The Effectiveness of Acceptance and Commitment Therapy and Combined with Aerobic Training on Anxiety Symptoms, Insulin Resistance and Lipid Profile in Women with Type 2 Diabetes

Moghaddam Dizaj Herik, Nader; Moheb, Naimeh; Banaeifar, Abdol Ali; Agha Mohammadzadeh, Nasser

doi:10.18502/ijdo.v13i1.5748

Volume 13, Issue 1 (3-2021) IJDO 2021, 13(1): 33-39 | Back to browse issues page

‎ 10.18502/ijdo.v13i1.5748

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Moghaddam Dizaj Herik N, Moheb N, Banaeifar A A, Agha Mohammadzadeh N. The Effectiveness of Acceptance and Commitment Therapy and Combined with Aerobic Training on Anxiety Symptoms, Insulin Resistance and Lipid Profile in Women with Type 2 Diabetes. IJDO 2021; 13 (1) :33-39
URL: http://ijdo.ssu.ac.ir/article-1-609-en.html

The Effectiveness of Acceptance and Commitment Therapy and Combined with Aerobic Training on Anxiety Symptoms, Insulin Resistance and Lipid Profile in Women with Type 2 Diabetes

Nader Moghaddam Dizaj Herik

, Naimeh Moheb ^*

, Abdol Ali Banaeifar

, Nasser Agha Mohammadzadeh

Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran

Abstract: (1462 Views)

Objective: The aim of the present study was to examine the effectiveness of Acceptance and Commitment Therapy (ACT) combined with aerobic exercise (AE) on anxiety symptoms, insulin resistance (IR) and lipid profile in women with T2DMmellitus (T2DM).
Materials and Methods: In the present study, 60 T2DM women with a mean age of 33.5 (± 3.52) years were selected from the patients who were referred to the specialized clinic Petroleum Industry in summer 2020. They were randomly divided into four groups of ACT (n=15), AE (n=15), ACT combined with AE (n=15), and the control group (n=15). Intervention programs were performed for 10 weeks, and then indices were collected before and after the intervention using blood tests and Beck Depression Inventory. Results: ACT led to a significant decrease in anxiety and LDL (P-value: 0.001). Moreover, AE significantly reduced the anxiety index and increased HDL (P-value: 0.001). In addition, the effect of ACT and exercise significantly reduced anxiety (P-value: 0.001) and LDL index (P-value: 0.03) and also increased HDL (P-value: 0.03). However, indices of blood glucose, insulin, insulin resistance, total cholesterol, and triglycerides did not indicate any significant changes in the intervention groups as compared with the control group (P-value<0.05).
Conclusion: According to the obtained findings, the use of psychological intervention along with AE could lead to a significant change in the symptoms of anxiety and some lipid indices in T2DM women. Also caused a non-significant improvement in glycemic index and can be regarded as a solution for diabetics

Keywords: ACT, Aerobic training, Anxiety, Lipid profile, Diabetes

Full-Text [PDF 158 kb] (558 Downloads)

Type of Study: Research | Subject: Special
Received: 2021/03/13 | Accepted: 2021/03/20 | Published: 2021/03/20

References

1. Firouzkouhi M, Abdollahimohammad A, Babaeepur M, Maghroun A, Mir E. The Relationship Between Worry Domains and Quality of Life in Patients with Type II Diabetes. Journal of Diabetes Nursing. 2016;4(4):21-9.(in Persian)

2. Innes KE, Selfe TK. Yoga for adults with type 2 diabetes: a systematic review of controlled trials. Journal of diabetes research. 2016;2016.‏ [DOI:10.1155/2016/6979370]

3. Yue P, Jin H, Aillaud M, Deng AC, Azuma J, Asagami T, et al. Apelin is necessary for the maintenance of insulin sensitivity. American journal of physiology-endocrinology and metabolism. 2010;298(1):E59-67. [DOI:10.1152/ajpendo.00385.2009]

4. Rajput R, Gehlawat P, Gehlan D, Gupta R, Rajput M. Prevalence and predictors of depression and anxiety in patients of diabetes mellitus in a tertiary care center. Indian journal of endocrinology and metabolism. 2016;20(6):746.‏ [DOI:10.4103/2230-8210.192924]

