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Introduction: Diabetes is known as a group of metabolic diseases characterized by high levels of glucose due to varying degrees of insulin resistance or insulin secretion. Type 2 diabetes is the most common type of diabetes, which accounts for 90% of the cases and the prevalence is increasing. Acceptance and commitment therapy (ACT) is among the novel and effective approaches for treating psychological disorders due to distinct diseases. Therefore, this study aimed to evaluate the influence of the fundamental concepts of ACT on the diabetic patients and reduction of the tensions posed on these people.
Materials and Methods: This quasi-experimental pretest posttest study with control group was performed on the statistical sample including 24 women with type II diabetes mellitus in Khaf, Iran. The subjects were selected by convenience sampling method and were randomly assigned to the two groups of experiment (N=12) and control (N=12). Data collection was completed using emotion regulation questionnaire. The validity of the test was also confirmed. The training plan entailed ACT as eight 90-min sessions.
Results: According to the findings of this study, training based on admission and commitment was influential in controlling emotions, namely aggression, depression, anxiety, and positive emotion in patients with type II diabetes (P < 0.001).
Conclusion: Overall, the findings of the present study showed that emotional control training could pose effect through ACT for type 2 diabetic patients. Accordingly, it can be concluded that learning emotional control and management is important in augmenting self-awareness and healthy relationships. On the other hand, these trainings reduce negative emotions, such as aggression and depression, as well as the effect of these disorders on physical, psychological, and emotional health.

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Introduction: The incidence of diabetes disrupts the regular flow of life and affects the quality of life in different aspects. Therefore, this study aimed to determine the effect of acceptance and commitment therapy on the quality of life and physical indices of patients with diabetes. 
Materials and Methods: This semi-experimental study was conducted based on a pre- and post-test design. The statistical population consisted of all patients with diabetes who referred to Alzahra Hospital and Kourosh Clinic in Isfahan during 2018. A targeted sampling method was used to perform the sampling. In total, 24 patients with diabetes were selected and assigned randomly into two groups of control and experimental. The experimental group was subjected to acceptance and commitment therapy during eight 90-min sessions. The data were collected before and after the intervention using a questionnaire, physical indices, and urine samples. Data analysis was performed in SPSS software (version 23) through  analysis of covariance, Wilcoxon signed-rank test, and Fisher's F-test.
Results: The results showed that acceptance and commitment therapy had a significant effect on the quality of life, physical and mental health, and physical indices of patients (P<0.05).
Conclusion: According to the results of this study, acceptance and commitment therapy can be used to improve the quality of life and physical indices among diabetic patients.

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Introduction: Complications and problems related to diabetes affect the quality of life of diabetic patients. The aim of this study was to comparison of the effectiveness of stress management and acceptance and commitment-therapy on blood sugar control and quality of life in patients with type 2 diabetes
Materials and Methods:This was a quasi-experimental study with pre-test-post-test-follow-up design with 2 experimental groups and 1 control group. The statistical population of the study was all patients with type 2 diabetes referred to Milad Specialized and Sub-Specialized Hospital in Tehran in 2020. After reviewing the inclusion criteria, 45 people were selected by purposive sampling method and replaced by random method in three groups (15 people in each group). The stress management group received 12 sessions and the acceptance and commitment group received 8 sessions of 90 minutes. Research data were collected using the World Health Organization Quality of Life Scale (1996) and by fasting blood sugar test. And were analyzed using mixed analysis of variance test in SPSS software version 20.
Results: The results showed that stress management intervention and acceptance and commitment therapy had a significant effect on blood sugar control and quality of life components in patients with type 2 diabetes (P <0.05). Also, there is no significant difference between the effect of stress management and t acceptance and commitment therapy on quality of life and blood sugar control (P>0.05). And it was the only component of mental health that the mean of post-test and follow-up scores in the acceptance and commitment group increased more than the stress management group (P <0.05).
Conclusion: According to the findings of the present study, to improve the quality of life and control blood sugar, stress management methods and commitment therapy can be used.

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Introduction: Acceptance and commitment therapy has been used as one of the effective methods for the treatment and reduction of psychological symptoms of chronic diseases, such as diabetes. The present study aimed to determine the effect of acceptance and commitment therapy on the self-care and psychological capital of patients with diabetes.
Materials and Methods: This quasi-experimental study was conducted based on a pre-test-post-test control group design and follow-up period (3months). For this purpose, 30 people with type 2 diabetes who had a medical record in Shahrekord Diabetes Association were selected using purposive sampling and randomly assigned to two groups of experimental and control (n=15 in each group). The data collection tools included a self-care questionnaire and psychological capital which were completed by the participants. Finally, the data were analyzed in SPSS software (version 20).
Results: The results showed a significant difference in psychological capital between the two study groups in the post-test and follow-up stages (P<0.05). Moreover, the difference between the self-care of the two groups in the post-test and follow-up stages was significant (P<0.05). Furthermore, the effect of the intervention was stable in the experimental group, and there was a significant difference between the groups (P<0.05).
Conclusion: As evidenced by the results of this study, it can be concluded that the use of acceptance and commitment therapy, along with medical therapies, can enhance self-care capacity and psychological capital in diabetes patients.
 

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Introduction: Diabetes mellitus, like any other chronic and debilitating disease, leads to problems that affect all aspects of the affected person's daily life. The aim of this study was to compare the effectiveness of emotion-focused therapy and acceptance and commitment therapy on emotional self-regulation and diabetes management self- efficacy in women with type II diabetes.
Methods: This semi-experimental study was conducted using a pretest-posttest design with control group. The statistical population of this study was all women with type II diabetes in the city of Tehran in the summer and autumn of 1401. In the first phase, 75 subjects were selected by convenience sampling method and then randomly divided into 2 experimental groups (each group 25 subjects) and one control group (25 subjects), and the experimental groups participated in emotion-focused therapy and acceptance and commitment therapy. The Gross and John (2003) emotion regulation questionnaire and the Bijl and et al (1999) diabetes management self-efficacy scale were used to collect data were analyzed by repeated measures using SPSS version 24.
Results: The results showed that both interventions had a significant effect on improving emotional self-regulation and self-efficacy (P<0.05).  In addition, the results of the Bonferroni post hoc test showed that emotion-focused therapy was more effective in emotional self-regulation and acceptance and commitment therapy was more effective in self-efficacy (P<0.05).
Conclusion: Emotion -focused therapy and acceptance and commitment therapy were therefore found to be effective interventions for emotional self-regulation and self-efficacy in women with type II diabetes.  It is therefore recommended that endocrinologists and diabetes associations include psychological interventions, including emotion-focused therapy and acceptance and commitment therapy, in the care program for women with type II diabetes.