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Iran J Pediatr. 2015 Aug;25(4):e2436. doi: 10.5812/ijp.2436. Epub 2015 Aug 24.

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

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Department of Psychology, Young Researchers Club, Parsabad Moghan Branch, Islamic Azad University, Parsabad, IR Iran.
Department of Educational Sciences, Payame Noor University, P.O. Box: 19395-3697, Tehran, IR Iran.



Diabetes imposes restrictions on physical, emotional, and social functioning of children and adolescents.


The aim of this study was to determine effectiveness of acceptance and commitment therapy (ACT) for depression, psychological well-being and feeling of guilt in 7 - 15 years old diabetic children.


This was a clinical trial with pre-test and post-test design with control group. The study population consisted of 34 participants selected using convenient sampling out of all 7 - 15 years old patients that referred to the Diabetes Association of Tabriz. They were randomly allocated into two equal groups (experimental and control). The experimental group participated in therapy sessions and the control group did not receive any intervention. The research instruments were reynolds child depression scale (RCDS), eysenck feelings of guilt scale and satisfaction with life scale (SWLS).


Multivariate covariance analysis (MANCOVA) showed that the treatment was effective on variables of depression, psychological well-being and feeling guilty in 7 - 15 years old diabetic children (P < 0.001).


The aforementioned treatment is effective and suggested to be used in other psychosomatic diseases of children.


Acceptance and Commitment Therapy; Depression; Diabetes; Feeling of Guilt; Psychological Well-Being

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