The Efficacy of Mindfulness-Based Cognitive Therapy in Treating People with Generalized Anxiety Disorder

پژوهش های روان شناسی بالینی و مشاوره

Article 5, Volume 5, Issue 1 - Serial Number 9, January 0, Pages 116-133   

Document Type: پژوهشی

DOI: 10.22067/ijap.v5i1.40703

Authors

farzad nasiri^{* 1}; majid mahmoodaliloo²; abbas bakhshipoor²

¹فردوسی مشهد

²university of tabriz

Abstract

The aim of this study was to investigate the efficacy of mindfulness-based cognitive therapy (MBCT) in treating people with generalized anxiety disorder (GAD). Since one of the prominent features of patients with GAD is the sense of worry, and nature of the worry is focused on future. Training in the present moment by mindfulness which is done by a variety of practical exercises, can be therapeutic for people with GAD. This research was accomplished in the framework of single-case experimental design by using the multiple baseline design. Two patients with GAD who entered the program on the basis of inclusion entry and research qualification, were treated by MBCT. To record the severity of the symptoms, Penn State Worry Questionnaire, Beck Depression Inventory II, Beck Anxiety Inventory, and GAD-7 scale were used. According to the findings of this study, MBCT reduced the severity of GAD symptoms, worry, anxiety and depression scores. Results of this study showed that MBCT, by using various exercises, could improve patients with GAD

Keywords

Mindfulness-based cognitive therapy; Generalized anxiety disorder; worry; depression

References

Arch, J. J., & Craske, M. G. (2010). Laboratory stressors in clinically anxious and non-anxious individuals: The moderating role of mindfulness. Behaviour Research and Therapy, 48(6), 495–505.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, text revision (DSM-IV-TR). American Psychiatric Association.

Azargoon, H., Kajbaf, M., Molavi, H., & Abedi, M. (2009). The effect of mindfulness training on mental rumination and depression of the students of Isfahan university. Daneshvar Raftar, 16(34), 13–20. [Persian]

Barlow, D. H., & Hofmann, S. G. (1997). Efficacy and dissemination of psychological treatments. Science and Practice of Cognitive Behaviour Therapy, 95–117.

Beck, A. T., & Clark, D. A. (1988). Anxiety and depression: An information processing perspective. Anxiety Research, 1(1), 23–36.

Bennett, P. (2011). Abnormal And Clinical Psychology: An Introductory Textbook: An Introductory Textbook. McGraw-Hill International.

Bohlmeijer, E., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: a meta-analysis. Journal of Psychosomatic Research, 68(6), 539–544.

Borkovec, T. D., & Newman, M. G. (1998). Worry and generalized anxiety disorder. Comprehensive Clinical Psychology, 6, 439–459.

Craigie, M. A., Rees, C. S., Marsh, A., & Nathan, P. (2008). Mindfulness-based cognitive therapy for generalized anxiety disorder: A preliminary evaluation. Behavioural and Cognitive Psychotherapy, 36(05), 553–568.

DeRubeis, R. J., & Crits-Christoph, P. (1998). Empirically supported individual and group psychological treatments for adult mental disorders. Journal of Consulting and Clinical Psychology, 66(1), 37.

Dobkin, P. L., & Zhao, Q. (2011). Increased mindfulness–The active component of the mindfulness-based stress reduction program? Complementary Therapies in Clinical Practice, 17(1), 22–27.

Dugas, M. J., & Robichaud, M. (2007). Cognitive-behavioral treatment for generalized anxiety disorder: From science to practice. Taylor & Francis.

Evans, S., Ferrando, S., Findler, M., Stowell, C., Smart, C., & Haglin, D. (2008). Mindfulness-based cognitive therapy for generalized anxiety disorder. Journal of Anxiety Disorders, 22(4), 716–721.

Gall, M. D., Borg, W. R., & Gall, J. P. (1996). Educational research: An introduction . Longman Publishing.

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.

Goudarzi, M. (2002). The study of reliability and validity of Beck hopelessness scale in a group of Shiraz university students. Journal of Social Sciences and Humanities of Shiraz University, 18(2), 27–39. [Persian]

Groth-Marnat, G. (2009). Handbook of psychological assessment. John Wiley & Sons.

Hamidpour, H. (2007). Examination of Efficacy and Effectiveness of Mindfulness - Based Cognitive Therapy in Treatment and Preventation of Relapse and Recurrence of Dysthymia. Research in Psychological Health, 1(1), 25–36. [Persian]

Hanasab zadeh Esfahani M, Yekeh Yazdan Doost R, Gharayi B, A. N. F. A. (2009). Preliminary study of applicability of mindfulness based cognitive therapy protocol for depressed patients with suicidal thought: A case study. Journal of Clinical Psychology, 1(1), 35–45. [Persian]

Hayes, S., & Hirsch, C. R. (2007). Information processing biases in generalized anxiety disorder. Psychiatry, 6(5), 176–182.

