In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research

Authors

1 M.Sc of Clinical Psychology Payame Noor University, Tehran

2 Professor Department of Psychology, Faculty of Psychology, Payame Noor University, Tehran

3 Nanbiotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran

Abstract

Objective: In this study, the intervention of mindfulness-based cognitive therapy (MBCT) on resilience, rumination, and dysfunctional attitudes in infertile couples is studied.
Method: The research design was quasi-experimental with pre-test-post-test and a one-month follow-up with control groups. The statistical population of the study consisted of infertile couples referred to Ibn Sina Infertility Center in Tehran, where 30 infertile couples aged 24-40 were selected as research samples by using a purposive sampling method based on inclusion and exclusion criteria, who were then randomly assigned into two groups of 15 couples. The research instruments were Connor and Davidson's (2003) Resilience Questionnaire, the Nalen and Huxma (1991) rumination, and the Weissman and Beck (1978) dysfunctional attitude questionnaire that were provided to both groups to collect the required data. The control group stayed on the waiting list, and the mindfulness training was performed for the experimental group during eight weekly sessions (two 90-minute sessions per week), according to Segal, Williams, and Tisdale MBCT Protocol (2018). The sessions were performed online and on Skyroom's platform. The research data were analyzed using descriptive statistics and multivariate analysis of covariance (MANCOVA).
Results: The results showed that MBCT treatment improved resilience and reduced rumination and dysfunctional attitudes in the experimental group and the post-test and follow-up phase (P<0/001).
Conclusion: According to the results, employing this approach for infertile couples is helpful and it can be suggested for improving their psychological conditions.
 

Keywords

Article Title [Persian]

اثربخشی شناخت‌درمانی مبتنی بر ذهن‌آگاهی در تاب‌آوری، نشخوارذهنی و نگرش‌های ناکارآمد زوجین نابارور

Authors [Persian]

  • سحر عابدپور 1
  • حسین زارع 2
  • بهزاد قربانی 3

1 کارشناس ارشد روانشناسی بالینی دانشگاه پیام نور، تهران،

2 استاد گروه روانشناسی، دانشکده روانشناسی، دانشگاه پیام نور، تهران

3 استادیار مرکز تحقیقات ریز فناوری زیستی، پژوهشکده فناوری های نوین علوم پزشکی جهاد دانشگاهی - ابن سینا، تهران

Abstract [Persian]

هدف: در این مطالعه مداخله شناخت درمانی مبتنی بر ذهن آگاهی (MBCT) بر تاب آوری، نشخوار فکری و نگرش های ناکارآمد در زوج های نابارور مورد بررسی قرار گرفت.
روش: طرح پژوهش شبه آزمایشی با پیش آزمون- پس آزمون و پیگیری یک ماهه با گروه آزمایش و کنترل بود. جامعه آماری پژوهش را زوج های نابارور مراجعه کننده به مرکز ناباروری ابن سینا تهران تشکیل می دادند. 30 زوج نابارور 24 تا 40 ساله با استفاده از نمونه گیری هدفمند بر اساس معیارهای ورود و خروج انتخاب و به طور تصادفی در دو گروه 15 زوجی جای گرفتند. پرسشنامه تاب آوری کانر و دیویدسون (2003)، نشخوار فکری نالن و هاکسما (1991) و نگرش های ناکارآمد وایزمن و بک (1978) به عنوان ابزار تحقیق در اختیار هر دو گروه قرار گرفت. گروه کنترل در لیست انتظار ماند و آموزش ذهن آگاهی برای گروه آزمایش طی 8 جلسه هفتگی (دو جلسه هفتگی90 دقیقه، (پروتکل MBCT سگال، ویلیامز و تیزدیل، 2018)) انجام شد. جلسات به صورت آنلاین و بر روی پلتفرم اسکای روم انجام شد. داده های تحقیق با استفاده از آمار توصیفی و تحلیل کوواریانس چند متغیره (MANCOVA) مورد تجزیه و تحلیل قرار گرفت.
یافته ها: نتایج نشان داد که درمان MBCT باعث بهبود تاب آوری و کاهش نشخوار فکری و نگرش های ناکارآمد در گروه آزمایش و مرحله پس آزمون و پیگیری شد (001/0>P).
نتیجه‌گیری: با توجه به نتایج، استفاده از این رویکرد برای زوج‌های نابارور مفید بوده و می‌توان آن را برای بهبود شرایط روان‌شناختی آن‌ها پیشنهاد کرد.

