تأثیر برنامه کاهش استرس مبتنی بر ذهن آگاهی، بر اضطراب،  نشخوار فکری و نگرش های ناکارامد  مردان در حال ترک اعتیاد بدون دارو

آیت اله کریمی باغملک; فروغ ماهیگیر; نسترن ریاضی

doi:10.61838/kman.pdmd.3.3.7

Authors

Ayatollah Karimi Baghmalek Assistant Professor, Department of Educational Sciences, Farhangian University of Shiraz, Shiraz, Iran. Author https://orcid.org/0000-0002-4730-1121
Foroogh Mahigir Assistant Professor, Department of Educational Sciences, Farhangian University, Shiraz, Iran (Corresponding author) Author https://orcid.org/0009-0002-8850-0773
Nastaran Riazi PhD of Health Psychology, Payam Noor University of Nakhjavan, Nakhjavan, Iran. Author https://orcid.org/0000-0002-4599-4315

DOI:

https://doi.org/10.61838/kman.pdmd.3.3.7

Keywords:

Mindfulness, Based Stress Reduction, Anxiety, Rumination, Dysfunctional Attitudes, Addiction Treatment

Abstract

Objective: The primary objective of this study was to evaluate the effectiveness of the Mindfulness-Based Stress Reduction (MBSR) program on reducing anxiety, rumination, and dysfunctional attitudes in men undergoing drug-free addiction treatment.

Methods and Materials: This randomized controlled trial included 30 men undergoing drug-free addiction treatment in Ahvaz city. Participants were randomly assigned to either the experimental group (MBSR program) or the control group, with 15 participants in each group. The MBSR program consisted of eight weekly sessions. Anxiety, rumination, and dysfunctional attitudes were measured using the Beck Anxiety Inventory (BAI), Ruminative Responses Scale (RRS), and Dysfunctional Attitude Scale (DAS), respectively. Data were collected at three time points: pre-test, post-test, and five-month follow-up. Statistical analyses included repeated measures ANOVA and Bonferroni post-hoc tests, conducted using SPSS-27.

Findings: The experimental group showed significant reductions in anxiety, rumination, and dysfunctional attitudes from pre-test to post-test and follow-up assessments. Specifically, anxiety decreased from a mean of 24.67 (SD=3.45) at pre-test to 15.33 (SD=2.88) at post-test (p<.001), and 16.45 (SD=3.12) at follow-up (p<.001). Rumination decreased from 42.78 (SD=5.67) at pre-test to 30.45 (SD=4.88) at post-test (p<.001), and 32.12 (SD=5.13) at follow-up (p<.001). Dysfunctional attitudes decreased from 95.56 (SD=8.45) at pre-test to 78.33 (SD=7.12) at post-test (p<.001), and 80.01 (SD=7.34) at follow-up (p<.001). The control group did not show significant changes in any of the variables.

Conclusion: The findings suggest that the MBSR program is an effective intervention for reducing anxiety, rumination, and dysfunctional attitudes in men undergoing drug-free addiction treatment. These results highlight the potential of mindfulness-based interventions to support cognitive and emotional recovery in addiction treatment settings.

Downloads

Download data is not yet available.

References

Abdulkerim, N., & Li, C. (2022). How Applicable Are Mindfulness-Based Interventions to Muslim Clients in the U.S.?

Professional Psychology Research and Practice, 53(3), 253-265. https://doi.org/10.1037/pro0000454

Atayi, R., Ghasrmzadeh, A., & Haghi, N. (2023). The Effectiveness of Metacognitive Therapy on Anxiety and Communication

Skills of Secondary School Girls in Parsabad City. Journal of Psychological Dynamics in Mood Disorders (PDMD), 2(1),

1-11. https://doi.org/10.22034/pdmd.2023.181397

Brown, M. M., Wolever, R. Q., Smoski, M. J., Hall, M., Brantley, J., & Greeson, J. M. (2020). Do Gender, Anxiety, or Sleep

Quality Predict Mindfulness-Based Stress Reduction Outcomes? Journal of Health Psychology, 26(13), 2656-2662.

https://doi.org/10.1177/1359105320931186

Dam, N. T. V., & Galante, J. (2020). Underestimating Harm in Mindfulness-Based Stress Reduction. Psychological medicine,

53(1), 292-294. https://doi.org/10.1017/s003329172000447x

Dehnamaki Moshgabadi, F., Tavabe Ghavami, S., & Alekasir, M. (2024). The Relationship between Spousal Abuse and

Generalized Anxiety in Women Referring to the Social Emergency Department of Tehran. Journal of Psychological

Dynamics in Mood Disorders (PDMD), 3(1), 41-50. https://doi.org/10.22034/pdmd.2024.451470.1076

Eisendrath, S. J., Gillung, E., Delucchi, K., Chartier, M., Mathalon, D. H., Sullivan, J. C., Segal, Z. V., & Feldman, M. D.

(2014). Mindfulness-Based Cognitive Therapy (MBCT) Versus the Health-Enhancement Program (HEP) for Adults With

Treatment-Resistant Depression: A Randomized Control Trial Study Protocol. BMC Complementary and Alternative

Medicine, 14(1). https://doi.org/10.1186/1472-6882-14-95

Enayati Shabkolai, M., Enayati Shabkalai, M., & Bagheri Dadokolai, M. (2023). The Effectiveness of Treatment based on

Acceptance and Commitment on Social Adaptation, Academic Self-Regulation and Cognitive Flexibility of Students with

Specific Learning Disorders. International Journal of Education and Cognitive Sciences, 4(1), 33-41.

https://doi.org/10.61838/kman.ijecs.4.1.5

Fang, Y. (2024). A Literature Review Addressing the Relationship Between Mindfulness and Stress-Level. Hc, 1(6).