Kabat-Zinn, J. (1990). Full catastrophe living. New York. Delta.

Kaviani, H., Javaheri, F., & Bahiray, H. (2005). Efficacy of minfulness-Based Cognitive Therapy in reducing automatic thoughts, dysfunctional attitude, depression and anxiety: A sixty day follow-up. Advances in Cognitive Science, 7(1), 49–59. [Persian]

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). “ Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey replication”: Erratum.

Kim, B., Lee, S.-H., Kim, Y. W., Choi, T. K., Yook, K., Suh, S. Y., … Yook, K.-H. (2010). Effectiveness of a mindfulness-based cognitive therapy program as an adjunct to pharmacotherapy in patients with panic disorder. Journal of Anxiety Disorders, 24(6), 590–595.

Kingston, T., Dooley, B., Bates, A., Lawlor, E., & Malone, K. (2007). Mindfulness‐based cognitive therapy for residual depressive symptoms. Psychology and Psychotherapy: Theory, Research and Practice, 80(2), 193–203.

Kocovski, N. L., Fleming, J. E., & Rector, N. A. (2009). Mindfulness and acceptance-based group therapy for social anxiety disorder: An open trial. Cognitive and Behavioral Practice, 16(3), 276–289.

Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., … Mullan, E. (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76(6), 966.

Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford Press.

Lovas, D. A., & Barsky, A. J. (2010). Mindfulness-based cognitive therapy for hypochondriasis, or severe health anxiety: a pilot study. Journal of Anxiety Disorders, 24(8), 931–935.

Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31.

Mathew, K. L., Whitford, H. S., Kenny, M. A., & Denson, L. A. (2010). The long-term effects of mindfulness-based cognitive therapy as a relapse prevention treatment for major depressive disorder. Behavioural and Cognitive Psychotherapy, 38(05), 561–576.

Ogles, B. M., Lunnen, K. M., & Bonesteel, K. (2001). Clinical significance: History, application, and current practice. Clinical Psychology Review, 21(3), 421–446.

Roemer, L., Fuchs, C., Orsillo, S. M., Salters-Pedneault, K., Orsillo, S. M., & Baer, R. a. (2014). Incorporating Mindfulness and Acceptance-Based Strategies in the Behavioral Treatment of Generalized Anxiety Disorder. Mindfulness-Based Treatment Approaches: Clinician’s Guide to Evidence Base and Applications, 95. doi:10.1016/B978-0-12-416031-6.00005-0

Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: Preliminary evidence for independent and overlapping contributions. Behavior Therapy, 40(2), 142–154.

Roemer, L., & Orsillo, S. M. (2007). An open trial of an acceptance-based behavior therapy for generalized anxiety disorder. Behavior Therapy, 38(1), 72–85.

Rygh, J. L., & Sanderson, W. C. (2004). Treating generalized anxiety disorder: Evidence-based strategies, tools, and techniques. Guilford Press.

Segal, Z. V, Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to relapse prevention. New York: Guilford Press.

Segal, Z. V, Williams, J. M. G., & Teasdale, J. D. (2012). Mindfulness-based cognitive therapy for depression. Guilford Press.

Shirinzade Dastgiri, S., Gudarzi, M. A., Ghanizadeh, A., & Taghavi, M. R. (2008). Comparison of Metacognitive and Responsibility Beliefs in Patients with Obsessive-Compulsive Disorder, Generalized Anxiety Disorder and Normal Individuals. Iranian Journal of Psychiatry and Clinical Psychology, 14(1), 46–55. [Persian]

Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166(10), 1092–1097.

Stein, M. B. (2004). Public health perspectives on generalized anxiety disorder. Journal of Clinical Psychiatry.

Teasdale, J. D., & Williams, J. M. G. (2013). Mindful Way Workbook: An 8-Week Program to Free Yourself from Depression and Emotional Distress. Guilford Publications.

Treanor, M. (2011). The potential impact of mindfulness on exposure and extinction learning in anxiety disorders. Clinical Psychology Review, 31(4), 617–625.

Vøllestad, J., Sivertsen, B., & Nielsen, G. H. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: Evaluation in a randomized controlled trial. Behaviour Research and Therapy, 49(4), 281–288.

Walach, H., Buchheld, N., Buttenmüller, V., Kleinknecht, N., & Schmidt, S. (2006). Measuring mindfulness—the Freiburg mindfulness inventory (FMI). Personality and Individual Differences, 40(8), 1543–1555.

Williams, J. M. G., Alatiq, Y., Crane, C., Barnhofer, T., Fennell, M. J. V, Duggan, D. S., … Goodwin, G. M. (2008). Mindfulness-based cognitive therapy (MBCT) in bipolar disorder: Preliminary evaluation of immediate effects on between-episode functioning. Journal of Affective Disorders, 107(1), 275–279.