Keywords [Persian]

  • شناخت‌درمانی مبتنی بر ذهن‌آگاهی
  • تاب‌آوری
  • نشخوار ذهنی
  • نگرش‌های ناکارآمد
  • ناباروری
Alighanavati, S., Bahrami, F., Godarzi, K., Rouzbahani, M. (2018). Effectiveness of compassion-based therapy on rumination and concern of women with breast cancer. Quarterly Journal Of Health Psychology, 7(27): 152-168.
Abbasi, R., Khademloo, M. (2018). The Effectiveness of Mindfulness-based Cognitive therapy on Schema fectiveness / shame, rumination and social isolation of women perfectionist. Journal of Psychological Studies, 14(1): 127-145.
Ahangarzadeh Rezaei, S., Rasouli, M.(2015). PSYCHOMETRIC PROPERTIES OF THE PERSIAN VERSION OF . Nurs Midwifery J, 13(9): 739-747.
Amini, F., Zare, H., Agha Yosefi, A., Hashemi, S. (2020). the Effect of Mindfulness on Styles of Decision-Making among Employees of Parsian Gas Refining Company: Mediating Role of Self-Reflection. Knowledge & Research in Applied Psychology, 21(2): 75-83.
Bagherinezhad, M., Salehi Fadardi, J., Tabatabayi, S. (2010). The relationship between rumination and depression in a sample of Iranian student. Research in Clinical Psychology and Counseling, 11(1): 21-38.
Bigdeli, I., Najafy, M., Rostami, M.(2013). The Relation of Attachment Styles, Emotion Regulation, and Resilience to Well-being among Students of Medical Sciences . Iranian Journal of Medical Education,13(9): 721-729. 
Chesin, M.S., Benjamin-Phillips, C.A., Keilp, J., Fertuck,  E.A., Brodsky, B.S., Stanley, B.(2016). Improvements in Executive Attention, Rumination, Cognitive Reactivity, and Mindfulness Among High-Suicide Risk Patients Participating in Adjunct Mindfulness-Based Cognitive Therapy. JACM, 22(8): 642-649.
Chmitorz, A., Neumann, R.J., Kollmann, B., Ahrens, K.F., Öhlschläger, S., Goldbach, N., Weichert, D., Schick, A., Lutz, B., Plichta, M.M., Fiebach, C.J., Wessa, M., Kalisch, R., Tüscher, O., Lieb, K., Reif, A.(2020). Longitudinal determination of resilience in humans to identify mechanisms of resilience to modern-life stressors: the longitudinal resilience assessment (LORA) study. Eur Arch Psychiatry Clin Neurosci, 8(2): 321-338.
Cladder-Micus, M.B., Speckens, A.E.M., Vrijsen, J.N., T Donders, A.R., Becker, E.S., Spijker, J .(2018). Mindfulness-based cognitive therapy for patients with chronic, treatment-resistant depression: A pragmatic randomized controlled trial. Journal of Depress Anxiety, 35(10): 914-924.
Denkova, E., P. Zanesco, A., L. Rogers, S., P. Jha, A.(2020). Is resilience trainable? An initial study comparing mindfulness and relaxation training in firefighters. Psychiatry Research, 285(1): 112794.
Docteur, A., Mirabel-Sarron, C., Kaya Lefèvre, H., Sala, L., Husky, M., Swendsen, J., Gorwood, P.(2020). Role of autobiographical memory in the impact of MBCT on dysfunctional attitudes, depressive symptoms and anxiety in bipolar I patients. J Affect Disord, 1(276): 907-913.
Ebrahimi, A., Moosavi, S.(2013). Development and validation of the Dysfunctional Attitude Scale -26 items : factor structure, reliability and validity in Psychiatric outpatients. Sjimu, 21(5): 20-28.
Ebrahimi, S., Fakhri, M., Hasanzadeh, R.(2019). Effect of Mindfulness-based Cognitive Therapy on Hope, Dysfunctional Attitudes and Meta-worry in Infertile Women. IJPN, 7 (4): 32-40.
Faghani, F., Choobforoushzadeh, A., Sharbafchi, M.R.(2022). Effectiveness of mindfulness-based supportive psychotherapy on posttraumatic growth, resilience, and self-compassion in cancer patients. The Central European Journal of Medicine Wien Klin Wochenschr, 134(82): 593–601.
Farrokhi, H., Seyed Zadeh, I., MostafaPour, V.(2018). Evaluation of factor structure, validity and reliability of Persian form of Positive and Negative Ruminant Beliefs Scale (PBRS-NBRS) and Ruminant Response Scale (RRS). The Journal Of New Advances in Behavioral Sciences, 2 (14): 37-21.
