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  • Comparing the Effectiveness of Mindfulness-Based Cognitive Therapy and Recovery-Focused Cognitive Behavioral Therapy on Anxiety, Difficulties in Emotion Regulation, and Quality of Life in Patients with Bipolar Disorder

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آدرس مقاله


کد مقاله : JRHC-1808-1116 بازدید : 28 صفحه: 24 - 35

نوع مقاله: پژوهشی

Comparing the Effectiveness of Mindfulness-Based Cognitive Therapy and Recovery-Focused Cognitive Behavioral Therapy on Anxiety, Difficulties in Emotion Regulation, and Quality of Life in Patients with Bipolar Disorder

محورهای موضوعی : Report of Health Care

Hajar Hassani Ardekani 1 (Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran)
Hojjatollah Javidi 2 (Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran)
Amir Hoshang Mehryar 3 (Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran)
Seyed Ebrahim Hosseni 4 (Department of Biology, Shiraz Branch, Islamic Azad University, Shiraz, Iran)

تاریخ دریافت : 1397/06/06 تاریخ پذیرش : 1397/06/09 تاریخ انتشار : 1397/06/10

کلید واژه: anxiety, mindfulness, emotion, Bipolar Disorder,

چکیده مقاله :

Introduction: Bipolar disorder (BD) is a chronic psychiatric disorder that accompanies anxiety, difficulties in emotion regulation (DER), and low quality of life. The aim of this study was to compare the effectiveness of mindfulness-based cognitive therapy (MBCT) and recovery-focused cognitive behavioral therapy (RfCBT) on anxiety, difficulties in emotion regulation, and quality of life in patients with BD. Methods: This study was a quasi-experimental research conducted in the form of pretest-posttest with control group. Forty five volunteer BD patients for participation in this study were included randomly in two experimental groups and one control group. The first experimental group (n=12: females=4, males=8) received the MBCT and the second experimental group (n=12: females=4, males=8) received the RfCBT, and the control group (n=12: females=5, males=7) received no intervention and was placed in the waiting list. Participants completed the Beck Anxiety Inventory (BAI), the Difficulties in Emotion Regulation Scale (DERS), and the World Health Organization Quality of Life (WHOQOL-BREF) in pre-test and post-test. Data were analyzed using covariance analysis by SPSS-22. P0.05). Conclusion: The findings suggested that both MBCT and RfCBT interventions were effective on reduction of anxiety and DER as well as increasing quality of life.

چکیده انگلیسی:

منابع و مأخذ:


