Comparison effect of Mindfulness-Based Cognitive Therapy and Based on Acceptance and Commitment Treatmenton Resiliency in Women with Social Anxiety

Subject Areas : Quarterly Journal of Woman and Society

zinab movahedi ¹ , reza pasha ² , saeed bakhtyarpoor ³ , parviz askari ⁴

1 - 1. Ph.D. Student in General Psychology, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
2 - Associate Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
3 - Assistant Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
4 - 3. Associate Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

Received: 2020-04-13 Accepted : 2021-07-31 Published : 2021-07-23

Keywords: social anxiety, resiliency, mindfulness-based cognitive therapy training & based on acceptance and commitment treatment,

Abstract :

The purpose of this study was to the comparison of the effectiveness of mindfulness-based cognitive therapy and based on acceptance and commitment treatment on resiliency in women with social anxiety Bojnord City in year 2019, using a purposive sampling method,45 woman were selected and randomly assigned to two experimental groups and one control group(each group of 15 woman). To collect data social anxiety of Torner & et al(1989) and resiliency of Connor & Davidson(2003) questionnaire were used.This experimental study was conducted with a pretest, post-test and fpllow-updesign with control group. The experimental groups underwent individual mindfulness-based cognitive therapy training(8 sessions 90 minutes) and based on acceptance and commitment treatment training(8 sessions 90 minutes), but the control group received no training. Data were analysed using covariance Analysis. The results showed that both mindfulness-based cognitive therapy and based on acceptance and commitment treatment were effective to increase resiliency in women with social anxiety (p < 0/01) and the results showed that there was no significant difference between the effectiveness of mindfulness-based cognitive therapy and based on acceptance and commitment treatment on increase resiliency in women with social anxiety (p>0/05). Therefore, this treatment can be used to increase resiliency in people with social anxiety disorder.

References:

1. Sandstrom, A., Uher, R., & Pavlova, B. (2020). Prospective association between childhood behavioral inhibition and anxiety: a meta-analysis. Journal of abnormal child psychology, 48(1), 57-66.

https://doi.org/10.1007/s10802-019-00588-5

1. Telman, L. G., van Steensel, F. J., Maric, M., & Bögels, S. M. (2017). Are anxiety disorders in children and adolescents less impairing than ADHD and autism spectrum disorders? Associations with child quality of life and parental stress and psychopathology. Child Psychiatry & Human Development, 48(6), 891-902.

https://doi.org/10.1007/s10578-017-0712-5

1. Anker, J. J., Kummerfeld, E., Rix, A., Burwell, S. J., & Kushner, M. G. (2019). Causal network modeling of the determinants of drinking behavior in comorbid alcohol use and anxiety disorder. Alcoholism: clinical and experimental research, 43(1), 91-97.

‏https://doi.org/10.1111/acer.13914

1. Heeren, A., & McNally, R. J. (2016). An integrative network approach to social anxiety disorder: The complex dynamic interplay among attentional bias for threat, attentional control, and symptoms. Journal of Anxiety Disorders, 42, 95-104.

https://doi.org/10.1016/j.janxdis.2016.06.009

1. Alvi, T., Kouros, C. D., Lee, J., Fulford, D., & Tabak, B. A. (2020). Social anxiety is negatively associated with theory of mind and empathic accuracy. Journal of abnormal psychology, 129(1), 108.

https://doi.org/10.1037/abn0000493

1. Maddox, B. B., & White, S. W. (2015). Comorbid social anxiety disorder in adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(12), 3949-3960.‏

https://doi.org/10.1007/s10803-015-2531-5

1. Buckley, L., & Chapman, R. L. (2020). Resiliency in Adolescence: Cumulative Risk and Promotive Factors Explain Violence and Transportation Risk Behaviors. Youth & Society, 52(3), 311-331.

