Development of a Mindfulness-Based Cognitive Therapy Intervention Package for Patients with Obesity

Authors

    Sahar Saeidiasl Department of Health Psychology, Ki.C., Islamic Azad University, Kish, Iran
    Mahtab Moraveji * Department of Nursing & Midwifery, Za.C., Islamic Azad University, Zanjan, Iran mahtab.moraveji@iau.ac.ir
    Masoumeh Moallem Department of emergency medicine, TMS.C., Islamic Azad University, Tehran, Iran
    Mohamad bagher hobbi Department of psychology's faculty culture and soft power , Imam Hossein University, Tehran , Iran
    Vahid Manzari Tavakoli Department of Educational Sciences, Farhangian University, Tehran, Iran

Keywords:

Mindfulness-Based Cognitive Therapy (MBCT), Obesity, Research Synthesis

Abstract

The present study was conducted with the aim of developing a mindfulness-based cognitive therapy (MBCT) intervention package for patients with obesity. This study was qualitative in nature and employed a meta-synthesis strategy and research synthesis approach to extract the components of therapeutic packages from credible sources. Two sampling frameworks were considered for data selection: (1) research studies available in electronic databases, including the Noor Specialized Journals Database, Iranian Journal Database, Scientific Information Database (SID) of Jihad Daneshgahi, and Google Scholar search engine; and (2) academic theses archived in the Iranian Scientific Documents and Archives Center. Subsequently, the findings related to selected documents in the relevant thematic domain were synthesized through the processes of open coding, axial coding, and selective coding to develop a new mindfulness-based cognitive therapy intervention package for patients with obesity. The extracted data were summarized and card-indexed, and each element of the therapeutic packages was categorized accordingly. Validation was performed using the Content Validity Index (CVI) and the Content Validity Ratio (CVR) by a panel of 15 experts. Based on the obtained data, the mindfulness-based cognitive therapy model was coded and classified into nine therapeutic themes: (1) conceptualization, (2) awareness of emotions, (3) awareness of real needs, (4) cultivation of self-acceptance, (5) identification of mental wanderings, (6) control of craving and temptation, (7) inner and outer wisdom, (8) mindful and breathing meditation exercises, and (9) mind–body–emotion connection. These results can be utilized in the design and implementation of psychological intervention programs for patients with obesity.

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References

1. Ward ZJ, Bleich SN, Long MW, Gortmaker SL. Association of body mass index with health care expenditures in the United States by age and sex. PLoS One. 2021;16(3):e0247307.

2. Aoun A, Ghoussoub C, Farsoun C, Al Mallah A, Ayoub F, Trezia N, et al. Examining the Efficacy of Mindfulness-Based Interventions in Treating Obesity, Obesity-Related Eating Disorders, and Diabetes Mellitus. Journal of the American Nutrition Association. 2024:1-14.

3. Segal ZV, Williams M, Teasdale J. Mindfulness-based cognitive therapy for depression: Guilford Publications; 2018.

4. Lu S, Kuang M, Qiu J. Lipids as the link between central obesity and diabetes: perspectives from mediation analysis. BMC Endocr Disord. 2024;24:229.

5. González-Sánchez GD, Granados-López AJ, López-Hernández Y, Robles MJG, López JA. miRNAs as Interconnectors between Obesity and Cancer. Non-Coding RNA. 2024;10(2):24.

6. Kruse JA, Seng EK. Changes in cognitive appraisal in a randomized controlled trial of mindfulness‐based cognitive therapy for patients with migraine. Headache: The Journal of Head and Face Pain. 2023;63(10):1403-11.

7. Mousavi SA, Pour Hossein R, Zareh Moghadam A, Rezaei R, Hasani Estalkhi F, Mirbalook Bozorgi A. Mindfulness-based cognitive therapy. Psychology Growth. 2020;9(4):133-44.

8. Gharbi Z, Ranjbaripour T, Asadi A. The effectiveness of mindfulness-based cognitive therapy on increasing body image awareness in individuals with obesity. Studies in Disability. 2019;9(1):0-.

9. Etefaghi M, Sabat M, Mirhashemi M. Comparison of the effectiveness of the Barlow transdiagnostic treatment, emotion-focused therapy, and mindfulness on the body mass index of obese adults in Tehran. Clinical Psychology Studies. 2020;11(40):103-31.

