The Effectiveness of Mindfulness-Based Cognitive Therapy in Improving Adaptive Behaviors, Quality of Life, and Self-Efficiency of Students with Mild Depression

Document Type: Original Article

Authors

1 Islamic Azad University, Varamin Branch, Tehran, Iran.

2 Islamic Azad University, Varamin Branch

3 Department of Clinical Psychology, AJA University of Medical Sciences, Tehran, Iran

10.30491/ijbs.2020.104085

Abstract

Abstract

Introduction: The purpose of this paper was to determine the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) on improving adaptive behaviors, quality of life, and the self-efficiency of students with mild depression.
Method: This clinical trial study included two experimental and control groups, with pre-test and post-test. Thirty students who lived in Tehran were studied in 2018 and were randomly divided into two groups including experimental and control groups (n=15 person per group). The World Health Organization Quality of Life (WHO-QOL-BREF), Beck Depression, Scherer’s Self-efficiency, and Vineland Adaptive Behavior questionnaires were used to collect information in this study. The participants of the experimental group received MBCT sessions and the control group received no interventions. The pre-test and post-test were conducted in both groups. Data was analyzed by using SPSS 22 software.
Results: The results showed that 24.2%, 50.2%, and 55.6% of personal differences according to an impact factor in the post-test scores of adaptive behaviors, quality of life, and the self-efficiency of students with mild depression was related to the effects of MBCT and significance levels were higher than 0.05. (p<0.05)
Conclusion: According to the findings of the present study it can be concluded that MBCT is effective in improving the adaptive behaviors, quality of life and self-efficiency of students with mild depression.