‏https://doi.org/10.1177/0044118X17753814

1. Di Fabio, A., & Saklofske, D. H. (2018). The contributions of personality and emotional intelligence to resiliency. Personality and Individual Differences, 123, 140-144.

‏https://doi.org/10.1016/j.paid.2017.11.012

1. Jones-Bitton, A., Best, C., MacTavish, J., Fleming, S., & Hoy, S. (2020). Stress, anxiety, depression, and resilience in Canadian farmers. Social psychiatry and psychiatric epidemiology, 55(2), 229-236

.‏https://doi.org/10.1007/s00127-019-01738-2

1. Vu, T. L., & Turitsyn, K. (2016). A framework for robust assessment of power grid stability and resiliency. IEEE Transactions on Automatic Control, 62(3), 1165-1177.‏

DOI:10.1109/TAC.2016.2579743

1. Teasdale, J. D., Segal, Z., Williams, J. M. (1995). How does cognitive therapy prevent depressive relapseand why should attentional control (mindfulness) training help? Behavior Research and Therapy, 33(4), 25–39.

https://doi.org/10.1016/0005-7967(94)E0011-7

1. Anheyer, D., Leach, M. J., Klose, P., Dobos, G., & Cramer, H. (2019). Mindfulness-based stress reduction for treating chronic headache: A systematic review and meta-analysis. Cephalalgia, 39(4), 544-555.

‏https://doi.org/10.1177/0333102418781795

1. Kabat-Zinn, J. (1990). Full Catastrophe Living: Using the Wisdom of your Body and Mindto Face Stress, Pain and Illness. New York: Delacort.

https://Kabat-Zinn%2C+J.+(1990).com/scholar?hl=fa& as_sdt

1. James, K., & Rimes, K. A. (2018). Mindfulness-based cognitive therapy versus pure cognitive behavioural self-help for perfectionism: a pilot randomised study. Mindfulness, 9(3), 801-814.‏

https://doi.org/10.1007/s12671-017-0817-8

1. Paterson, L. Q., Handy, A. B., & Brotto, L. A. (2017). A pilot study of eight-session mindfulness-based cognitive therapy adapted for women’s sexual interest/arousal disorder. The Journal of Sex Research, 54(7), 850-861.

‏https://doi.org/10.1080/00224499.2016.1208800

1. Giannandrea, A., Simione, L., Pescatori, B., Ferrell, K., Belardinelli, M. O., Hickman, S. D., & Raffone, A. (2019). Effects of the Mindfulness-Based Stress Reduction Program on Mind Wandering and Dispositional Mindfulness Facets. Mindfulness, 10(1), 185-195.‏

https://doi.org/10.1007/s12671-018-1070-5

1. Cherkin, D. C., Sherman, K. J., Balderson, B. H., Cook, A. J., Anderson, M. L., Hawkes, R. J., ... & Turner, J. A. (2016). Effect of mindfulness-based stress reduction vs cognitive behavioral therapy or usual care on back pain and functional limitations in adults with chronic low back pain: a randomized clinical trial. Jama, 315(12), 1240-1249.‏

doi:10.1001/jama.2016.2323

1. Raki, S., Naderi, F. (2019). Effectiveness Of Mind-Fullness Based Cognitive Therapy On Emotional Cognitive Regulation, Resiliency And Competitive Anxiety In Female Athletes. IJPN, 6 (6) :18-26.

http://ijpn.ir/article-1-1162-fa.html

1. Kukihara, H., Yamawaki, N., Ando, M., Nishio, M., Koga, K., Kimura, H., & Matsuda, T. (2020). Effects of Exercise and Mindfulness-Based Yoga Programs on Promotion of Resilience and Mental Health of Older Adults in Japan: A Randomized Controlled Trial. Psychology, 11(2), 285-298.

‏DOI: 10.4236/psych.2020.112018

1. Nissen, E. R., O'Connor, M., Kaldo, V., Højris, I., Borre, M., Zachariae, R., & Mehlsen, M. (2020). Internet‐delivered mindfulness‐based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial. Psycho‐Oncology, 29(1), 68-75.