  1. Akiskal SH. Mood disorders. In: Sadock BJ, Sadock VA, Ruiz P. (editors). Kaplan and Sadock’s comprehensive textbook of psychiatry. 9th ed. Philadelphia: Lippincott Williams and Wilkins; 2009.
    2.
  2. Goodwin FK, Fireman B, Simon GE, Hunkeler EM, Lee J, Revicki D. Suicide risk in bipolar disorder during treatment with lithium and divalproex. Jama. 2003; 290 (11): 1467- 1473.
    3.
  3. Bauer M, Pfennig A. Epidemiology of bipolar disorders. Epilepsia. 2005; 46: 8- 13.
    4.
  4. Kim SW, Berk L, Kulkarni J, Dodd S, De Castella A, Fitzgerald PB, et al. Impact of comorbid anxiety disorders and obsessive–compulsive disorder on 24-month clinical outcomes of bipolar I disorder. J Affect Disord. 2014; 166: 243- 248.
    5.
  5. Corry J, Green M, Roberts G, Frankland A, Wright A, Lau P, et al. Anxiety, stress and perfectionism in bipolar disorder. J Affect Disord. 2013; 151: 1016- 1024.
    6.
  6. Hassani J, ArianaKia E. Cognitive emotion regulation strategies, anxiety and impulsivity in bipolar disorder with and without comorbid obsessive- compulsive disorder. Ir J Psychiat Clin Psychol. 2016; 22 (1): 39- 49.
    7.
  7. Taylor CT, Hirshfeld- Becker DR, Ostacher MJ, Chow CW, LeBeau RT, Pollack MH, et al. Anxiety is associated with impulsivity in bipolar disorder. J Anxiety Disord. 2008; 22: 868- 876.
    8.
  8. Gross JJ, Richards JM, John OP. Emotion regulation in everyday life. In: Snyder, D.K., Simpson, J.A., Hughes, J.N. (Eds.), Emotion regulation in families: pathways to dysfunction and health. American Psychological Association, Washington DC; 2006.
    9.
  9. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess. 2004; 26 (1): 41- 54.
    10.
  10. Johnson SL, Gruber J, Eisner L. Emotion and bipolar disorder. In: Emotion and psychopathology: Bridging affective and clinical science. Washington, DC US: American Psychological Association; 2007.
    11.
  11. Phillips ML, Vieta E. Identifying functional neuroimaging markers of bipolar disorder: Towards DSM-V. Schizophr Bull. 2007; 33: 893- 904.
    12.
  12. Johnson SL. Mania and dysregulation in goal pursuit: A review. Clin Psychol Rev. 2005; 25: 241- 262.
    13.
  13. Ehring T, Fischer S, Schnulle J, Bosterling A, Tuschen-Caffier B. Characteristics of emotion regulation in recovered depressed versus never depressed individuals. Pers Individ Differ. 2008; 44: 1574- 1584.
    14.
  14. Arianakia E, Hasani J. Impulsivity and cognitive emotion regulation strategies in patients with bipolar- and major depressive disorders. Adv Cogn Sci. 2014; 16 (2): 1- 10.
    15.
  15. Whoqol Group. The world health organization quality of life assessment (WHOQOL): position paper from the world health organization. Soc Sci Med. 1995; 41 (10): 1403- 1409.
    16.
  16. Michalak EE, Yatham LN, Lam RW. Quality of life in bipolar disorder: a review of the literature. Health Qual life Outcome. 2005; 3: 72.
    17.
  17. Yen C-F, Cheng C-P, Huang C-F, Yen J-Y, Ko CH, Chen C-S. Quality of life and its association with insight, adverse effects of medication and use of atypical antipsychotics in patients with bipolar disorder and schizophrenia in remission. Bipolar Disord. 2008; 10 (5): 617- 624.
