The Effectiveness of Mindfulness-Based Cognitive Therapy on Anxiety and Rumination in Women with Body Dysmorphic Disorder

Authors

    Fatemeh Haghdoost Master's Degree, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran
    Ashraf Sadat Giti Qureishi * Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran giti.ghoreishi@iau.ac.ir

Keywords:

yoga, meditation, mental well-being, qualitative research, emotional regulation, self-awareness, spiritual connectedness

Abstract

The present study aimed to examine the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) on anxiety and rumination levels in women diagnosed with Body Dysmorphic Disorder (BDD). This study employed a quasi-experimental design with pre-test and post-test measures to assess changes in both the experimental and control groups. The statistical population consisted of all women diagnosed with BDD who attended counseling centers in Tehran in 2024. A sample of 30 women with this disorder was voluntarily and non-randomly selected from the counseling centers in Tehran and then randomly assigned to two groups: an experimental group (n = 15) and a control group (n = 15). The instruments used in this study were the Beck Anxiety Inventory and the Ruminative Response Scale developed by Nolen-Hoeksema and Morrow. For data analysis, multivariate analysis of covariance (MANCOVA) was employed. The results revealed a significant difference between the experimental and control groups at the post-test stage in the variables of anxiety and rumination. It can be concluded that Mindfulness-Based Cognitive Therapy is effective in reducing anxiety and rumination in women with Body Dysmorphic Disorder.

Downloads

Download data is not yet available.

References

1. Phillips KA, Menard W, Fay C, Weisberg R. Demographic characteristics, phenomenology, comorbidity, and family history in 200 individuals with body dysmorphic disorder. Psychosomatics. 2005;46(4):317-25. doi: 10.1176/appi.psy.46.4.317.

2. Lacassis PB, Hellings R. A brief mindfulness-based cognitive therapy (MBCT) intervention as a population-level strategy for anxiety and depression. International Journal of Cognitive Therapy. 2021;14(2):380-98. doi: 10.1007/s41811-021-00105-x.

3. Sin T, Wally H. Understanding and treating body dysmorphic disorder. Indian Journal of Psychiatry. 2019;61(Suppl 1):S131. doi: 10.4103/psychiatry.IndianJPsychiatry_528_18.

4. Jiang SS, Liu XH, Han N, Zhang HJ, Xie WX, Xie ZJ, et al. Effects of group mindfulness-based cognitive therapy and group cognitive behavioural therapy on symptomatic generalized anxiety disorder: a randomized controlled noninferiority trial. BMC Psychiatry. 2022;22(1):481. doi: 10.1186/s12888-022-04127-3.

5. Ravioli F, Bisseling E, Schellekens M, Donders R, Carlson L, Van Der Lee M, et al. Face-to-face and internet-based mindfulness-based cognitive therapy compared with treatment as usual in reducing psychological distress in patients with cancer: a multicenter randomized controlled trial. Journal of Clinical Oncology. 2022;36(23):2413-21. doi: 10.1200/JCO.2017.76.5669.

6. Bella FM, Mulier D, Maleux O, Shaheen E, Politis C. Body dysmorphic disorder (BDD) in the orthodontic and orthognathic setting: A systematic review. Journal of Stomatology, Oral and Maxillofacial Surgery. 2022;123(4):e145-e52. doi: 10.1016/j.jormas.2021.10.015.

7. Mina F, Ramezani K, Kamkar A, Karami MY. The Effectiveness of Acceptance and Commitment Therapy on Body Dysmorphia in Women with Breast Cancer. Journal of Psychological Sciences. 2024;23(136):217-33. doi: 10.52547.

8. Chao YS, Wu CJ, Po JY, Huang SY, Wu HC, Hsu HT, et al. Mental Illness Diagnoses May Not Cause All Mental Symptoms: A Simulation Study for Major Depressive Episodes, Dysthymic Disorder, and Manic Episodes. Cureus. 2024;16(1):e52234. doi: 10.7759/cureus.52234.

9. Wang W, Wang Y, Wang F, Chen H, Qin X, Yang L, et al. Notable dysthymia: evolving trends of major depressive disorders and dysthymia in China from 1990 to 2019, and projections until 2030. BMC Public Health. 2024;24(1):1585. doi: 10.1186/s12889-024-18943-7.