Keywords


References
  1. Segal ZV, Teasdale J. Mindfulness-based cognitive therapy for depression: Guilford Publications; 2018.
  2. Teasdale JD, Moore RG, Hayhurst H, Pope M, Williams S, Segal ZV. Metacognitive awareness and prevention of relapse in depression: empirical evidence. J Consult Clin Psychol. 2002;70(2):275.
  3. Teasdale JD, Segal ZV, Williams JMG, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol. 2000;68(4):615.
  4. Williams JMG. Mindfulness, depression and modes of mind. Cognit Ther Res. 2008;32(6):721.
  5. Luckasson R, Borthwick-Duffy S, Buntinx WH, Coulter DL, Craig EMP, Reeve A, et al. Mental retardation: Definition, classification, and systems of supports: American Association on Mental Retardation; 2002.
  6. Okimoto AM, Bundy A, Hanzlik J. Playfulness in children with and without disability: Measurement and intervention. Am J Occup Ther. 2000;54(1):73-82.
  7. Baldwin S, Godfrey C, Propper C. Quality of life: Perspectives and policies: Routledge; 2002.
  8. Zhan L. Quality of life: conceptual and measurement issues. J Adv Nurs. 1992;17(7):795-800.
  9. Bandura A, Schunk DH. Cultivating competence, self-efficacy, and intrinsic interest through proximal self-motivation. J Pers Soc Psychol. 1981;41(3):586.
  10. Ludvik D, Boschen MJ, Neumann DL. Effective behavioural strategies for reducing disgust in contamination-related OCD: A review. Clin Psychol Rev. 2015;42:116-29.
  11. Goldin PR, Manber T, Hakimi S, Canli T, Gross JJ. Neural bases of social anxiety disorder: emotional reactivity and cognitive regulation during social and physical threat. Arch Gen Psychiat. 2009;66(2):170-80.
  12. Dear BF, Zou JB, Ali S, Lorian CN, Johnston L, Sheehan J, et al. Clinical and cost-effectiveness of therapist-guided internet-delivered cognitive behavior therapy for older adults with symptoms of anxiety: a randomized controlled trial. Behav Ther. 2015;46(2):206-17.
  13. Ames CS, Richardson J, Payne S, Smith P, Leigh E. Mindfulness‐based cognitive therapy for depression in adolescents. Child Adolesc Ment Health. 2014;19(1):74-8.
  14. Xu W, An Y, Ding X, Yuan G, Zhuang Y, Goh PH. Dispositional mindfulness, negative posttraumatic beliefs, and academic burnout among adolescents following the 2016 Yancheng Tornado. Pers Indiv Differ. 2017;116:405-9.
  15. Baer RA. Mindfulness training as a clinical intervention: A conceptual and empirical review. Clin Psychol Sci Pract. 2003;10(2):125-43.
  16. Brown KW, Ryan RM, Creswell JD. Addressing fundamental questions about mindfulness. Psychol Inq. 2007;18(4):272-81.
  17. Grant S, Colaiaco B, Motala A, Shanman R, Booth M, Sorbero M, et al. Mindfulness-based relapse prevention for substance use disorders: A systematic review and meta-analysis. J Addict Med. 2017;11(5):386.
  18. Kuyken W, Watkins E, Holden E, White K, Taylor RS, Byford S, et al. How does mindfulness-based cognitive therapy work? Behav Res Ther. 2010;48(11):1105-12.
  19. Grow JC, Collins SE, Harrop EN, Marlatt GA. Enactment of home practice following mindfulness-based relapse prevention and its association with substance-use outcomes. Addict Behav. 2015 Jan 1;40:16-20.
  20. Glasner S, Mooney LJ, Ang A, Garneau HC, Hartwell E, Brecht M-L, et al. Mindfulness-based relapse prevention for stimulant dependent adults: a pilot randomized clinical trial. Mindfulness. 2017;8(1):126-35.
  21. Gumport NB, Williams JJ, Harvey AG. Learning cognitive behavior therapy.  J Behav Ther Exp Psychiatry. 2015;48:164-9.
  22. Aspis I, Feingold D, Weiser M, Rehm J, Shoval G, Lev-Ran S. Cannabis use and mental health-related quality of life among individuals with depressive disorders. Psychiatry Res. 2015;230(2):341-9.
  23. Abdinia M. Relationship of self-efficacy, goal orientation, self-learning, academic achievement. Tehran University; 1998.
  24. Jahanian R, Mahjoubi S. A Study on the rate of self-efficacy's effect of university students' academic achievement. Middle East J Sci Res. 2013;15(7):1021-7.
  25. Kaviani H, Hatami N, Shafiabad A. Cognitive effects on the mind the quality of life in depressed patients. J Cogn Sci Event. 2009;10(4):39-48.
  26. Haqi AK, Salimi SH, Dabaqi P, Rabiei M. The Effectiveness of Mindfulness Based Cognitive Therapy on Quality of Life in Military Personnel.  J Nurse Physician War. 2014;2(3):64-71.
  27. Madani Y, Hojati S. The effect of mindfulness based cognitive therapy on marital satisfaction and quality of life in couples. Q Psychol Appl Res. 2015;2(6):39-60.
  28. Forkmann T, Scherer A, Böcker M, Pawelzik M, Gauggel S, Glaesmer H. The relation of cognitive reappraisal and expressive suppression to suicidal ideation and suicidal desire. Suicide Life Threat Behav. 2014 Oct;44(5):524-36.
  29. Kakavand A. Child Disorder Psychology. Tehran: Virayesh Press; 2006.
  30. Nasiri H. Survey the quality of life in Shiraz university students predicate of world health organization quality of life scale. InThird National Seminar of Students Mental Health. Tehran 2006.
  31. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychol Rep. 1982;51(2):663-71.
  32. Dinh-Williams L-AL. Reward Processing Following Mindfulness-Based Cognitive Therapy and Cognitive-Behavioral Therapy for Wellbeing: University of Toronto (Canada); 2016.
  33. Vahedi, N. The effectiveness of mindfulness-based cognitive therapy to improve the welfare of blind people [M.A thesis]. Tehran Iran: University of welfare and rehabilitation science; 2014.
  34. Pour EG, Azizi A, Mohamadi J. The Efficacy of Detached Mindfulness in Meta-Cognitive Therapy on Postpartum Depression. J Nurs Edu. 2016;5(5):17-22.
  35. Bakhtiar A, Abedi A. Effectiveness of group therapy and mindfulness based cognitive model of separation of postpartum depression. J Appl Psychol. 2013;2(22):9-24.
  36. Azargoon H, Kajbaf MB, Molavi H, Abedi MR. The Effect of Mindfulness Training on Mental Rumination and Depression of the Students of Isfahan University. J Clin Psychol Personality. 2009;1(34):13-20.
  37. Javedani M, Aerabsheybani H, Ramezani N, Aerabsheybani K. The Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in increasing infertile couples’ resilience and reducing anxiety, stress, and depression. NeuroQuantology. 2017;15(3).
  38. Nekooiy T. Investigate the relationships of creativity, motivational beliefs, and self-regulated learning strategies with the third-grade boy students’ academic achievement in theoretical groups [M.A thesis]. Semnan Iran: University of Semnan; 1988.