    18.
  18. Michalak EE, Yatham LN, Wan DDC, Lam RW. Perceived quality of life in patients with bipolar disorder. Does group psychoeducation have an impact?. Can J Psychiat. 2005; 50 (2): 95- 100.
    19.
  19. Özer S, Uluşahin A, Batur S, Kabakçi E, Saka MC. Outcome measures of interepisode bipolar patients in a Turkish sample. Soc Psychiatry Psychiat Epid. 2002; 37 (1): 31- 37.
    20.
  20. Baghbanian A, Bagheriyan R, Barkateyn M. Combining psychological interventions and drug therapy in the treatment of bipolar disorder. Ir J Psychiat Clin Psychol. 2010; 3 (62): 278- 279.
    21.
  21. Williams JM, Alatiq Y, Crane C, Barnhofer T, Fennell MJ, Duggan DS, et al. Mindfulness-based cognitive therapy (MBCT) in bipolar disorder: Preliminary evaluation of immediate effects on between-episode functioning. J Affect Disord. 2008; 107 (1-3): 275- 279.
    22.
  22. Segal Z, Williams J, Teasdale J. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press; 2002.
    23.
  23. Kabat-Zinn, J. Wherever you go, there you are: Mindfulness meditation in everyday life. NewYork: Hyperion; 1994.
    24.
  24. Crane R. Mindfulness- based cognitive therapy: distinctive features. London and New York: Routledge Taylor & Francis Group; 2009.
    25.
  25. Mirabel-Sarron C, SiobudDorocant E, Sala L, Bachelart M, Guelfi JD, Rouillon F. Mindfulness based cognitive therapy (MBCT): A pilot study in bipolar patients. Annal Med Psychol. 2010; 167 (9): 686- 692.
    26.
  26. Miklowitz DJ, Alatiq Y, Goodwin GM, Geddes JR, Fennell MJ, Dimidjian S, et al. A pilot study of mindfulness-based cognitive therapy for bipolar disorder. Int J Cogn Ther. 2009; 2 (4): 373- 382.
    27.
  27. Talebizadeh M, Shamir Jafarifard S. The effectiveness of mindfulness-based cognitive therapy on reducing the symptoms of depression and mania in patients with bipolar disorder. Thought Behav Clin Psychol. 2011; 7 (26): 17- 26.
    28.
  28. Hashemi M. The effectiveness of integrated mindfulness with cognitive- behavior therapy on the recovery and prevention of relapse in patients with bipolar disorder. Master's thesis, psychology, payam noor university, tehran university, 2014.
    29.
  29. Ives-Deliperi VL, Howells F, Stein DJ, Meintjes EM, Horn N. The effects of mindfulness-based cognitive therapy in patients with bipolar disorder: a controlled functional MRI investigation. J Affect Disord. 2013; 150 (3): 1152- 1157.
    30.
  30. Perich T, Manicavasagar V, Mitchell PB, Ball JR, Hadzi‐Pavlovic D. A randomized controlled trial of mindfulness‐based cognitive therapy for bipolar disorder. Act Psychiat Scand. 2013; 127 (5): 333- 343.
    31.
  31. MehriNejad SA, Saatchi L. Impact of imndfulness-based cognitive therapy on depression, anger and emotion regulation of veterans’ spouses. Quart Ir J War Pub Health. 2016; 8 (3): 141- 114.
    32.
  32. 32.              Asghari F, Ghasemi J, HosseyniSedigh M, Jame’i M. Effectiveness of mindfulness training on emotion regulation and quality of life of addict’s wife. Counsel Cult Psychother. 2016; 7 (26): 115- 132.

