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The Effectiveness of Mindfulness-Based Cognitive Therapy on Social Anxiety and Psychological Hardiness in Depressed Adolescents

Sima Abdi Kazaj, Maedeh Ghanbari, Fataneh Espahbodi, Maryam Nasri, Shiva Ahmadi

2026 DOI: 10.61838/kman.jayps.5012 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Quasi-experimental with pretest-posttest control group
Sample size 30
Population Adolescents diagnosed with depressive disorder who referred to counseling centers in Tehran in 2024
Intervention Mindfulness-based cognitive therapy
Duration 8-week intervention, no follow-up reported
Measures Social Anxiety Scale for Adolescents, Ahvaz Psychological Hardiness Inventory
Topics Anxiety Meditation
Keywords Hardiness plants Cognition Cognitive restructuring Population Cognitive behavioral therapy Social anxiety Cognitive therapy Social cognitive theory Clinical psychology Intervention counseling Cognitive behaviour therapy Psychological intervention Group psychotherapy Descriptive statistics
Key findings Mindfulness-based cognitive therapy significantly reduced social anxiety and increased psychological hardiness in adolescents with depression compared to a no-intervention control group.

Abstract

Objective: The objective of this study was to examine the effectiveness of mindfulness-based cognitive therapy in reducing social anxiety and enhancing psychological hardiness among adolescents with depression. Methods and Materials: The present study employed a quasi-experimental design with a pretest–posttest control group. The statistical population consisted of adolescents diagnosed with depressive disorder who referred to counseling centers in Tehran in 2024. Using convenience sampling, 30 adolescents who demonstrated high levels of social anxiety and low levels of psychological hardiness were selected and randomly assigned to an experimental group (n = 15) and a control group (n = 15). Participants in the experimental group received eight 2-hour sessions of mindfulness-based cognitive therapy, while the control group did not receive any psychological intervention during the study period. Data were collected using the Social Anxiety Scale for Adolescents and the Ahvaz Psychological Hardiness Inventory. The data were analyzed using descriptive statistics and analysis of covariance in SPSS version 26, with pretest scores entered as covariates.

Findings: Inferential analysis indicated a significant group effect after controlling for pretest scores, showing that mindfulness-based cognitive therapy significantly reduced social anxiety in the experimental group compared with the control group. In addition, a significant increase in psychological hardiness was observed among adolescents who participated in the intervention. The effect sizes associated with group differences were large, indicating a substantial impact of the intervention on both outcome variables.

Conclusion: The findings suggest that mindfulness-based cognitive therapy is an effective intervention for simultaneously reducing social anxiety and strengthening psychological hardiness in adolescents with depression, highlighting its potential as a comprehensive and resilience-oriented therapeutic approach in adolescent mental health services.

Comparable studies

Other experimental studies on anxiety, most cited first.

Study Year Design Participants
A PILOT STUDY OF GROUP MINDFULNESS-BASED COGNITIVE THERAPY (MBCT) FOR COMBAT VETERANS WITH POSTTRAUMATIC STRESS DISORDER (PTSD) Veterans with chronic combat posttraumatic stress disorder seeking treatment at a VA... 2013 Quasi-experimental with treatment-as-usual comparison group n = 37
Being present in the face of existential threat: The role of trait mindfulness in reducing defensive responses to mortality salience. 2010 Experimental study
Neural correlates of mindfulness meditation-related anxiety relief Healthy adults with no prior meditation experience 2013 Within-subjects experimental study n = 15
Intensive mindfulness training-related changes in cognitive and emotional experience Community adults 2009 Quasi-experimental and longitudinal n = 69
Prospective examination of synthetic 5-methoxy-N,N-dimethyltryptamine inhalation: effects on salivary IL-6, cortisol levels, affect, and non-judgment Volunteers 2019 Within-subjects experimental study n = 11

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