10. Adler DA, Lerner D, Visco ZL, Greenhill A, Chang H, Cymerman E, et al. Improving work outcomes of dysthymia (persistent depressive disorder) in an employed population. General Hospital Psychiatry. 2015;37(4):352-9. doi: 10.1016/j.genhosppsych.2015.04.001.

11. Reardon T, Creswell C, Lester KJ, Arendt K, Blatter-Meunier J, Bögels SM, et al. The utility of the SCAS-C/P to detect specific anxiety disorders among clinically anxious children. Psychological Assessment. 2019;31(8):1006-18. doi: 10.1037/pas0000700.

12. Shi X, Zhao Y, Wan Q, Chai P, Ma Y. Curative care expenditure of outpatient anxiety disorder in Liaoning Province, 2015-2020-based on "System of Health Accounts 2011". Frontiers in Public Health. 2024;12:1329596. doi: 10.3389/fpubh.2024.1329596.

13. Bas-Hoogendam JM, Groenewold NA, Aghajani M, Freitag GF, Harrewijn A, Hilbert K, et al. ENIGMA-anxiety working group: Rationale for and organization of large-scale neuroimaging studies of anxiety disorders. Human Brain Mapping. 2022;43(1):83-112. doi: 10.1002/hbm.25100.

14. Strawn JR, Levine A. Treatment Response Biomarkers in Anxiety Disorders: From Neuroimaging to Neuronally-Derived Extracellular Vesicles and Beyond. Biomarkers in Neuropsychiatry. 2020;3:100024. doi: 10.1016/j.bionps.2020.100024.

15. Strawn JR, Lu L, Peris TS, Levine A, Walkup JT. Research Review: Pediatric anxiety disorders - what have we learnt in the last 10 years? Journal of Child Psychology and Psychiatry, and Allied Disciplines. 2021;62(2):114-39. doi: 10.1111/jcpp.13262.

16. Hoffmann G, Strutzke S, Fiske D, Heinicke J, Mylostyvyi R. A New Approach to Recording Rumination Behavior in Dairy Cows. Sensors (Basel, Switzerland). 2024;24(17):5521. doi: 10.3390/s24175521.

17. M'Hani MEM, Beniaich Y, Farsi H, Piro M, Achaâban MR, Pévet P, et al. Daily rhythm of rumination in the goat (Capra hircus) is not driven by feeding. Scientific Reports. 2024;14(1):28387. doi: 10.1038/s41598-024-79586-7.

18. Nolen-Hoeksema S, Wisco BE, Lyubomirsky S. Rethinking Rumination. Perspectives on Psychological Science. 2008;3(5):400-24. doi: 10.1111/j.1745-6924.2008.00088.x.

19. Iqbal MW, Draganova I, Morel PCH, Morris ST. Factors Affecting Grazing and Rumination Behaviours of Dairy Cows in a Pasture-Based System in New Zealand. Animals : an open access journal from MDPI. 2022;12(23):3323. doi: 10.3390/ani12233323.

20. Chang X, Guo C, Zhou H, Liu L. Impact of rumination on sleep quality among patients with non-alcoholic fatty liver disease: a moderated mediation model of anxiety symptoms and resilience. BMC Psychiatry. 2023;23(1):84. doi: 10.1186/s12888-023-04572-8.

21. Zhang J, Li X, Tang Z, Xiang S, Tang Y, Hu W, et al. Effects of stress on sleep quality: multiple mediating effects of rumination and social anxiety. Psicologia, Reflexao e Critica : revista semestral do Departamento de Psicologia da UFRGS. 2024;37(1):10. doi: 10.1186/s41155-024-00294-2.

22. Schuman-Olivier Z, Trombka M, Lovas DA, Brewer JA, Vago DR, Gawande R, et al. Mindfulness and Behavior Change. Harvard Review of Psychiatry. 2020;28(6):371-94. doi: 10.1097/HRP.0000000000000277.

