Comparison the Effectiveness of Mindfulness- Based Cognitive Group Therapy and Cognitive Behavioral Group Therapy on reducing guilt sense, suicidal thoughts and Hopelessness in patients with Major Depressive Disorder

Document Type : Research Paper

Authors

• Maryam Sadat Saeidian ¹
• Hossein Baghooli ²

¹ Master of clinical psychology Department of Psychology, Islamic Azad University, Marvdasht branch, Marvdasht, Iran.

² Assistant Professor, Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran.

10.30495/jpmm.2022.28494.3455

Abstract

Introduction: The aim of study was to compare the effectiveness of mindfulness-based cognitive group therapy and cognitive behavioral group therapy on reducing severity of guilt sense, suicidal thoughts and hopelessness in major depression patients. Method: This is an experimental study with pre-test and post-test and follow up with experimental and control groups. The study population consisted of all patients with MDD in Shiraz. Participants were (n=60) patients with MDD. They were selected by targeted sampling and randomly assigned to MBCT (n=20), CBT (n=20), and control group (n=20). Measurement: Zung Williams’s inventory, Beck-II depression inventory, Beck suicide scale, Beck hopelessness scale, Mosher guilt sense scale. Results: MBCT is more effective for suicidal thoughts and guilt feeling components. MBCT and CBT interventions have the same significance level in the case of hopelessness. Conclusion: MBCT could be main therapy in reducing severity of hopelessness, guit sense and suicidal thoughts in paitents with MDD.
Keywords: comparing effectiveness, mindfulness-based cognitive therapy, cognitive behavioral therapy

Keywords

• comparing effectiveness
• mindfulness-based cognitive therapy
• cognitive behavioral therapy

20.1001.1.22285516.1401.13.49.10.4

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References

Refrence
1. Leahy R, Holland SJ, McGinn LK. Treatment plans and interventions for depression and anxiety disorders. Guilford press. 2011.
2. Stoffer ES. The effect of discussion and self focushng on interpersonal problem solving amongdysphoric and nondysphoric individuals. PhD Thesis, University of Galgary, Canada. 2000.
3. Hawton KE, Salkovskis PM, Kirk JE, Clark DM. Cognitive behaviour therapy for psychiatric problems: A practical guide. Oxford University Press. 1989.
4. Mousavi A, Pourhosein R, Zare-Moghaddam A, Rezaei R, Hasani Estalkhi F, Mirbluk bozorgi A. Mindfulness-based
cognitive therapy (MBCT). Rooyesh-e-Ravanshenasi, 2020, 9(4); 134
5. Folkman S. Stress, coping, and hope. In Psychological aspects of cancer 2013, pp. 119-127. Springer, Boston, MA.
6. Niedenthal PM, Tangney JP, Gavanski I. "If only I weren't" versus" If only I hadn't": Distinguishing shame and guilt in conterfactual thinking. Journal of personality and social psychology, 1994, 67(4), 585. doi: 10.1037//0022-3514.67.4.585.
7. Nolen-Hoeksema S, Wisco BE, Lyubomirsky S. Rethinking rumination. Perspectives on psychological science, 2008, 3(5), 400-424.
8. Khodabakhash R, Khosravi ZOHREH, Shahangian S. Effect of positive psychotherapy in depression symptoms and character strengths in cancer affected patients. Positive psychology research, 2015, 1(1), 35-50.
9. Vahedi SH, Fathabadi J, Akbari S. A mediated model of emotional and social feeling of loneliness, spiritual well-being, social distancing and depression in female university students. 2011.
10. Hamidi R, Fekrizadeh Z, Azadbakht M, Garmaroudi G, Taheri Tanjani P, Fathizadeh S, Ghisvandi E. Validity and reliability Beck depression inventory-II among the Iranian elderly population. Journal of Sabzevar University of Medical Sciences, 2015, 22(1), 189-198.
11. Gharaei B, Mehryar M, Mehrabi F. Attribution style in patients with anxiety and depression comorbidity. IJPCP, 2000, 5(4), 37-43.
12. Starks SH, Hughey AW. African American women at midlife: The relationship between spirituality and life satisfaction. Affilia, 2003, 18(2), 133-147.
13. Anisi J, Fathi Ashtiani A, Salimi H, Ahmadi Nodeh Kh. Assessing the validity of the Beck Suicide Thought Scale in soldiers. Journal of Military Medicine, 2005, 1(7), 33-37.
14. Moharami J, Sobhigharmaleki N, Abolqassemi A. Evaluation of the effectiveness of cognitive-behavioral therapy on frustration and dissatisfaction in depressed students. Farhang Azad Islamic University, 2015, 6(3), 443-459
15. Joormann J, Gotlib IH. Selective attention to emotional faces following recovery from depression. Journal of abnormal psychology, 2007, 116(1), 80-85.
16. Pratt D, Piper M, Appleby L, Webb R, Shaw J. Suicide in recently released prisoners: a population-based cohort study. The Lancet, 2006, 368(9530), 119-123.
17. Mahmoudi H, Ghaderi S. Effectiveness of Acceptance and Commitment Group Therapy in reducing depression, stress, and anxiety among ex-addicts in Tabriz central prison. Scientific Quarterly of Addiction Research, 2017, 11(43),195-215.
18. Mosher DL. Interaction of fear and guilt in inhibiting unacceptable behavior. Journal of Consulting Psychology, 1965, 29(2), 161-167. doi:10.1037/h0021748
19. Volgsten H, Svanberg AS, Ekselius L, Lundkvist Ö, Poromaa IS. Risk factors for
psychiatric disorders in infertile women and men undergoing in vitro fertilization treatment. Fertility and Sterility, 2010, 93(4), 1088-1096.
20. Nolen-Hoeksema S, Wisco BE, Lyubomirsky S. Rethinking rumination. Perspectives on psychological science, 2008, 3(5), 400-424.
21. Mohammadkhani P, Khanipoor H. Therapies based on Mindfulness. Tehran: University of Social Welfare and Rehabilitation Sciences. 2015.
22. Movahedzadeh B, Shahveisi S. The effect of mindfulness-based cognitive therapy on depression, quality of life and hope in Qorveh County Relief Committee clients. Journal of New Developments in Behavioral Sciences, 2017, 11(2), 35-47. COI:https://civilica.com/doc/721655
23. Ryan RM, Deci EL. The darker and brighter sides of human existence: Basic psychological needs as a unifying concept. Psychological inquiry, 2000, 11(4), 319-338.
24. Aqabagheri H, Mohammadkhani P, Omrani S, Farahmand A. The effectiveness of cognitive group therapy based on the presence of the mind to increase mental well-being and hope of patients with MS. Journal of Clinical Psychology,2012, 4 (1). 23-30.
25. Colle KFF, Vincent A, Cha SS, Loehrer LL, Bauer BA, Wahner-Roedler DL. Measurement of quality of life and participant experience with the mindfulness-based stress reduction program. Complementary Therapies in Clinical Practice, 2010, 16(1), 36-40. COI: URL: http://journal.rums.ac.ir/article-1-2382-fa.html