Effectiveness of Mindfulness-based Cognitive Therapy on the Difficulty of Emotion Regulation in Patients with Obsessive-Compulsive Disorder

Document Type : Original Article

Authors

• Shadi Hosseini ¹
• Mahdi Ghasemi motlagh ²
• Behrang Esmaelishad ³
• Hossein Mahdian ²

¹ PhD Student in Psychology, Bojnord Branch, Islamic Azad University, Bojnord, Iran

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

³ Assistant Professor, Department of Educational Sciences, Bojnord Branch, Islamic Azad University, Bojnord, Iran

10.22067/tpccp.2022.70468.1104

Abstract

Purpose:  The aim of this study was to investigate the effectiveness of mindfulness-based cognitive therapy on the difficulty of emotion regulation in patients with obsessive-compulsive disorder.
Method: The method of the present study was quasi-experimental with a pretest-posttest-follow-up design with a control group. The statistical population of the study consisted of all patients with obsessive-compulsive disorder referred to the psychology and psychiatric clinics in Mashhad. Of these, using convenience sampling technique, thirty clients who met the research criteria were selected and randomly assigned into two groups: the experimental group (15 individuals) and the control group (15 individuals). To collect the data, the subjects completed the Emotion Difficulty Regulation Questionnaire developed by Gratz and Roemer (2004). Analysis of variance with repeated measures was then used to analyze the data.
Findings: The results confirmed the effectiveness of mindfulness-based cognitive therapy on reducing the difficulty of emotion regulation in patients with obsessive-compulsive disorder. Based on the research findings, mindfulness-based cognitive therapy helps clients with obsessive-compulsive disorder to be able to effectively regulate and manage their emotions. Therefore, considering the essential role of emotions in the continuation and exacerbation of this disorder, therapists can increase the effectiveness of therapy sessions by using this treatment method.

Keywords

• mindfulness-based cognitive therapy
• difficulty in emotion regulation
• obsessive-compulsive disorder

20.1001.1.22516352.1401.11.2.2.6

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References

Alavi, K., Modarres, G. M., Amin, Y. S. A., & Salehi, F. J. (2011). Effectiveness of group dialectical behavior therapy (based on core mindfulness, distress tolerance and emotion regulation components) on depressive symptoms in university students.

American Psychiatric Association, D., & Association, A. P. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. In: Washington, DC: American Psychiatric Association.

Armstrong, L., & Rimes, K. A. (2016). Mindfulness-based cognitive therapy for neuroticism (stress vulnerability): A pilot randomized study. Behavior therapy, 47(3), 287-298.

Berman, N. C., Shaw, A. M., & Wilhelm, S. (2018). Emotion regulation in patients with obsessive compulsive disorder: Unique effects for those with “taboo thoughts”. Cognitive therapy and research, 42(5), 674-685.

De Zoysa, P. (2013). The use of mindfulness practice in the treatment of a case of obsessive compulsive disorder in Sri Lanka. Journal of religion and health, 52(1), 299-306.

Desrosiers, A., Vine, V., Klemanski, D. H., & Nolen‐Hoeksema, S. (2013). Mindfulness and emotion regulation in depression and anxiety: common and distinct mechanisms of action. Depression and anxiety, 30(7), 654-661.

Dryman, M. T., & Heimberg, R. G. (2018). Emotion regulation in social anxiety and depression: a systematic review of expressive suppression and cognitive reappraisal. Clinical psychology review, 65, 17-42.

Emanuel, A. S., Updegraff, J. A., Kalmbach, D. A., & Ciesla, J. A. (2010). The role of mindfulness facets in affective forecasting. Personality and Individual differences, 49(7), 815-818.

Fergus, T. A., & Bardeen, J. R. (2014). Emotion regulation and obsessive–compulsive symptoms: A further examination of associations. Journal of Obsessive-Compulsive and Related Disorders, 3(3), 243-248.

First, M. B. (2014). Structured clinical interview for the DSM (SCID). The encyclopedia of clinical psychology, 1-6.

Garnefski, N., Koopman, H., Kraaij, V., & ten Cate, R. (2009). Brief report: Cognitive emotion regulation strategies and psychological adjustment in adolescents with a chronic disease. Journal of adolescence, 32(2), 449-454.

Goldin, P. R., & Gross, J. J. (2010). Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10(1), 83.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of psychopathology and behavioral assessment, 26(1), 41-54.