23. Johnson BT, Acabchuk RL, George EA, Nardi W, Sun S, Salmoirago-Blotcher E, et al. Mental and Physical Health Impacts of Mindfulness Training for College Undergraduates: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Mindfulness. 2023;14(9):2077-96. doi: 10.1007/s12671-023-02212-6.

24. Van Dam NT, van Vugt MK, Vago DR, Schmalzl L, Saron CD, Olendzki A, et al. Mind the Hype: A Critical Evaluation and Prescriptive Agenda for Research on Mindfulness and Meditation. Perspectives on Psychological Science. 2018;13(1):36-61. doi: 10.1177/1745691617709589.

25. Sun S, Sheridan MA, Tyrka AR, Donofry SD, Erickson KI, Loucks EB. Addressing the biological embedding of early life adversities (ELA) among adults through mindfulness: Proposed mechanisms and review of converging evidence. Neuroscience and Biobehavioral Reviews. 2022;134:104526. doi: 10.1016/j.neubiorev.2022.104526.

26. Wells RE, Seng EK, Edwards RR, Victorson DE, Pierce CR, Rosenberg L, et al. Mindfulness in migraine: A narrative review. Expert Review of Neurotherapeutics. 2020;20(3):207-25. doi: 10.1080/14737175.2020.1715212.

27. Quaglia JT, Zeidan F, Grossenbacher PG, Freeman SP, Braun SE, Martelli A, et al. Brief mindfulness training enhances cognitive control in socioemotional contexts: Behavioral and neural evidence. PloS One. 2019;14(7):e0219862. doi: 10.1371/journal.pone.0219862.

28. Garland EL, Howard MO. Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research. Addiction Science & Clinical Practice. 2018;13(1):14. doi: 10.1186/s13722-018-0115-3.

29. Garland EL, Roberts RL, Hanley AW, Zeidan F, Keefe FJ. The Mindful Reappraisal of Pain Scale (MRPS): Validation of a New Measure of Psychological Mechanisms of Mindfulness-Based Analgesia. Mindfulness. 2023;14(1):192-204. doi: 10.1007/s12671-022-02034-y.

30. Khodabakhsh Pirkalani R, Rahim Jamaruni H. The Effectiveness of Combined Cognitive-Behavioral Therapy and Mindfulness-Based Stress Reduction in Treating a Case with Generalized Anxiety Disorder. Clinical Psychology. 2013;13(4):121-47.

31. Kaviani H, Mousavi A-S. Psychometric Properties of the Beck Anxiety Inventory Across Age and Gender Groups in Iranian Population. Journal of Medical School, Tehran University of Medical Sciences. 2008;66(2):136-40.

32. Mansouri A, Farnam A, Bakhshipour Rodsari A, Mahmood Aliloo M. Comparison of Rumination in Patients with Major Depressive Disorder, Obsessive-Compulsive Disorder, Generalized Anxiety Disorder and Normal Individuals. Journal of Sabzevar University of Medical Sciences. 2010;17(3):189-95.

33. Maher-al-Naghsh F, Naderi F, Bakhtiarpour S, Safarzadeh S. Comparing the Effectiveness of Mental Training and Acceptance and Commitment Therapy on Rumination and Worry in Individuals with Body Dysmorphic Disorder. Khatam Al-Anbia Journal of Neuroscience. 2020;9(1):120-30. doi: 10.52547/shefa.9.1.120.

34. Bahreini Z, Kahrazehi F, Nikmanesh Z. The Effectiveness of Mindfulness-Based Cognitive Therapy on Psychological Well-being and Positive/Negative Emotions in Adolescent Girls with Body Dysmorphic Disorder Syndrome. Journal of Rehabilitation Research in Nursing. 2021;8(2):64-79.

Published

2024-06-01

Submitted

2024-03-19

Revised

2024-05-13

Accepted

2025-05-26

How to Cite

Haghdoost, F. ., & Giti Qureishi, A. S. . (2024). The Effectiveness of Mindfulness-Based Cognitive Therapy on Anxiety and Rumination in Women with Body Dysmorphic Disorder. Mental Health and Lifestyle Journal, 1(1), 56-65. https://mhljournal.com/index.php/mhlj/article/view/33

Similar Articles

1-10 of 50

You may also start an advanced similarity search for this article.