https://doi.org/10.61173/mrd20n04

Gordon, W. V. (2013). Mindfulness as a Treatment for Behavioural Addiction. Journal of Addiction Research & Therapy,

05(01). https://doi.org/10.4172/2155-6105.1000e122

Hassirim, Z., Lim, E., Lo, J. C., & Lim, J. (2019). Pre-Sleep Cognitive Arousal Decreases Following a 4-Week Introductory

Mindfulness Course. Mindfulness, 10(11), 2429-2438. https://doi.org/10.1007/s12671-019-01217-4

Hsu, S., Grow, J., & Marlatt, G. A. (2008). Mindfulness and Addiction. 229-250. https://doi.org/10.1007/978-0-387-77725

2_13

Hunt, C., Letzen, J. E., Krimmel, S. R., Burrowes, S. A. B., Haythornthwaite, J. A., Keaser, M. L., Reid, M. J., Finan, P. H., &

Seminowicz, D. A. (2022). Meditation Practice, Mindfulness and Pain-Related Outcomes in Mindfulness-Based Treatment

for Episodic Migraine. https://doi.org/10.1101/2022.01.20.22269474

Imanizad, A., Golmohammadian, M., Moradi, O., & Goudarzi, M. (2022). Comparison of the effectiveness of solution-oriented

couple therapy with emotion-oriented couple therapy on forgiveness, sexual function and communication beliefs of couples

with marital infidelity. frooyesh, 10(10), 145-160. http://frooyesh.ir/article-1-2970-en.html

Kim, K.-E., Milne, G. R., & Bahl, S. (2018). Smart Phone Addiction and Mindfulness: An Intergenerational Comparison.

International Journal of Pharmaceutical and Healthcare Marketing, 12(1), 25-43. https://doi.org/10.1108/ijphm-08-2016

0044

Morone, N. E. (2019). Not Just Mind Over Matter: Reviewing With Patients How Mindfulness Relieves Chronic Low Back

Pain.

Journal

of

Evidence-Based

https://doi.org/10.1177/2515690x19838490

Integrative

Medicine,

24,

2515690X1983849.

Morone, N. E., Greco, C. M., Rollman, B. L., Moore, C. G., Lane, B., Morrow, L. A., Glynn, N. W., Delaney, J., Albert, S. M.,

& Weiner, D. K. (2012). The Design and Methods of the Aging Successfully With Pain Study. Contemporary Clinical

Trials, 33(2), 417-425. https://doi.org/10.1016/j.cct.2011.11.012

Nematollahi, S., Afshari Nia, K., Alsadat Hosseini, S., Kakabraei, K., & Parandin, S. (2023). The Effectiveness of

Metacognitive Therapy and Compassion-Based Therapy on Reducing Rumination, Anxiety and Worry in Obsessive

Compulsive Patients. Journal of Psychological Dynamics in Mood Disorders (PDMD), 2(3), 50-61.

https://doi.org/10.22034/pdmd.2023.188277

Ofem, U. J., Ovat, S., Hycenth, N., & Udeh, M. I. (2024). Item Sequencing and Academic Performance in Physics: A Quasi

Experimental Approach with Gender and Test Anxiety as Control Variables. International Journal of Education and

Cognitive Sciences, 5(2), 38-50. https://doi.org/10.61838/kman.ijeas.5.2.6

Parvaresh, M., Taghinezhad, N., Amirfakhraei, A., & Sabahizadeh, M. (2024). Providing an Optimal Model for Enhancing

Cognitive Flexibility Based on Mindfulness in Nurses. Journal of Psychological Dynamics in Mood Disorders (PDMD),

3(1), 112-123. https://doi.org/10.22034/pdmd.2024.434590.1033

Salmani, B., Hasani, J., Hassanabadi, H., Mohammad-Khani, S., & Ahmadvand, A. (2019). Comparing efficacy of cognitive

behavioral therapy with or without metacognitive techniques and Zolpidem 10 mg. on dysfunctional cognitions &

metacognitions in people with chronic insomnia disorder: a multiple baseline single case. Clinical Psychology Studies,

9(35), 71-95. https://doi.org/10.22054/jcps.2019.42283.2136

Santarnecchi, E., Egiziano, E., D’Arista, S. F., Gardi, C., Romanella, S. M., Mencarelli, L., Rossi, S., Reda, M. A., & Rossi,

A. (2021). Mindfulness‐based Stress Reduction Training Modulates Striatal and Cerebellar Connectivity. Journal of

neuroscience research, 99(5), 1236-1252. https://doi.org/10.1002/jnr.24798

Seghatoleslam, T., Yazdian, F., & Habil, H. (2024). The Role of Spiritual-Religious Behaviors and Beliefs in Reducing Stress

and Anxiety and Enhancing Spiritual-Psychological Health among a Group of Iranian Women during the COVID-19

Pandemic.

Journal

of

Psychological

Dynamics

https://doi.org/10.22034/pdmd.2024.457112.1092

Relaxation

in

Mood Disorders (PDMD), 3(2), 49-58.

Sevinc, G., Hölzel, B. K., Hashmi, J. A., Greenberg, J., McCallister, A., Treadway, M. T., Schneider, M., Dusek, J. A.,

Carmody, J., & Lazar, S. W. (2018). Common and Dissociable Neural Activity After Mindfulness-Based Stress Reduction and Response Programs. Psychosomatic Medicine, 80(5), 439-451. https://doi.org/10.1097/psy.0000000000000590

Shoghi, B., Mohammadi, A., & Pirkhaefi, A. (2023). The Mediating Role of Mindfulness in the Relationship between Cognitive

Abilities and Wisdom in Students. Sociology of Education, 8(2), 262-273. https://doi.org/10.22034/ijes.2023.707076