The Effectiveness of Compassion-based Therapy on Rumination and Concern in Patients with Type I Diabetes

Zahra  Dabbaghha; Alireza  Mollazadeh

doi:10.18502/ijdo.v17i2.18849

Zahra Dabbaghha MSC in Psychology, Department of Psychology, Tehran Branch, Islamic Azad University, Tehran, Iran.
Alireza Mollazadeh Assistant Professor, Department of Psychology, Ashtian Branch, Islamic Azad University, Ashtian, Iran.

DOI: https://doi.org/10.18502/ijdo.v17i2.18849

Keywords: Compassion-based therapy, Rumination, Worry, Type I diabetes, Qazvin city

Abstract

Objective: According to the studies, 80% of patients with diabetes suffer from concern and rumination in theirlife cycle. The present study aimed to investigate the effectiveness of compassion-based therapy (CBT) onrumination and concern in patients with type 1 diabetes.

Materials and Methods: A quasi-experimental study evaluated the effect of CBT on women with type 1diabetes. Thirty women with type 1 diabetes, recruited from Qazvin city health centers between October 2024and March 2025 and meeting inclusion criteria, were purposively sampled and randomly assigned to the CBT(n= 15) or control (n= 15) group. The intervention group received eight weekly 90-minute sessions. The controlgroup received no intervention. The Pennsylvania State Worry Questionnaire (PSWQ) and RuminationQuestionnaire (RQ) were administered pre- and post-intervention, and data were analyzed using ANCOVA inSPSS version 26

Results: A comprehensive analysis of variance has revealed notable disparities between the experimental andcontrol groups in terms of worry and rumination. The results indicate a moderate effect size for worry (η= 0.29;F= 10.63; P= 0.003). Similarly, rumination also shows a strong effect size (η= 0.39; F= 17.23; P< 0.001).

Conclusion: CBT effectively reduces rumination and worry in patients with type I diabetes in Qazvin,suggesting its potential as a supportive treatment for these symptoms.