Effectiveness of Compassion- Acceptance and Commitment Combined Therapy with Cognitive-Behavioral Therapy on Interpersonal Forgiveness in Female Patients with Type II Diabetes

Objective: Diabetes is chronic and debilitating disease that affects all aspects of a person's life. The purpose of this study was to compare the effectiveness of compassion focused (CFT)-acceptance commitment (ACT) combined therapy with cognitive-behavioral therapy (CBT), on interpersonal forgiveness in women with type II diabetes. Materials and Methods: This was of quasi- experimental study on three groups (CFT-ACT combined therapy, a cognitive-behavioral and a control group) and three stages (pre-test, post- test and follow up). Among diabetic women population, 47 patients were selected purposefully and randomly assigned to three groups. Tow experimental groups (CFT- ACT & CBT) received 120 minutes’ sessions of CFT- ACT and CB for10 weeks. The control group did not receive any treatment .Data were analyzed by repeated measures analysis of variance using SPSS-24 software. Results: The results showed that the scores of experimental group participants in the post test of CFT-ACT and CBT improved significantly compared to the control group in all three components of forgiveness, including reconnection and  revenge  control, resentment control and  realistic understanding (P-value: 0/000). The experimental group of the combined therapeutic model was more effective than the CBT group in the two components of resentment control and realistic understanding. Conclusion: Based on the findings, the combination therapy of CFT- ACT and CBT can be used to promote reconnection and revenge control, resentment control and realistic understanding in diabetic patients.