Foroozandeh,  E., Entezari, S. (2020). Effectiveness of Mindfulness-based Cognitive Therapy on Resilience and Difficulties in Emotion Regulation among Divorced Women in Tehran‏. Women Studies, 11(31): 25-42.
Foroughi, A., Sadeghi, Kh., Parvizifard, A., Davarinejad, O., Farnia, V., Azar, G.(2020). The effectiveness of mindfulness-based cognitive therapy for reducing rumination and improving mindfulness and selfcompassion in patients with treatment-resistant depression. Trends in Psychiatry and Psychotherapy, 42(2): 138-146.
Frostadottir, A.D., Dorjee, D.(2019). Effects of Mindfulness Based Cognitive Therapy (MBCT) and Compassion Focused Therapy (CFT) on Symptom Change, Mindfulness, Self-Compassion, and Rumination in Clients With Depression, Anxiety, and Stress. Front Psychol, 17(10):1099.
Gaitzsch,  H., Benard, J., Hugon-Rodin,  J.,  Benzakour, L.,  Streuli,  I. (2020). The effect of mind-body interventions on psychological and pregnancy outcomes in infertile women. j Arch Wom Ment Heal,  23(4): 479-491.
Galhardo, A.,Cunha, M., Pinto-Gouveia, J.(2019). A 7‐year follow‐up study of the Mindfulness‐Based Program for Infertility: Are there long‐term effects?.Clinical Psychology & Psychotherapy, 26(4): 409-417.
Ghassem Boroujerdi, F., Safa, M., Karamlou, S., Masjedi, M R.(2014). Effectiveness of mindfulness based on cognitive therapy, on distress tolerance and dysfunctional attitudes in patients with chronic obstructive pulmonary diseases. Journal of Research in Psychological Health, 8 (4) :6-7.
Hasanpour Dehkordi, A., Ganji, F., Kaveh Baghbahadrani, F., Omidi, M.(2020). Assessment of Perceived Social Support and its Related Factors in Infertile Women Referring to Shahrekord Infertility Clinic. Journal of Clinical Nursing and Midwifery, 9(2):666-677.
Heidarian, A., Zahrakar, K., Mohsenzade, F.(2016). The Effectiveness of Mindfulness Training on Reducing Rumination and Enhancing Resilience in Female Patients with Breast Cancer: a Randomized Trial. Ijbd, 9 (2): 52-59.
Hosseini tabaghdehi, L. (2022). The effectiveness of mindfulness training on self-resilience and perceived social support of women heads of households. Women and Family Studies, (In Press).
Jabbarifard, F., Solati, K., Sharifi, T., ghazanfari, A.(2019). Effectiveness of Cognitive Therapy Based on Mindfulness on Perceived Stress, Resilience and Quality of Life in Thalassemic Major Patients. Journal of Clinical Nursing and Midwifery, 7(4): 296-307.
Javedani Masroor, M., Arab Sheybani, H., Ramezani, N., Arab Sheybani, Kh.(2017). The effectiveness of mindfulness-based cognitive therapy in increasing resilience and reducing anxiety, stress and depression in infertile couples. Journal of Neurological Quantology, 15(3): 94-100.
Kalhori, F., Masoumi Ghazi Nouri Tabatabai, Z., Shamsai, F., Mohammadi, Y., Yavangi, M.(2020). Effect of Mindfulness-Based Group Counseling on Depression in Infertile Women: Randomized Clinical Trial Study. International Journal of Fertility and Sterility, 14(1): 10-16.
Kaviani, H., Javaheri, F., Bahiray, H. (2005).  Efficacy of Mindfulness-Based Cognitive Therapy in Reducing Automatic Thoughts, Dysfunctional Attitude, Depression And Anxiety: A Sixty Day Follow-Up. Advances in Cognitive Sciences, 7 (1) :49-59.
Khanipour, H., Borjali, A., Mohammadkhani, P., Sohrabi, F. (2013). Effectiveness of Mindfulness-Based Cognitive Therapy on Reducing Depression and Rumination Symptoms in Individuals with a Major Depression Record: A SingleCase Design. Clinical Psychology Studies, 4(13): 23-42.
Li, X., Ye, L., Tian, L., Zhoui, M.(2020).  Infertility-Related Stress and Life Satisfaction among Chinese Infertile Women: A Moderated Mediation Model of Marital Satisfaction and Resilience. Sex Roles, 82(5): 44–52.
Li, Y., Zhang, X., Shi, M.,Guo, Sh., Wang, L.(2019). Resilience acts as a moderator in the relationship between infertility-related stress and fertility quality of life among women with infertility: a cross-sectional study. Health and Quality of Life Outcomes, 17(1): 38-47.
