review and Meta-Analysis

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