Gross, E., Stelzer, N., & Jacob, G. (2012). Treating OCD with the schema mode model. The Wiley-Blackwell handbook of schema therapy: theory, research, and practice, 174-184.

Guendelman, S., Medeiros, S., & Rampes, H. (2017). Mindfulness and emotion regulation: Insights from neurobiological, psychological, and clinical studies. Frontiers in psychology, 8, 220.

Hertenstein, E., Rose, N., Voderholzer, U., Heidenreich, T., Nissen, C., Thiel, N., Herbst, N., & Külz, A. K. (2012). Mindfulness-based cognitive therapy in obsessive-compulsive disorder–A qualitative study on patients’ experiences. BMC psychiatry, 12(1), 1-10.

Hülsheger, U. R., Alberts, H. J., Feinholdt, A., & Lang, J. W. (2013). Benefits of mindfulness at work: the role of mindfulness in emotion regulation, emotional exhaustion, and job satisfaction. Journal of applied psychology, 98(2), 310.

Jaisoorya, T., Reddy, Y. J., Nair, B. S., Rani, A., Menon, P. G., Revamma, M., Jeevan, C., Radhakrishnan, K., Jose, V., & Thennarasu, K. (2017). Prevalence and correlates of obsessive-compulsive disorder and subthreshold obsessive-compulsive disorder among college students in Kerala, India. Indian journal of psychiatry, 59(1), 56.

Külz, A. K., Landmann, S., Cludius, B., Rose, N., Heidenreich, T., Jelinek, L., Alsleben, H., Wahl, K., Philipsen, A., & Voderholzer, U. (2019). Mindfulness-based cognitive therapy (MBCT) in patients with obsessive–compulsive disorder (OCD) and residual symptoms after cognitive behavioral therapy (CBT): a randomized controlled trial. European archives of psychiatry and clinical neuroscience, 269(2), 223-233.

Leahy, R. L., Tirch, D., & Napolitano, L. A. (2011). Emotion regulation in psychotherapy: A practitioner's guide. Guilford press.

Martín-Asuero, A., & García-Banda, G. (2010). The mindfulness-based stress reduction program (MBSR) reduces stress-related psychological distress in healthcare professionals. The Spanish journal of psychology, 13(2), 897-905.

NeJat, A., Rafezi, Z., & Hossseinsabet, F. (2020). Predicting Obsessive-Compulsive Disorder based on Mindfulness, Cognitive Emotion Regulation Strategies, and Coping Strategies. Journal of Research in Behavioural Sciences, 18(2), 249-259.

Rapinesi, C., Kotzalidis, G. D., Ferracuti, S., Sani, G., Girardi, P., & Del Casale, A. (2019). Brain stimulation in obsessive-compulsive disorder (OCD): a systematic review. Current neuropharmacology, 17(8), 787-807.

Roemer, L., Williston, S. K., & Rollins, L. G. (2015). Mindfulness and emotion regulation. Current Opinion in Psychology, 3, 52-57.

Seli, P., Risko, E. F., Purdon, C., & Smilek, D. (2017). Intrusive thoughts: Linking spontaneous mind wandering and OCD symptomatology. Psychological research, 81(2), 392-398.

Stern, M. R., Nota, J. A., Heimberg, R. G., Holaway, R. M., & Coles, M. E. (2014). An initial examination of emotion regulation and obsessive compulsive symptoms. Journal of Obsessive-Compulsive and Related Disorders, 3(2), 109-114.

Visted, E., Vøllestad, J., Nielsen, M. B., & Schanche, E. (2018). Emotion regulation in current and remitted depression: a systematic review and meta-analysis. Frontiers in psychology, 9, 756.

Williams, W. C., Morelli, S. A., Ong, D. C., & Zaki, J. (2018). Interpersonal emotion regulation: Implications for affiliation, perceived support, relationships, and well-being. Journal of Personality and Social Psychology, 115(2), 224.

Yap, K., Mogan, C., Moriarty, A., Dowling, N., Blair‐West, S., Gelgec, C., & Moulding, R. (2018). Emotion regulation difficulties in obsessive‐compulsive disorder. Journal of clinical psychology, 74(4), 695-709.

Young, J. E., Klosko, J. S., & Weishaar, M. E. (2006). Schema therapy: A practitioner's guide. guilford press.