the effect of acceptance and commitment therapy on anxiety and emotion regulation in adolescents with diabetes type 1: a randomized controlled trial

Background :type 1 diabetes (t1d) is a chronic condition that significantly impacts the psychological health of adolescents. objectives :this study aimed to examine the effect of acceptance and commitment therapy (act) on anxiety and emotion regulation in adolescents with t1d. methods :in this randomized controlled trial, 40 adolescents aged 13 - 18 were randomly assigned to an act group (n = 20) or a control group (n = 20). the intervention included eight weekly 60-minute group sessions. participants completed the beck anxiety inventory (bai) and the emotion regulation questionnaire (erq) at pre-test, post-test, and three-month follow-up. the data were analyzed using multivariate analysis of variance (manova) with a repeated measurement design and through spss-22 statistical software. results :the act significantly reduced anxiety (-8.10 ± 4.65, ηp2 = 0.81) and improved both reappraisal (+7.75 ± 4.56, ηp2 = 0.87) and suppression in emotion regulation (-3.30 ± 3.14, ηp2 = 0.28) compared to the control group (p < 0.001), with effects maintained at follow-up. conclusions :the findings indicate that psychological treatment methods, including act, significantly enhance the effectiveness of medical treatments, especially for adolescents with t1d.