Volume 7, Issue 3 (September 2025)                   IEEPJ 2025, 7(3): 1-16 | Back to browse issues page

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Mandani M, Baloot A. (2025). The Effectiveness of Mindfulness-Based Cognitive Therapy on Adaptive Cognitive Emotion Regulation Strategies in Individuals with Generalized Anxiety Disorder. IEEPJ. 7(3), 1-16.
URL: http://ieepj.hormozgan.ac.ir/article-1-968-en.html
1- MA in Clinical Psychology, Department of Clinical Psychology, Andimeshk Branch, Islamic Azad University, Andimeshk, Iran
2- Assistant Professor of Clinical Psychology, Andimeshk Branch, Islamic Azad University, Andimeshk, Iran , edu.techer@yahoo.com
Abstract:   (1371 Views)
Objective: The present study aimed to investigate the effectiveness of mindfulness-based cognitive therapy (MBCT) on maladaptive cognitive emotion regulation strategies in individuals with generalized anxiety disorder (GAD) who referred to counseling centers in Dezful.
Methods: The study sample consisted of 30 individuals with GAD, selected through convenience sampling and randomly assigned to experimental (n = 15) and control (n = 15) groups. The research design was a clinical trial with a pre-test, post-test, and control group. Data were collected using the Cognitive Emotion Regulation Questionnaire (CERQ; Garnefski et al., 2002). The experimental group received 10 sessions of MBCT based on Segal et al. (2002). Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics, including univariate and multivariate analysis of covariance (ANCOVA and MANCOVA).
Results: Findings revealed that MBCT significantly increased positive refocusing/planning (F = 125.27, p < 0.001), positive reappraisal/broader perspective (F = 96.62, p < 0.001), acceptance (F = 47.99, p < 0.001), and the total score of adaptive cognitive emotion regulation strategies (F = 406.81, p < 0.001) in individuals with GAD.
Conclusions: The results indicated that MBCT enhances adaptive cognitive emotion regulation strategies in individuals with generalized anxiety disorder.
Full-Text [PDF 277 kb]   (756 Downloads)    
Type of Study: Original | Subject: Educational Psychology
Received: 2024/08/8 | Accepted: 2025/01/19 | Published: 2025/09/1

