Community Health Journal

Community Health Journal

Effectiveness of Mindfulness-based Cognitive Therapy on Physical Self-Description and Repetitive Negative Thinking of Female Adolescent with Eating Disorder

Document Type : Original Article

Authors
Z Hoveizeh 1
Z DashtBozorgi 2
1 1- MSc, Dept of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
2 Assistant Prof, Dept of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
10.22123/chj.2018.122469.1114
Abstract
Introduction: Eating disorder has many psychological complications. Cognitive therapy is one of the most widely used methods in the field of psychotherapy. The present research aimed to determine the effectiveness of mindfulness-based cognitive therapy on physical self-description and repetitive negative thinking among female adolescent with eating disorder.
Materials and Methods: This was a semi-experimental study with pre- and post-test design and a control group. The research population was all female students with eating disorder aged 15 to 16 years studying at secondary high schools of Ahvaz City in 2017-18. Thirty students were selected through available sampling method and randomly assigned into two equal groups. The experimental group received 8 weekly sessions of 90 min of mindfulness-based cognitive therapy and the control group was put on a waiting list. Research tools included the questionnaires of Garner & et al’s eating disorder, Marsh & et al’s physical self-description and Ehring & et al’s repetitive negative thinking. Data were analyzed with MANCOVA and ANCOVA in based MANCOVA methods.
Results: The findings showed that the mindfulness-based cognitive therapy led to increase physical self-description (F=5/444, p<0/028) and to decreaserepetitive negative thinking (F=17/437, p<0/001) of female adolescent with eating disorder.
Conclusion: Mindfulness-based cognitive therapy method may be suggested as an alternative for enhancement of physical self-description and relief of repetitive negative thinking in female adolescent with eating disorder.
Keywords
Cognitive therapy
Mindfulness
Physical self-description
Repetitive negative thinking
Eating disorder
  1. Boisseau CL. Identification and management of eating disorders in gynecology: menstrual health as an underutilized screening tool. AJOG 2016;215(5):572-8.
  2. Peirce S, Hardcover T. Bright line eating: the science of living happy, thin and free. First ed. New York: Hay House Publisher; 2017:23.
  3. Moessner M, Fassnacht DB, Bauer S. Online assessment of eating disorders: the clinical and research inventory for eating disorders (CR-EAT). Mental Health & Prevention 2015;3(4):170-7.
  4. Cook B, Leininger L, Nguyen TD, Kumar A. The ethics of exercise in eating disorders: Can an ethical principles approach guide the next generation of research and clinical practice? JSHS 2017;6(3):295-8.
  5. Cicmil N, Eli K. Body image among eating disorder patients with disabilities: A review of published case studies. Body image 2014;11(3):266-74.
  6. Maïano C, Morin AJ, Mascret N. Psychometric properties of the short form of the Physical Self-Description Questionnaire in a French adolescent sample. Body Image 2015;12:89-97.
  7. Tietjens M, Freund PA, Büsch D, Strauss B. Using mixture distribution models to test the construct validity of the Physical Self-Description Questionnaire. Psychology of Sport and Exercise 2012;13(5):598-605.
  8. Spinhoven P, Drost J, van Hemert B, Penninx BW. Common rather than unique aspects of repetitive negative thinking are related to depressive and anxiety disorders and symptoms. Journal of Anxiety Disorders 2015;33(6):45-52.
  9. Reilly EE, Gordis EB, Boswell JF, Donahue JM, Emhoff SM, Anderson DA. Evaluating the role of repetitive negative thinking in the maintenance of social appearance anxiety: An experimental manipulation. Behaviour research and therapy 2018;102:36-41.
  10. Wong QJ, McEvoy PM, Rapee RM. A comparison of repetitive negative thinking and post-event processing in the prediction of maladaptive social-evaluative beliefs: A short-term prospective study. JPBA 2016;38(2):230-41.
  11. Ghaderijavid S, Gholamrezaie S, Rezaie F. Effectiveness of mindfulness based cognitive therapy on reduction of perceived stress and eating disorder in students with eating disorder symptoms. UMJ 2016; 27(9):801-10. [Persian]
  12. Luberto CM, Magidson JF, Blashill AJ. A case study of individually delivered mindfulness-based cognitive behavioral therapy for severe health anxiety. CBP 2017;24(4):484-95.
  13. Armstrong L, Rimes KA. Mindfulness-based cognitive therapy for neuroticism (stress vulnerability): A pilot randomized study. Behavior therapy 2016;47(3):287-98.