10. Kabiri H, Zanjani Z, Omidi A, Sayeh M. The effect of "mindfulness-based stress reduction" therapy on anxiety, depression, emotional regulation difficulties, and food addiction severity in obese individuals: a randomized clinical trial. Journal of Mazandaran University of Medical Sciences. 2023;33(224):28-38.

11. Torres LC, Pereira T, Pinheiro P, Lima V, de Luna G. Mindfulness as Adjuvant Treatment for Obsessive‐Compulsive Disorder: An Integrative Review. Revista Portuguesa de Psiquiatria e Saúde Mental. 2023;9(2):58-65.

12. Ramazani Zadeh Z, Sharifi Darani P, Rafiei Pour A, Asgari M. Development of an educational program based on mindfulness and evaluation of its effectiveness on emotional regulation and response inhibition in adolescents with obesity. Journal of the Faculty of Medicine, Mashhad University of Medical Sciences. 2022;65(2):617-28.

13. Sun S, Nardi W, Murphy M, Scott T, Saadeh F, Roy A, et al. Mindfulness-Based Mobile Health to Address Unhealthy Eating Among Middle-Aged Sexual Minority Women With Early Life Adversity: Mixed Methods Feasibility Trial. J Med Internet Res. 2023;25:e46310.

14. Weintraub MJ, Denenny D, Ichinose MC, Zinberg J, Morgan-Fleming G, Done M, et al. A randomized trial of telehealth mindfulness-based cognitive therapy and cognitive behavioral therapy groups for adolescents with mood or attenuated psychosis symptoms. Journal of consulting and clinical psychology. 2023;91(4):234.

15. Nasiri Far M, Saraj Khorami N, Safarzadeh S, Heydarei A. Comparison of the effectiveness of cognitive-behavioral therapy and mindfulness-based cognitive therapy on body image valuation in women with obesity. Psychology Growth. 2024;13(7):120-11.

16. Kamali M, Manshayi G, Torkan H. Comparison of the effectiveness of cognitive-behavioral therapy and mindfulness-based cognitive therapy on body image, eating attitudes, and eating cravings in overweight individuals. Nursing Psychology. 2024;12(2):59-71.

17. Shirkhanzadeh M, Hatami M, Ahadi H, Sarami G. Comparative effectiveness of cognitive-behavioral therapy and mindfulness-based cognitive therapy on emotional dysregulation in individuals with binge eating disorder (A study of middle school students in Kerman). Educational Studies and Schooling. 2022;11(2):655-73.

18. Kachoui M, Hasani J, Taghizadeh F. Comparison of the effectiveness of interventions based on cognitive reappraisal and mindfulness in modifying body mass index, food cravings, and binge eating in overweight women. Feyz. 2021;25(3):951-62.

19. Vuong V, Rao V, Ee C. Mindfulness-based Interventions and Yoga for Managing Obesity/Overweight After Breast Cancer: A Scoping Review. Integrative Cancer Therapies. 2022;21.

20. Silva TA. Mindfulness‐Based Eating Solution (MBES) for Body Dissatisfaction and Disordered Eating Attitudes in Nutrition Students During the COVID‐19 Pandemic: A Randomised Clinical Trial. Journal of Human Nutrition and Dietetics. 2025;38(2). doi: 10.1111/jhn.70040.

21. Soleimani Hajar SZM. The impact of mindfulness-based cognitive therapy on body image and sexual functioning in women with obesity. Journal of Nursing Management. 2022;11(2):108-21.

22. Hooker AR, Sagui-Henson SJ, Daubenmier J. Effects of a Mindfulness-Based Weight Loss Intervention on Long-term Psychological Well-being Among Adults with Obesity: Secondary Analyses from the Supporting Health by Integrating Nutrition and Exercise (SHINE) Trial. Mindfulness. 2022;13:2227-42.

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Published

2026-01-01

Submitted

2025-07-13

Revised

2025-07-22

Accepted

2025-11-16

Issue

Section

Articles

How to Cite

Saeidiasl, S. ., Moraveji, M., Moallem, M. ., hobbi, M. bagher ., & Manzari Tavakoli, V. . (2026). Development of a Mindfulness-Based Cognitive Therapy Intervention Package for Patients with Obesity. Mental Health and Lifestyle Journal, 1-16. https://mhljournal.com/index.php/mhlj/article/view/139

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