Comparison of the effectiveness of two therapeutic approaches based on acceptance and commitment and emotion-oriented therapy on the level of perceived stress, chronic pain and adherence to treatment in diabetic elderly

Document Type : Original Article

Authors

1 PhD Student in General Psychology, Dept., of Psychology, Emirates Branch of Islamic Azad University, Dubai

2 Professor, Department of Psychology, UAE Branch, Islamic Azad University, Dubai, United Arab Emirates

3 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad university, Karaj, Iran.

4 Assistant Professor, Department of Health Psychology, Qom Medical Sciences Unit, Islamic Azad University, Qom, Iran

Abstract

Abstract                                                                       
Aim: One of the most important challenges facing health care is providing pain management programs for elderly people who suffer from chronic and acute pain. Therefore, the aim of this research is to answer the question of whether treatment methods based on acceptance and commitment, and emotion-based treatment are effective on the level of perceived stress, chronic pain and adherence to treatment in the elderly with diabetes. Method: The research design of the present study is a semi-experimental one with a pre-test-post-test design with a control group. The subjects were randomly assigned to two experimental and control groups. The statistical population of this research is all diabetic elderly referring to the health centers of Rafsanjan who have symptoms of stress and chronic pain. Using the available sampling method based on random selection, people were placed in two experimental and control groups. And after the necessary arrangements with the elderly with diabetes and symptoms of stress and chronic pain who had the necessary conditions to participate, 30 people in the experimental groups (15 people in each group) and 15 people in the control group were randomly replaced and selected. Results: The findings showed that the groups were not significantly different in terms of gender, age and education level (p>0.05). Also, both treatment methods based on acceptance and commitment and emotion-based treatment, compared to the control group, reduce stress, chronic pain and increase treatment adherence in diabetic elderly (p<0.001) and the difference between the two methods There is significance (p>0.05). Conclusion: According to the findings of this research, it can be said that two therapeutic approaches based on acceptance and commitment, and emotion-oriented therapy are effective in improving perceived stress, chronic pain and adherence to treatment in diabetic elderly compared to the control group.

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