Document Type : Research Article

Authors

1 Department psychology,Ahvaz branch,Islamic Azad University,Ahvaz,Iran

2 Department psycholoyu ,Ahvaz,Iran

Abstract

Intoduction
Major depression and obsessive-compulsive disorders are chronic and disabling disorders that affect the ability to experience normal mood and causing impairment in all performances of the individual.  To improve these patients, effective factors must be known, recognized and treated or controlled. One of the most influential factors is rumination, thinking which is involved in the onset and recurrence of these disorders. One of the most important concepts that has been taken into consideration by many experts in the formation and survival of many disorders, including depression, are dysfunctional attitudes. One of the new therapies used for these disorders is mindfulness based cognitive therapy. Mindfulness based cognitive therapy is designed to reduce the relapse of depression. For the same reason, the purpose of the present research was to determine the effectiveness of mindfulness based cognitive therapy on the use of rumination thinking and dysfunctional attitudes of people with depression and obsessive compulsive disorders.
 
Materials and methods
The design of research was experimental with the pre and post-test with control group. The sample included 80 patients with major depression and obsessive-compulsive disorders that according to psychiatric diagnosis and DSM-5 had been diagnosed and were divided randomly into experimental and control groups. The used instruments included Thinking Rumimination Questionnaire and Dysfanctional Attitude Scale. First, for both groups pre-test was taken. Then, experimental group, at 8 sessions, were trained with mindfulness based cognitive therapy, and after finishing sessions, both groups were taken post-test. To analys6is data, multivariate analysis of covariance (MANCOVA) was used.
 
Results
The results of research showed that mindfulness based cognitive therapy caused reduction in rumination thinking in patients suffering from majar depression (F = 330/96, P < 0.05) and obsessive-compulsive disorder (F = 482/27, P < 0.05) at post-test level. Also, the treatment reduced the from dysfunctional attitudes of patients suffering majar depression (F= 167/31, P < 0.05) and obsessive-compulsive (F = 436/10, P < 0.05) at post-test level.
 
Conclusions
Finally, it can be concluded that in mindfulness based cognitive approach, individuals feel better through new relationships that make up their thoughts. For this reason it is anticipated that this treatment can be used both exclusively and in combination with the treatment of mental and physical disorders. On the basis of research findings, it is predicted that mindfulness based cognitive therapy will play important role in treating mental disorders and prevention of the onset and relapse of these disorders.

