Volume 11, Issue 3 (Autumn 2025)
J Health Res Commun 2025, 11(3): 40-53 |
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Ayoubi J, Shakerinia I, Zebardast A. Impact of Mindfulness-based Schema Therapy With and Without Self-compassion Training on Emotional Schemas, Self-actualization, and Glycemic Control in Patients With Type 2 Diabetes: A Clinical Trial. J Health Res Commun 2025; 11 (3) :40-53
URL: http://jhc.mazums.ac.ir/article-1-1153-en.html
URL: http://jhc.mazums.ac.ir/article-1-1153-en.html
Department of Psychology, Faculty of Literature and Humanities, University of Guilan, Guilan, Iran.
Abstract: (434 Views)
Introduction and Purpose Type 2 diabetes (T2D) is one of the most common chronic diseases, which, in addition to physical complications, has psychological impacts. This study aimed to compare the effectiveness of mindfulness-based schema (MBS) therapy with and without self-compassion training on emotional schemas, self-actualization, and glycated hemoglobin (HbA1C) levels in patients with T2D.
Methods This is a randomized controlled clinical trial with a pretest–posttest design that was conducted in 2024. Participants were 36 patients with T2D in Mashhad. They were randomly assigned to three groups of 12: MBS therapy, MBS + self-compassion training, and control. The interventions were provided at 10 weekly sessions. The instruments included the Leahy emotional schemas scale, Shostrom’ personal orientation inventory, and HbA1C tests. Data were analyzed using multivariate analysis of covariance (MANCOVA) and Bonferroni’s post hoc tests in SPSS software, version 26, considering a significance level set at 0.05.
Results The mean age of participants was 33.61±6.9 years, 75% female and 25% male. Results showed that both interventions significantly reduced maladaptive emotional schemas (F=8.39, η²=0.11, P=0.01), enhanced self-actualization (F=6.03, η²=0.13, P=0.02), and reduced HbA1C levels (F=7.30, η²=0.15, P=0.01). where the combined intervention was more effective (P<0.05).
Conclusion Integrating self-compassion training into MBS therapy can enhance its effectiveness in improving emotional schemas, self-actualization, and glycemic control of patients with T2D.
Methods This is a randomized controlled clinical trial with a pretest–posttest design that was conducted in 2024. Participants were 36 patients with T2D in Mashhad. They were randomly assigned to three groups of 12: MBS therapy, MBS + self-compassion training, and control. The interventions were provided at 10 weekly sessions. The instruments included the Leahy emotional schemas scale, Shostrom’ personal orientation inventory, and HbA1C tests. Data were analyzed using multivariate analysis of covariance (MANCOVA) and Bonferroni’s post hoc tests in SPSS software, version 26, considering a significance level set at 0.05.
Results The mean age of participants was 33.61±6.9 years, 75% female and 25% male. Results showed that both interventions significantly reduced maladaptive emotional schemas (F=8.39, η²=0.11, P=0.01), enhanced self-actualization (F=6.03, η²=0.13, P=0.02), and reduced HbA1C levels (F=7.30, η²=0.15, P=0.01). where the combined intervention was more effective (P<0.05).
Conclusion Integrating self-compassion training into MBS therapy can enhance its effectiveness in improving emotional schemas, self-actualization, and glycemic control of patients with T2D.
Keywords: Type 2 diabetes, Schema therapy, Self-compassion training, Emotional schemas, HbA1C
Type of Study: Research(Original) |
Subject:
Psychology
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