References
1. Abutorabian, M., & Sajadian, M. (2023). Effectiveness of acceptance and commitment therapy on depression, rumination, and self-efficacy in depressed female high school students. Knowledge and Research in Applied Psychology, 24(2), 13-26.
2. Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behavior Research and Therapy, 48(10), 974-983. [DOI:10.1016/j.brat.2010.06.002]
3. Bashiri, L. (2020). The effectiveness of mindfulness-based cognitive therapy on fear of cancer recurrence, post-traumatic growth, and cognitive emotion regulation in breast cancer survivors (Master's thesis). University of Isfahan, Faculty of Educational Sciences and Psychology.
4. Birami, M., Hashemi, T., Bakhshipour, A., Mahmoudalilou, M., & Eghbali, A. (2014). Comparison of the effect of emotion regulation training and mindfulness-based cognitive therapy on psychological distress and cognitive emotion regulation strategies in mothers of children with intellectual disability. Quarterly Journal of New Psychological Research, 9(33), 43-59.
5. Cleary, T. J., Velardi, B., & Schnaidman, B. (2017). Effects of the Self-Regulation Empowerment Program (SREP) on middle school students' strategic skills, self-efficacy, and mathematics achievement. Journal of School Psychology, 64, 28-42. [DOI:10.1016/j.jsp.2017.04.004]
6. Dalbudak, E., Evren, C., Aldemir, S., Coskun, K. S., Yildirim, F. T., & Ugurlu, H. (2013). Alexithymia and personality in relation to social anxiety among university students. Psychiatry Research, 209(2), 167-172. [DOI:10.1016/j.psychres.2012.11.023]
7. Davoudi, A., Neshatdoost, H. T., Ebadi, M. R., & Talebi, H. (2014). Comparison of cognitive emotion regulation strategies and emotion recognition in obsessive-compulsive, generalized anxiety, and social anxiety disorders. Knowledge & Research in Applied Psychology, 15(58), 69-78.
8. Faal, M., Vahid, T. A., Taime, Z. M., Shaban, N., & Amani, O. (2019). The effectiveness of acceptance and commitment group therapy on psychological flexibility and family communication patterns in women with type 2 diabetes.
9. Farhoumandi, N., Zarean, M., Nasiri, M., & Jega, M. (2022). Somatization mediates the structural relationship of alexithymia with anxiety and depression. Iranian Journal of Psychiatry, 17(2), 144. [DOI:10.18502/ijps.v17i2.8904]
10. Fazli Niko, Z. (2017). The effectiveness of mindfulness-based cognitive therapy on depression, anxiety, emotion regulation, and psychological well-being in pregnant women (Master's thesis). University of Kurdistan, Faculty of Humanities and Social Sciences.
11. Goldin, P. R., & Gross, J. J. (2010). Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10(1), 83-91. [DOI:10.1037/a0018441]
12. Golparvar, M., & Tabatabainejad, F. S. (2020). The effects of positive-oriented mindfulness therapy, mindfulness-based cognitive therapy, and cognitive behavioral therapy on emotional capital of depressed female students. Journal of Pediatric Nursing, 6(3), 30-38.
13. Ho, N. S., Wong, M. M., & Lee, T. M. (2016). Neural connectivity of alexithymia: Specific association with major depressive disorder. Journal of Affective Disorders, 193, 362-372. [DOI:10.1016/j.jad.2015.12.057]
14. Hosseini Khalkhal, A. (2016). The effectiveness of mindfulness-based cognitive therapy on cognitive emotion regulation strategies and psychological well-being in individuals with social anxiety (Master's thesis). Semnan University, Faculty of Psychology and Education.
15. Javadi, Z., & Ghorbani, M. (2019). The effectiveness of mindfulness-based cognitive therapy on sleep quality in women with generalized anxiety disorder. Horizon of Medical Sciences, 25(2), 117-126.
16. Kakazadeh, K. (2019). Generalized anxiety disorder. Tehran: Ariadanesh.
17. Mahajeri Aval, N., Narimani, M., Sadeghi, G., & Hajloo, N. (2020). The effectiveness of metacognitive therapy based on mindfulness on negative emotion regulation strategies and emotional processing in patients with generalized anxiety disorder. Sabzevar University of Medical Sciences Scientific Journal, 27(3), 441-451.
18. Mahapatra, A., & Sharma, P. (2018). Association of Internet addiction and alexithymia: A scoping review. Addictive Behaviors, 81, 175-182. [DOI:10.1016/j.addbeh.2018.02.004]
19. Maierna, M. S., & Camodeca, M. (2021). Theatrical activities in primary school: Effects on children's emotion regulation and bullying. International Journal of Bullying Prevention, 3, 13-23. [DOI:10.1007/s42380-019-00057-z]
20. Maleki, M. (2019). The effectiveness of mindfulness-based cognitive therapy on anxiety and cognitive regulation strategies in clinical populations (Doctoral dissertation). [University name unavailable].
21. McEvoy, P., Grove, R., & Slade, T. (2011). Epidemiology of anxiety disorders in the Australian general population: Findings of the 2007 Australian National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry, 45(11), 957-967. [DOI:10.3109/00048674.2011.624083]
22. Meltzer, L. (2018). Executive function in education: From theory to practice. Guilford Publications.
23. Mennin, D. S., & Fresco, D. M. (2013). Emotion regulation therapy. In J. J. Gross (Ed.), Handbook of emotion regulation (2nd ed., pp. 469-490). Guilford Press.
24. Momeni, F., Shahidi, S., Motabi, F., & Heydari, M. (2017). Comparison of the effectiveness of group cognitive-behavioral therapy and mindfulness-based cognitive therapy on mediating variables of generalized anxiety disorder. Applied Psychological Research Quarterly, 8(1), 49-66. [DOI:10.5812/ijpbs.9653]
25. Moqtader, L. (2016). The effectiveness of mindfulness-based cognitive therapy on reducing rumination, dysfunctional attitudes, and automatic negative thoughts in individuals with generalized anxiety disorder. Urmia Medical Journal, 27(9), 825-835.
26. Nik-Khah, M., & Yousefi, F. (2021). The relationship between satisfaction of basic psychological needs at school and students' emotional well-being: The mediating role of cognitive emotion regulation strategies. Psychological Science, 20(99), 413-426.
27. Norouzi, M., Mikaeili, M., Mani, F., & Isazadegan, D. (2016). Epidemiology of social anxiety disorder among students of Urmia University. Journal of Medical Studies (Urmia University of Medical Sciences), 27(2), 155-166.
28. Ong, C. W., Levin, M. E., & Twohig, M. P. (2020). Beyond acceptance and commitment therapy: Process-based therapy. The Psychological Record, 70(4), 637-648. [DOI:10.1007/s40732-020-00397-z]
29. Pos, A. E., & Greenberg, L. S. (2007). Emotion-focused therapy: The transforming power of affect. Journal of Contemporary Psychotherapy, 37, 25-31. [DOI:10.1007/s10879-006-9031-z]
30. Samani, S., & Sadeghi, L. (2010). Psychometric adequacy of the cognitive emotion regulation questionnaire. Psychological Methods and Models, 1(1), 51-62.
31. Schimmenti, A., Passanisi, A., Caretti, V., La Marca, L., Granieri, A., Iacolino, C., Gervasi, A. M., Maganuco, N. R., & Billieux, J. (2017). Traumatic experiences, alexithymia, and Internet addiction symptoms among late adolescents: A moderated mediation analysis. Addictive Behaviors, 64, 314-320. [DOI:10.1016/j.addbeh.2015.11.002]
32. Shaban, N., Dehghani, M., Rafati, A., Ghorbani, S., & Amani, A. (2020). The effect of mindfulness-based cognitive therapy on emotional self-awareness and metacognitive beliefs in adolescents with generalized anxiety disorder. Journal of Psychiatric Nursing, 8(5), 55-66.
33. Shakibaei, F., & Esmaeili, M. (2014). Epidemiology of depression among middle school students in Isfahan during the 2007-2008 academic year. Behavioral Sciences Research, 12(2), 274-284.
34. Vahedi, S., Hashemi, T., & Einipour, J. (2013). The relationship between emotional control and cognitive emotion regulation with obsessive beliefs in female high school students. Cognitive Science News, 15(2), 63-71.
35. Young, K. S., Sandman, C. F., & Craske, M. G. (2019). Positive and negative emotion regulation in adolescence: Links to anxiety and depression. Brain Sciences, 9(4), 76. [DOI:10.3390/brainsci9040076]
36. Zimmerman, M., Thompson, J. S., Diehl, J. M., Balling, C., & Kiefer, R. (2020). Is the DSM-5 anxious distress specifier interview a valid measure of anxiety in patients with generalized anxiety disorder? A comparison to the Hamilton Anxiety Scale. Psychiatry Research, 286, 1-6. [DOI:10.1016/j.psychres.2020.112857]

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