  33. Jones S, Mulligan LD, Law H, Dunn G, Welford M, Smith G, et al. A randomized controlled trial of recovery focused CBT for individuals with early bipolar disorder. BMC Psychiat. 2012; 12 (1): 204.
    34.
  34. Jones SH, Smith G, Mulligan LD, Lobban F, Law H, Dunn G, et al. Recovery-focused cognitive- behavioral therapy for recent-onset bipolar disorder: randomized controlled pilot trial. Brit J Psychiat. 2015; 206 (1): 58- 66.
    35.
  35. Tyler E, Jones S. Bipolar disorders. In: Tarrier N, Johnson J, eds. Case formulation in cognitive behaviour therapy. 2 nd edn. Hove: Routledge, 2015.
    36.
  36. Miklowitz DJ, Goodwin GM, Bauer MS, Geddes JR. Common and specific elements of psychosocial treatments for bipolar disorder: a survey of clinicians participating in randomized trials. J Psychiat Pract. 2008; 14 (2): 77.
    37.
  37. Jones SH, Burrell‐Hodgson G. Cognitive behavioural treatment of first diagnosis bipolar disorder. Clin Psychol Psychother Internat J Theor Pract. 2008; 15 (6): 367- 377.
    38.
  38. Murray G, Leitan ND, Berk M, Thomas N, Michalak E, Berk L, et al. Online mindfulness-based intervention for late-stage bipolar disorder: pilot evidence for feasibility and effectiveness. J Affect Disord. 2015; 178: 46- 51.
    39.
  39. Beck AK, Baker A, Jones S, Lobban F, Kay-Lambkin F, Attia J, et al. Exploring the feasibility and acceptability of a recovery-focused group therapy intervention for adults with bipolar disorder: trial protocol. BMJ Open. 2018; 8 (1): e019203.
    40.
  40. Tyler E, Lobban F, Sutton C, Depp C, Johnson S, Laidlaw K, et al. Feasibility randomized controlled trial of Recovery-focused Cognitive Behavioral Therapy for Older Adults with bipolar disorder (RfCBT-OA): study protocol. BMJ Open. 2016; 6 (3): e010590.
    41.
  41. Deckersbach T, Hölzel BK, Eisner LR, Sara WL, Andrew A. Nierenberg, MD. Mindfulness- based cognitive therapy for bipolar disorder. Guilford Press, 2014.
    42.
  42. Basco MR, Rush AH. Cognitive- behavioral therapy for bipolar disorder. New York & Oxford; Guilford Press, 2005.
    43.
  43. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988; 56 (6): 893- 897.
    44.
  44. Liang Y, Wang L, Zhu J. Factor structure and psychometric properties of chinese version of beck anxiety inventory in chinese doctors. J Health Psychol. 2016; 1: 1- 10.
    45.
  45. Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric properties of a Persian‐language version of the Beck Depression Inventory‐Second edition: BDI‐II‐PERSIAN. Depress Anxiety J. 2005; 21 (4): 185- 192.
    46.
  46. Mazaheri M. Psychometric properties of the persian version of the difficulties in emotion regulation scale (DERS-6 & DERS-5-Revised) in an Iranian clinical sample. Ir J Psychiat. 2015; 10 (2): 115- 122.
    47.
  47. Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh S. Standardization of the WHO quality of life questionnaire (WHOQOL-BREF): translation and (WHOQOL-BREF) psychometric of iranian specie. Sci J School Pub Health. 2006; 4 (4): 1- 12.
    48.
  48. Esmailiyan N, Tahmasbiyan K, Dehghani M, Motabi F. The effectiveness of mindfulness-based cognitive therapy on emotion regulation, conscious attention and acceptance in divorce Children. J Clin Psychol Achieve. 2015; 1 (2): 45- 66.
    49.
  49. Norouzi H, Hashemi E. The efficacy of mindfulness-based cognitive therapy (MBCT) on emotion regulation among patients with breast cancer. Ir Quart J Breast Dis. 2017; 10 (2): 38- 48.
    50.
  50. Carlson LE, Speca M, Patel KD,Goodey E. Mindfulness- based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosom Med. 2003; 65 (4): 571- 581.
    51.
  51. Jannati S, FaridehHasani F, Kashani A, Seyfi H. The effectiveness of cognitive-behavioral group therapy on depression, anxiety and self-esteem in patients with type 1 bipolar disorder. J Fundament of Ment Health. 2016; 19 (2): 113- 118.
    52.
  52. Harnett PH, Dawe S. The contribution of mindfulness-based therapies for children and families and proposed conceptual integration. Child Adol Ment Health. 2012; 17 (4): 195- 208.
    53.
  53. Robins CJ, Keng SL, Ekblad AG, Brantley JG. Effects of mindfulness-based stress reduction on emotional experience and expression: a randomized controlled trial. J Clin Psychol. 2012; 68 (1): 117- 131.
    54.
  54. Grossman P, Niemann L, Schmidt S, Walach H. Mindfulness- based stress reduction and health benefits: A meta-analysis. J Psychosom Res. 2004; 57 (1): 35- 43.
    55.
  55. Roemer L, Williston SK, Rollins LG. Mindfulness and emotion regulation. Curr Opin Psychol. 2015; 3: 52- 57.
    56.
  56. Schirda B, Nicholas JA, Prakash RS. Examining trait mindfulness, emotion dysregulation, and quality of life in multiple sclerosis. Health Psychol. 2015; 34 (11): 1107- 1115.
    57.
  57. Hassanpour A, Azari E. Quality of life and related factors in cancer patients. Abstract book of national congress of care in special diseases. Ahvaz: Ahvaz university of medical sciences, 2006.
    58.

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