‏https://doi.org/10.1002/pon.5237

1. Cotton, S., Kraemer, K. M., Sears, R. W., Strawn, J. R., Wasson, R. S., McCune, N., ... & Delbello, M. P. (2020). Mindfulness‐based cognitive therapy for children andadolescents with anxiety disorders at‐risk for bipolar disorder: A psychoeducation waitlist controlled pilot trial. Early Intervention in Psychiatry, 14(2), 211-219

.https://doi.org/10.1111/eip.12848

1. Vidic, Z., & Cherup, N. (2019). Mindfulness in Classroom: Effect of a Mindfulness-based Relaxation Class on College Students' Stress, Resilience, Self-Efficacy and Perfectionism. College Student Journal, 53(1), 130-144.‏

https://www.ingentaconnect.com/content/prin/csj

1. Saberinia, A., Aflatoniyan, E., Jannat, F., & Aminizadeh, M. (2019). The Effect of Mindfulness-Based Cognitive Therapy on Anxiety of Pre-Hospital Emergency Staff. Archives of Rehabilitation, 20(4), 340-349.

‏http://dx.doi.org/10.32598/rj.20.4.340

1. Golshani, G., & Pirnia, B. (2019). Comparison of Mindfulness-Based Cognitive Therapy (MBCT) with Acceptance and Commitment Therapy (ACT) On the Severity of Fatigue, Improvement of Sleep Quality and Resilience in a Patient with Prostate Cancer: A Single-Case Experimental Study. International Journal of Cancer Management, 12(2).‏

doi: 10.5812/ijcm.88416.

1. Azad, E., & Ahmadi, T. (2019). Effect of mindfulness-based training on quality of life and resilience of chemical warfare disabled veterans in Sardasht, Iran. Neuropsychiatria i Neuropsychologia, 14(3-4), 49.‏

DOI: https://doi.org/10.5114/nan.2019.89786

1. Vowles, K. E., Sowden, G., Hickman, J., & Ashworth, J. (2019). An analysis of within-treatment change trajectories in valued activity in relation to treatment outcomes following interdisciplinary Acceptance and Commitment Therapy for adults with chronic pain. Behaviour research and therapy, 115, 46-54.

https://doi.org/10.1016/j.brat.2018.10.012

1. Norton, A. R., Abbott, M. J., Norberg, M. M., & Hunt, C. (2015). A systematic review of mindfulness and acceptance‐based treatments for social anxiety disorder. Journal of clinical psychology, 71(4), 283-301.

https://doi.org/10.1002/jclp.22144

1. Hacker, T., Stone, P., & MacBeth, A. (2016). Acceptance and commitment therapy–do we know enough? Cumulative and sequential meta-analyses of randomized controlled trials. Journal of affective disorders, 190, 551-565.

https://doi.org/10.1016/j.jad.2015.10.053

1. Glassman, L. H., Forman, E. M., Herbert, J. D., Bradley, L. E., Foster, E. E., Izzetoglu, M., & Ruocco, A. C. (2016). The effects of a brief acceptance-based behavioral treatment versus traditional cognitive-behavioral treatment for public speaking anxiety: an exploratory trial examining differential effects on performance and neurophysiology. Behavior modification, 40(5), 748-776.

https://doi.org/10.1177/0145445516629939

1. Villatte, J. L., Vilardaga, R., Villatte, M., Vilardaga, J. C. P., Atkins, D. C., & Hayes, S. C. (2016). Acceptance and Commitment Therapy modules: Differential impact on treatment processes and outcomes. Behaviour Research and Therapy, 77, 52-61.