5. Singh SK, Gorey KM. Relative effectiveness of mindfulness and cognitive behavioral interventions for anxiety disorders: meta-analytic review. Social Work in Mental Health. 2018;16(2):238-51.‏ [DOI:10.1080/15332985.2017.1373266]

6. Daryanoosh F, Shkibaie M, Zamanie A, Mohammadi M. Effect of aerobic exercise and alpha lipoic acid supplement on insulin resistance in females with type 2 diabetes. Journal of Gorgan University of Medical Sciences. 2015;17(3).‏(in Persian)

7. Eriksson J, Tuominen J, Valle T, Sundberg S, Sovijärvi A, Lindholm H, et al. Aerobic endurance exercise or circuit-type resistance training for individuals with impaired glucose tolerance?. Hormone and Metabolic Research. 1998;30(01):37-41.‏ [DOI:10.1055/s-2007-978828]

8. Alizadeh AA, Rahmani-Nia F, Mohebbi H, Zakerkish M. Effects of eight weeks aerobic exercise on plasma levels of orexin a, leptin, glucose, insulin, and insulin resistance in males with type 2 diabetes. Iranian Journal of Diabetes and Obesity. 2015;7(2):62-8.‏ [DOI:10.17795/jjhs-32217]

9. Livheim F, Hayes L, Ghaderi A, Magnusdottir T, Högfeldt A, Rowse J, et al. The effectiveness of acceptance and commitment therapy for adolescent mental health: Swedish and Australian pilot outcomes. Journal of Child and Family Studies. 2015;24(4):1016-30.‏ [DOI:10.1007/s10826-014-9912-9]

10. Symanzik T, Lohaus A, Job AK, Chodura S, Konrad K, Heinrichs N, et al. Stability and change of attachment disorder symptoms and interpersonal problems in foster children. Mental Health & Prevention. 2019;13:35-42.‏ [DOI:10.1016/j.mhp.2018.12.001]

11. Frazier LD. The past, present, and future of the biopsychosocial model: A review of The Biopsychosocial Model of Health and Disease: New philosophical and scientific developments by Derek Bolton and Grant Gillett. New Ideas in Psychology. 2020;57:100755.‏ [DOI:10.1016/j.newideapsych.2019.100755]

12. Fiese BH, Celano ME, Deater-Deckard KE, Jouriles EN, Whisman MA. APA handbook of contemporary family psychology: Foundations, methods, and contemporary issues across the lifespan, Vol. 1. American Psychological Association; 2019. [DOI:10.1037/0000099-000]

13. Farahi S, Khalatbari J. Effectiveness of Acceptance and Commitment Therapy on the Life Expectancy, Resilience and Death Anxiety in Women with Cancer. International Journal of Applied Behavioral Sciences. 2019;6(3):9-19.‏( in Persian).

14. Keshavarzade AH, Rafei Z, Mirzae A. The effectiveness of Acceptance and Commitment Therapy (ACT) on general anxiety.2018;17(3)289-296.‏(in Persian)

15. Hor M, Manshaee GR. Effectiveness of acceptance and commitment therapy on mental health of the patients with type 2 diabetes in the city of Isfahan. Iranian Journal of Diabetes and Metabolism. 2017;16(6):309-16.‏

16. Khanjanee Z, Poursharifie H, Mashinchi Abbassi N & Hashemi T. Serum Cholesterol Levels and Anxiety Diorders. Health Psychology.2013;2(2):62-78.(in Persian)

17. Nasiri S, Banitalebi E, Rabiei V. Study of blood sugar and lipid profile changes after eight weeks of combined training in women with type 2 diabetes. Journal of Jiroft University of Medical Sciences. 2017;4(1):114-24.(in Persian)

18. Nazary Gilannejad T, Gaeini AA, Foroughi Pordanjani A, Omidi N. Comparing the Effect of 12 Weeks of Hatha Yoga and Aerobic Exercise on Serum Cortisol Values, Stress, Anxiety and Depression in Women with Diabetes Type 2. Razi Journal of Medical Sciences. 2017;24(157):81-9. (in Persian)

19. Tofigi A, BaBai S. The effect of 12 weeks aerobic exercise training on depression indices and lipid profiles in obese women. Journal of Urmia Nursing and Midwifery Faculty. 2015;13(2):154-62.(in Persian)