  14. Yang Y, Liu Y-H, Zhang H-F, Liu J-Y. Effectiveness of mindfulness-based stress reduction and mindfulness-based cognitive therapies on people living with HIV: A systematic review and meta-analysis. IJNS 2015; 2(3):283-94.
  15. Parsons CE, Crane C, Parsons LJ, Fjorback LO, Kuyken W. Home practice in Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction: A systematic review and meta-analysis of participants' mindfulness practice and its association with outcomes. Behaviour Research and Therapy 2017;95(8):29-41.
  16. Abbasi M, Porzoor P, Moazedi K, Aslani T. The Effectiveness of Acceptance and Commitment Therapy on Improving Body Image of Female Students with Bulimia Nervosa. Journal of Ardabil University of Medical Sciences 2015; 15(1):15-24. [Persian]
  17. Zamzami A, Agahheris M, Janbozorgi M. The investigation efficacy of behavioral-mindfulness-acceptance intervention on modifying negative body image and self-schema among female students. Pajoohandeh journal 2015;19(6):304-11. [Persian]
  18. Lim M, Son C. Effects of Mindfulness-Based Cognitive Therapy (MBCT) on body image satisfaction, anxiety, and self-esteem in university students with negative body image. KJHP 2012;17:823-40.
  19. Heidarian A, Zahrakar K, Mohsenzade F. The effectiveness of mindfulness training on reducing rumination and enhancing resilience in female patients with breast cancer: a randomized trial. IJBD 2016;9(2):52-9. [Persian]
  20. Ahmadi BS, Bakhshipour B, Faramarzi M. The effectiveness of group mindfulness–Based cognitive Therapy on obsessive-compulsive disorder, metacognition beliefs and rumination.QCPS 2015; 5(20):79-109. [Persian]
  21. MacKenzie MB, Kocovski NL. Mindfulness-based cognitive therapy for depression: trends and developments. PRBM 2016;9(5):125-32.
  22. Xie J-F, Zhou J-D, Gong L-N, Iennaco JD, Ding S-Q. Mindfulness-based cognitive therapy in the intervention of psychiatric disorders: A review. IJNS 2014;1(2):232-9.
  23. Rajabi S, Hashemi J, Pezeshk SH. Developing and Assessing the Effectiveness of Cognitive-Behavioral Programs on Body Image in Children with Cancer. MEJDS 2013; 4(9):28-35. [Persian]
  24. Soleimani M, Hafeznia M, Masodi S, Moradi M, Ordobadi S. Comparison of dimensions of psychopathology, life style and family function in female students with eating disorders. JUNMF 2016; 14(4):371-9. [Persian]
  25. Javadian SN, Emami T. The comparison of the effect of the number of aerobic and yoga sessions on physical self–description components of female university students. Development and  Motor Learning 2009; 1(2):127-45. [Persian]
  26. Segal ZV, Williams MG, Teasdale JD. Mindfulness based on cognitive therapy for depression. 2nd ed. New York: Guilford Press; 2003:139-42.
  27. Ghadampour E, Gholamrezaei S, Radmehr P. The effectiveness of mindfulness– based cognitive therapy on interpretation bias and dysfunctional attitude in suffering disorder comorbidity social anxiety and depression. JSHUMS 2016; 18(2):21-34. [Persian]
  28. Garner DM, Olmstead MP, Polivy J. Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. IJED 1983;2(2):15-34.
  29. Berthoz S, Perdereau F, Godart N, Corcos M, Haviland MG. Observer-and self-rated alexithymia in eating disorder patients: Levels and correspondence among three measures. JPR 2007;62(3):341-7.
  30. Shayeghian Z, Vafae M. The evaluation of psychometric properties of eating disorder inventory (EDI).Psychological studies 2010; 6(2):9-23. [Persian]
  31. Marsh HW, Martin AJ, Jackson S. Introducing a short version of the physical self description questionnaire: new strategies, short-form evaluative criteria, and applications of factor analyses. JSEP 2010;32(4):438-82.
  32. Bahram A, Abdolmaleki Z, Saleh SB. psychometric properties determination of the short form Physical Self Description Questionnaire (PSDCQ_S) among Tehranian students. Journal of Motor Behavior 2013;4(11):13-34.[Persian]
  33. Ehring T, Zetsche U, Weidacker K, Wahl K, Schönfeld S, Ehlers A. The Perseverative Thinking Questionnaire (PTQ): Validation of a content-independent measure of repetitive negative thinking. Journal of behavior therapy and experimental psychiatry 2011;42(2):225-32.
  34. Shirmohamadi F, Kakavand A, Sadeghi M, Jafari JR. Repetitive negative thinking mediates the association between perfectionism and social anxiety. Psychology Studise 2016; 12(2):107-28. [Persian]
  35. Day MA, Thorn BE. Mindfulness-based cognitive therapy for headache pain: An evaluation of the long-term maintenance of effects. Complementary therapies in medicine 2017;33(8):94-8.