Luzarraga, J., Wichman, C., Shirk, R., Jarosz, C., Weaver, M.S.(2019). Using a Mindfulness-Based Intervention to Support the Resiliency of In-Patient Pediatric Respiratory Therapists. Respir Care, 64(5): 550-554.
Mehdizadeh, A., Nilforoushzadeh, M., Aliakbari, M., Mansouri, P., Nikkhah, N. (2019). Comparison of the effectiveness of Emotion-Focused Cognitive-Behavioral Therapy (ECBT) and Mindfulness-Based Cognitive Therapy (MBCT) on C-Reactive Protein (CRP) Level in Patients with Psoriasis. Iranian Journal of Health Psychology, 2(1): 103-114.
Mirmahdi, S., Razaali, M. (2019). The Effectiveness of Mindfulness-based Cognitive Therapy on Resilince, Emotion Regulation and Life Expectancy among Women with Diabetes2. Quarterly Journal Of Health Psychology, 7(28): 167-183. 
Mirzaie Moein  R, Saedi  S, Razani  M.(2018). Evaluating the Effect of Mindfulness-Based Cognitive Therapy on Quality of Life and Emotional Self-Efficacy in Infertile Women. Specialty Journal of Psychology and Management, 4(3): 16-24.
Moghtader L.(2016).The Effectiveness Of Mindfulness-Based Cognitive Therapy In Reduing Rumination, Dysfunctional Attitude And Negative Automatic Thoughts In Patients With Generalized Anxiety Disorders. Stud Med Sci, 27 (9):825-835.
Mohamadpour, S., Tajikzadeh, F., Mohamadi, N. (2020). The efficacy of mindfulness-based cognitive therapy on Depression, Rumination and Dysfunctional Attitude in Pregnant women with depression. Clinical Psychology and Personality, 16(1): 187-198.
Mohammadi, M., Jazayeri, A., Rafie, A., Joukar, B., Pourshahbaz, A.(2006).Resilience Factors In Individuals At Risk For Substance Abuse. Journal Of Psychology (Tabriz University), 1(2-3): 203-224.
Nagórska, M., Bartosiewicz, A., Obrzut, B., Darmochwał-Kolarz, D.(2019). Gender Differences in the Experience of Infertility Concerning Polish Couples: Preliminary Research. IJERPH, 16(13): 23-37.
Nameni, E., Keshavarz Afshar, H., Bahonar, F. (2020). The Effectiveness of Group counseling based on Acceptance and Commitment (ACT) on Rumination and Happiness Infertile Women. Biannual Journal of Applied Counseling, 9(2): 87-108.
Nasirnejhad, F., Poyamanesh, J., FathiAgdam, G., Jafari, A.(2020). The effectiveness of mindfulness-based therapy and short-term solution-focused therapy on the resilience and happiness of women with Multiple Sclerosis. Feyz, 24 (5) :536-544.
Oraki, M., Eisazadeh, F. (2021). The Effectiveness of Mindfulness-Based Stress Reduction (MBSR) on Emotion Regulation, Perceived Stress, and Adherence of Treatment in Overweight Patients with Type 2 Diabetes. Quarterly Journal Of Health Psychology, 10(38): 157-175.
Patel, A., Sharma, P., & Kumar, P. (2020). Application of Mindfulness-Based Psychological Interventions in Infertility. Journal of human reproductive sciences, 13(1): 3–21.
Perestelo-Perez, L., Barraca, J., Peñate, W., Rivero-Santana, A., Alvarez-Perez, Y.(2017). Mindfulness-based interventions for the treatment of depressive rumination: Systematic review and meta-analysis. International Journal of Clinical and Health Psychology, 17(3): 282-295.
Razavizadeh Tabadkan, B B Z., Jajarmi, M.(2019). The Effectiveness of Mindfulness-based Cognitive Therapy (MBCT) on Depression, Rumination and Perceived Stress in Women with Type 2 Diabetes. Journal of North Khorasan University of Medical Sciences, 11(1) :1-8.
Sadeghi, E., Sajjadian, I., Nadi, M. (2020). Comparison of the Effectiveness of Mindfulness Based Compassion and Mindfulness-Based Cognitive Therapy on Students' Dysfunctional Attitude, Self-control, and Mental Health. Positive Psychology Research, 6(1): 31-48.
Sedghi, P., Cheraghi, A. (2018). The effectiveness of the mindfulness training on Psychological well-being and resiliency of female-headed household. Journal of Family Research, 14(4), 549-562.