https://doi.org/10.1016/j.brat.2015.12.001

1. Nikoogoftar, M., Sangani, A. (2019). Comparing the effectiveness of acceptance and commitment therapy (ACT) and Imago therapy on resilience in women with marital problems. Clinical Psychology Studies, 9(34), 227-246.https://doi.org/10.22054/jcps.2019.39031.2068


2. Jolodari, S., Sodagar, Sh., & Bahrami Hidji, M. (2019). The effectiveness of Acceptance and Commitment Therapy (ACT) on psychological flexibility and cognitive emotion regulation in women with breast cancer. Quarterly of Applied Psychology, 13(4),  527-548.

https://www.sid.ir/en/journal/ViewPaper.aspx? ID=709129

1. Yu, L., Scott, W., & McCracken, L. M. (2020). Change in fatigue in acceptance and commitment therapy‐based treatment for chronic pain and its association with enhanced psychological flexibility. European Journal of Pain, 24(1), 234-247.

‏https://doi.org/10.1016/j.brat.2015.12.001

1. Farahi, S., & Khalatbari, J. (2020). Effectiveness of Acceptance and Commitment Therapy on the Life Expectancy, Resilience and Death Anxiety in Women with Cancer. International Journal of Applied Behavioral Sciences, 6(3), 9-19.‏

https://doi.org/10.22037/ijabs.v6i3.21470

1. Rostami, R., & Dasht Bozorgi, Z. (2019). Effectiveness of Acceptance and Commitment Therapy on Resiliency and Alexithymia of Somatic Symptoms. Practice in Clinical Psychology, 7(2), 87-94.‏

https://www.sid.ir/en/journal/ViewPaper.aspx?ID=667132

1. Torabian, S., Sabet, V. H., & Meschi, F. (2019). The Effectiveness of Acceptance and Commitment Therapy on Anxiety, Depression, and Stress in Patients with Spinal Cord Injuries. International Clinical Neuroscience Journal, 6(2), 46-52.‏

https://journals.sbmu.ac.ir/Neuroscience/article/view/24533

1. Mohamadi, K. A., Mirzaian, B., & Dousti, Y. A. (2019). Effectiveness of acceptance and commitment therapy on the quality of life and resiliency in cardiac surgery patients. Tabari Biomedical Student Research Journal, 1(2), 9-15.‏

doi: 10.15403/jgld.2014.1121.253.ibs.

1. Zarinfar, E., Balooti, A., & Mirzavandi, J. (2019). Effect of Training based on Acceptance and Commitment on Flexibility, Perceived Stress and Resilience of Female Employees of Hospital. Iranian Journal of Rehabilitation Research, 5(4), 26-33.

‏http://ijrn.ir/article-1-429-en.html

1. Hassani, F., Emamipour, S., & Mirzaei, H. (2018). Effect of Acceptance and Commitment Group Therapy on Quality of Life and Resilience of Women With Breast Cancer. Archives of Breast Cancer, 111-117.‏

https://doi.org/10.19187/abc.201853111-117

1. Bolandnazar, K. (2001). Normalization SPAI test in students [Dissertation].Mashhad: Ferdowsi university College of psychology, 129-50. https://www.google.com/search?q=40.%09Bolandnazar%2C+K.+(2001).


2. Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety, 18(2), 76-82.

‏https://doi.org/10.1002/da.10113

1. Mohammadi, M. (2005). Investigating the factors affecting resilience in people at risk of substance abuse.  PhD Thesis.  University of Rehabilitation Sciences and Social Welfare.


2. Khastari, S., & Asgari, P. (2019). Relationship between Emotional Regulation, Resiliency and Self-Efficacy with Emotional Creativity of Painting Artists in Ahwaz. Salamat Ijtimai (Community Health), 6(2), 156-149.

https://www.sid.ir/en/journal/ViewPaper.aspx?ID=803282

Hayes SC, Levin ME, Plumb-Vilardaga J, Villatte JL, Pistorello J. (2013). Acceptanceand commitment therapy and contextual behavioral science:examining the progress of a