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Aim and Background: The purpose of this study was to determine the effect of treatment based on acceptance and commitment therapy (ACT) on depression and mental health in patients with diabetes. Methods and Materials: Experimental research method was used in this study. Statistical population consisted of diabetic patients from diabetes center in Isfahan, Iran. A total of 30 patients were randomly selected and assigned to either experimental or control groups. Beck Depression Inventory (BDI II) was completed before and after the intervention. Experimental group received 8 training sessions of ACT, with 120 minutes duration, in Diabetes Charitable Center of Isfahan. The control group received no training at all. Findings: Results showed that ACT significantly increased scores on the BDI II compared to the control group (P < 0.001). Conclusions: ACT may be considered to be an effective intervention approach for treating depression in diabetic patients.

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Abstract Aim and Background: This study aims to predict self-care behavior based on the characteristics of Hardiness , hope and dysfunctional attitudes in patients with type 2 diabetes. Methods and Materials: Study design was a descriptive correlation method. The target population was all patients with diabetes type 2 who referred to Isfahan Endocrine and Metabolism Centers. The sample consisted of 120 patients. The multi-stage cluster sampling was used for the sample selection . The instrument employed in this research was Self &ndash; care Scale, hardiness Questinnaire, Hope Scale and Dysfunctional Attitudes Scale . The Pearson correlation and multiple regression analysis with stepwise method were used to analyze the data. Findings: Analysis of the data showed that the only interaction between hope and dysfunctional attitudes have been able to predict self-care (r=0.191,p<0.05). But separately there is no relationship between hardiness , hope, dysfunctional attitudes and self-care. Conclusions: Interaction of dysfunctional attitudes and hope are able to predict self-care behavior. Therefore, the program which modify dysfunctional attitude and enhance Life Expectancy seems to increase self-care behavior.

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Aim and Background: Type 2 diabetes (diabetes mellitus type 2) is a long-term metabolic and physiologic disorder which has a relationship with the pattern of behavior and lifestyle. This study aimed to determine the effectiveness of cognitive therapy on the reduction of glycated hemoglobin among people with type 2 diabetes. Methods and Materials: This study was a quasi-experimental research with an experimental and control groups in a pretest, posttest, and follow-up design. The statistical population of the research included all patients with type 2 diabetes, aged from 25-45, who were under treatment in the Diabetes Clinic of Dr. Ganjavian Hospital, Dezful, Iran, and had been diagnosed for at least one year. The sample size consisted of 40 men selected by convenience sampling method. Allocating the individuals in the experimental and control groups was done randomly. Ten group-sessions were held weekly for 2 hours for the experimental group, while the control group was on the waiting list.  In order to examine the changes made by the cognitive therapy program, analysis of covariance (ANCOVA) was recruited. Findings: Cognitive therapy led to a reduction in glycated hemoglobin of the experimental group in the posttest and follow-up phases. However, the control group did not show a significant change in the posttest as compared to the pre-test. Conclusions: Teaching cognitive therapy can be effective in controlling blood sugar (HbA 1 c) among patients with type 2 diabetes.

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Aim and Background: Today, due to changes in lifestyle and weight gain, the age of diabetes is reduced, and the prevalence of diabetes is increasing. The aim of this study was to determine the effectiveness of cognitive-behavioral group therapy on weight loss, and blood glucose level in women with type 2 diabetes mellitus. Methods and Materials: In a semi-experimental, and pretest, posttest study with control group, 40 obese (body mass index of more than 30 kg/m 2 ) women with an age range of 30-65 years and with type 2 diabetes mellitus were randomly selected and divided into two equal groups of experimental and control. The patients were referred to the Iranian Diabetes Association (Central Branch), Tehran, Iran. The experimental group participated in a program of 24 sessions of 60 minutes based on cognitive-behavioral obesity intervention, that included two phases of reduction and weight retention; but the control group did not receive any training. Weighing and taking blood samples (for evaluation of the average level of three-month blood glucose) were performed at the first and last session of the intervention. Findings: The cognitive-behavioral obesity therapy led to weight loss in patients with type 2 diabetes mellitus, and also reduced the level of blood glucose in them. Conclusions: The results indicate the effectiveness of cognitive-behavioral therapy in patients with type 2 diabetes mellitus. These findings are of great importance in controlling the weight, and blood glucose level in these patients; since it is possible to use alternative therapies, such as cognitive-behavioral therapy in treatment of obesity, as non-conventional medical treatments.