Segal, Z., Wiliiams, M., Teasdale, J .(2018). Mindfulness-based cognitive therapy for depression. Guilford Publications, Great Britain.
Shameli, M., Moatamedi, A., Borjali, A. (2018). The effectiveness of cognitive therapy based on mindfulness of internet game addiction intermediary variables with self-control and sensation seeking, in boy adolescents in the city of Tehran. Counseling Culture and Psycotherapy, 9(33): 137-161. 
Shams Mourkani, R., Fahami, F., Naghshineh, E .(2021). Function and Sexual Satisfaction of Women Treated with Two Types of Ovulation Stimulant Drugs: Clomiphene and Letrozole. The Iranian Journal Of Obstetrics,Gynecology and Infertility, 24(4): 68-80.
Shariyati, S., Karimi, B. (2020). The effect of teaching mindfulness techniques on happiness, mental well-being and rumination of single girls. Journal of Applied Family Therapy, 1(1), 125-147.
Soltani, N., Mohammadi Forod, H.(2019). The effectiveness of mindfulness training on rumination and social anxiety in women with obsession.Psychological Science, 18(77):617-625.
Sutton, P., Zlatnik, M., Woodruff, T.J., Giudice, L.C.(2019). Environmental factors in reproduction. In: Yen and Jaffe’s Reproductive Endocrinology 8th Edition textbook, in press.
Taimory, S., Ramezani, F., Mahjob N.(2015). The Effectiveness of Mindfulness-Based Group Cognitive Therapy in Reducing Depression and Obsessive Rumination among Women under Methadone Treatment. Etiadpajohi, 9(34): 145-159.
Tarkhan, M. (2018). The Effectiveness of Group Mindfulness-Based Cognitive Therapy on Negative Automatic Thoughts, Aggression and Dysfunctional Attitudes of Aggressive Students. Journal of Psychological Studies, 14(2): 161-176.
Treynor, W., Gonzalez, R., Nolen-Hoeksema, S.(2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(5): 247–259.
Weissman, A., Beck, A.T.(1978). Development and Validation of the Dysfunctional Attitude Scale A Preliminary Investigation. ERIC Clearinghouse, 23(4): 27-31.
Yu, M., Zhou, H., Xu, H., Zhou, H.(2021). Chinese adolescents’ mindfulness and internalizing symptoms: The mediating role of rumination and acceptance.  J Affect Disord, 280(Pt A): 97-104.
Yuan, Y.(2020). Mindfulness training on the resilience of adolescents under the COVID-19 epidemic: A latent growth curve analysis. Personality and Individual Differences, 172(11): 12-23.
Zale EL, E., Pierre-Louis, C., Macklin, E.A., Riklin, E., Vranceanu, A.M.(2018). The impact of a mind-body program on multiple dimensions of resiliency among geographically diverse patients with neurofibromatosis. Journal of  Neuro-Oncology, 137(2): 321-329.
Zare, H., Abaspour, P., Yousefi, F.(2015). The Role of problem-solving skill training and cognitive restructuring on cognitive emotion regulation strategies, and family functioning in infertile women. Shenakht Journal of Psychology and Psychiatry, 2(1): 81-93.
Zare, H., Mehmannavazan, A. (2015). The Effectiveness of Encouragement Training on Promotion of General Self-Efficacy and Resiliency of Female-Headed Households. Journal of Woman and Family Studies, 3(1): 37-57.
Zarinara, A., Zeraati, H., Kamali, K., Mohammad, K., Rahmati, M., Akhondi, MM.(2020). The Success Rate and Factors Affecting the Outcome of Assisted Reproductive Treatment in Subfertile Men. Iran J Public Health, 49(2):332-340.
Zegers-Hochschild, F., Adamson, GD., Dyer, S., Racowsky, C., de Mouzon, J., Sokol, R., Rienzi, L., Sunde, A., Schmidt, L., Cooke, ID., Simpson, JL., van der Poel, S.(2017). The International Glossary on Infertility and Fertility Care. Fertil Steril,108(3): 393-406.
Zemestani, M., Fazeli Nikoo, Z. (2019). Effectiveness of Mindfulness-Based Cognitive Therapy on decrease of symptoms of depression, rumination and emotion regulation in pregnant women. Journal of Applied Psychology, 13(1): 119-139.