Keywords

Ariana-Kia, E., Moradi, A. R., & Hatami, M. (2014). The Effectivness of Combined of Brief Behavioral Activation Therapy and Mindfulness-based Cognitive Therapy in Patients with Major Depressive Disorder, Journal of Clinical Psychology, 1 (21), 15-27.
Bassak Nejad, S., Agha Jani Afjadi, A., & Zargar, Y. (2011). Effectiveness of Mindfulness –based Cognitive therapy on the quality of life and quality of life of female students, Journal of Psychological Achievements, 2 (18), 181-198.
Bayrami, M., Movahedi, Y., Mohammad Zadegan, R., Movahedi, M., & Vakili, S. (2013). The Effectiveness of Group-Based Cognitive Therapy Based on Mindfulness in Reducing Anxiety and Depression in High School Students, Journal of Psychological Achievements, 20 (2), 1-18.
Beck, T., Brown, G., Steer, A. R., & Weissman, N. A. (1991). Factor analysis of the dysfunctional attitude scale in a clinical population. Psychological Assessment, 3, 478-483.
Cavangh, M. J. (2001). Attention training and hypochondriaces; Preliminary results of a controlled trial. World Congress Behavioral Cognitive Therapy, Zurich.
Chang, E. C. (2004). Irrational beliefs as prediction of anxiety and depression in collage population. Personality and Individual Differences, 20 (2), 212-219.
Clark, D. (2004). Cognitive Behavioral Therapy for OCD. Izadi, R., & Abedi M. R., editors, Isfahan: Kavoshyar-jangal. [persisan].
Conway, M., Csank, P. A. R., Holm, S. L., & Balke, C. K. (2000). On assessing individual differences in ruminationon sadness. Journal of  Personality Assessment, 75, 404- 425.
Conway, M., Csank, P. A. R., Holm, S. L., & Balke, C. K. (2000). On assessing individual differences in ruminationon sadness. Journal of Personality Assessment, 75, 404- 425.
Crane, R. (2011). Mindfulness-based cognitive Therapy: Distinctive features, Translator: Khoshlahje Sedgh, A. Second edition. Tehran: Besat, 53-72.
Crane, C., Barnhofer, T., Duggan D. S., Hepburn S., Fennell, M. V., Williams, JMG. (2008). Mindfulness-Based Cognitive Therapy and Self-Discrepancy in Recovered Depressed Patients with a History of Depression and Suicidality. Cognitive Ther Res, 32 (6), 775-87.
Finucane, A., & Mercer, S. (2006). An exploratory mixed method study of  the acceptability and effectiveness of MBCT for patient with active depression and anxiety. BMC psychiatry, 6, 50-61.
Ghadampour, E., Gholamrezaei, S., & Radmehr, P. (2016). The effectiveness of Mindfulness- Based Cognitive Therapy on redoucing social anxiety and depression in adolescences suffering comorbidity of social anxiety disorder and depression to 60 day follow up, Journal of Urmia University Medical Sciences, 26 (12), 1028- 1040.
Goldin, P. R., Lee, I., Ziv, M., Jazaieri, H., Heimberg, R. G., James, G. J. (2014). Trajectories of change in emotion regulation and social anxiety during cognitive-behavioral therapy for social anxiety disorder. Behav Res Ther, 56, 7-15.
Grossman, P., Tiefenthaler-Gilmer, U., Raysz, A., & Kesper, U. (2007). Mindfulness Training as an intervention for Fibromyalgia: Evidence of postintervention and 3-year follow-up benefits in well-being. Psychother Psychosom, 76 , 226–233.
Hankin, B. L., Abramson, L. Y., Miller, N., Haeffel, G. J. (2004). Cognitive vulnerability-stress theories of Depression: Examining Affective Specificity in the Prediction of Depression Versus Anxiety in Three Prospective Studies. Cognitive Ther Res, 28 (3), 309-45.
Johnson, J. R., Emmons, H., Rivard, R., Griffin, K., Dusek, J. (2015). Resilience Training: A Pilot Study of A Mindfulness-Based Program with Depressed Healthcare Professionals. EXPLORE: The Journal of Science and Healing, In Press, Accepted ManuscriptNote to users.
Kingston, J., Chadwick, P., Meron, D., Skinner, A., chas, T. (2007). randomized controltrial investigating the effect of mindfulness practice on pain tolerance psychological Well-being and physiological activity. Psychosomatic Research, 62 (3), 247.300.
Melyani, M., Allah yari, A., Azad-Fallah, P., & Fathi-Ashtiani, A. (2013). Mindfulness based cognitive therapy versus cognitive behavioral therapy on residual symptoms in recurrent Depression, Journal of Behavioral Sciences, 7 (2), 159-166.
Mezulis AH, Hyde JS, Abramson LY.(2006). The developmental origins of cognitive vulnerability to depression: temperament, parenting, and negative life events in childhood as contributors to negative cognitive style. Dev psychol, 42 (6), 1012-25.
Muris, P., Fokke, M., & Kwik, D. (2009). The Ruminative Response Style in Adolescents: An Examination of Its Specific Link to Symptoms of Depression. Journal of Cognitive Therapy and Research, 33 (1), 21- 32.
Nolen- Hoeksema, S., Wisco, E. B., & Lyubomirsky, S. (2008). Rethinking rumination. Journal of Perspectives on Psychological Science, 3 (5), 400- 424.
Papageorgiou, C., & Wells, A. (2007). Nature and consequences of rumination,depressive rumination: Nature, theory and treatment. West Sussex: John Wiley and Sons Ltd, Isfahan: Kavoshyar-jangal, 1- 20.
Peeters, F., Geschwind, N.,  Huibers, M., Van Os, J., Wichers, M. (2012). Efficacy of mindfulness-based cognitive therapy in relation to prior history of depression: randomised controlled trial. Br J Psychi, 201 (4), 320-5.
Pradhan, E., Baumgarten, M., & Langenberg, P. (2007). Effect of Mindfulness-Based stress reduction in rheumatoid arthritis patients. Arthritis Care Res, 57, 1134–42.
Roelofs, J., Huibers, M., Peeters, F., & Arntz, A. (2008). Effects of neuroticism on depression and anxiety: Rumination as a possible mediator. Journal of Pers Indiv Differ, (44), 847- 65.
Sadock, B. J., Kaplan, H. (2015). Kaplan & Sadock's Synopsis of Psychiatry. 11th. Rezaei F (Persian translator). Tehran: Arjmand, 642-645.
Salkovskis, P. M., & Forrester, E. (2002). Cognitive approaches to obsessions and compulsions: Theory, assessment and treatment, Responsibility. In R. O. Frost & G. Steketee (Eds), Oxford, UK: Elsevier Science, 45- 61.
Segal, Z. V., Williams, M. G., & Teasdale J. D. (2005). Mindfulness- based cognitive therapy for depression: A new approach to prevent recurrence, Translator: Mohamad Khani, Tehran: Faradid, 40- 55.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression, New York:Guilford.
Smith, J. M., & Alloy, L. B. (2009). A roadmap to rumination: A review of the definition, conceptualization of this multifaceted construct. Journal of Clinical Psychology Review, 29 (2), 116- 28.
Song, Y., & Lindquist R. (2015). Effects of mindfulness-based stress reduction on depression, anxiety, stress and mindfulness in Korean nursing students. Nurse Edu today, 35 (1), 86-90.
Teasdale, J. D., Segal, Z., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615-623.
Williams, J. M., Duggan, D. S., Crane, C., & Fennell, M. J. (2006). Mindfulness-based cognitive therapy for prevention of recurrence of suicidal behavior. Journal of Clin Psychol, 62 (2), 201-10.
Yousefi, Z., Bahrami, F., & Mehrabi, H. A. (2007). Thinking Rumination: Beginning and duration of depression. Journal of Behavioral Sciences, 2(1), 67- 73.