Effectiveness of brief Acceptance and Commitment Therapy on adolescents with diabetes.

Effectiveness of brief Acceptance and Commitment Therapy on alexithymia, emotion-regulation flexibility, and glycemic control in adolescents with brittle Type 1 diabetes.

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20231128060213N2

Enrollment

Registered

2026-05-06

Start date

2026-05-22

Completion date

Unknown

Last updated

2026-06-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 1 Diabetes Mellitus (Brittle). Type 1 diabetes mellitus with hyperglycemia

Interventions

Intervention 1: Intervention group: Brief Acceptance and Commitment Therapy based on the protocol by Stefanescu et al. (2024) delivered in 4 weekly sessions of 50 minutes each. Session content include

Eligibility

Sex/Gender

All

Age

12 Years to 16 Years

Inclusion criteria

Inclusion criteria: Having written informed consent from both the adolescent and a parent or legal guardian Diagnosis of brittle type 1 diabetes mellitus based on medical records and endocrinologist confirmation with at least 2 years of disease duration and severe blood glucose fluctuations in the last 6 months Having literacy in reading and writing Age between 12 and 16 years inclusive

Exclusion criteria

Exclusion criteria: History of psychotic symptoms or psychotic disorders diagnosed by a psychiatrist Having a significant comorbid physical illness other than diabetes Concurrent participation in other psychotherapy sessions during the study period

Design outcomes

Primary

Measure	Time frame
Glycemic control. Timepoint: Baseline (before intervention) and three months after the end of intervention sessions (follow-up phase). Method of measurement: Percentage of glycosylated hemoglobin (Hemoglobin A1c) measured from a venous blood sample using the standard method calibrated according to the national reference (NGSP/IFCC).	—

Secondary

Measure	Time frame
Alexithymia. Timepoint: Baseline (before intervention) and post-test (immediately after the last intervention session). Method of measurement: The 20-item Alexithymia Questionnaire for children and adolescents (Rieffe et al., 2006) comprising three subscales: difficulty identifying feelings, difficulty describing feelings, and externally oriented thinking.;Emotion regulation flexibility. Timepoint: Baseline (before intervention) and post-test (immediately after the last intervention session). Method of measurement: The 16-item Emotion Regulation Flexibility scale (Bonanno et al., 2004) comprising three subscales: perception of emotional response fit to context, ability to change emotion regulation strategies, and emotion regulation efficacy.	—

Measure

Time frame

Alexithymia. Timepoint: Baseline (before intervention) and post-test (immediately after the last intervention session). Method of measurement: The 20-item Alexithymia Questionnaire for children and adolescents (Rieffe et al., 2006) comprising three subscales: difficulty identifying feelings, difficulty describing feelings, and externally oriented thinking.;Emotion regulation flexibility. Timepoint: Baseline (before intervention) and post-test (immediately after the last intervention session). Method of measurement: The 16-item Emotion Regulation Flexibility scale (Bonanno et al., 2004) comprising three subscales: perception of emotional response fit to context, ability to change emotion regulation strategies, and emotion regulation efficacy.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactGhodratollah Abbasi

Islamic Azad University

gh_abbasi@iausari.ac.ir+98 11 3303 2891

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Jun 11, 2026