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Comparison of the effectiveness of mindfulness-based cognitive therapy and metacognitive therapy on reducing obsessive thoughts in anxious patients in the direction of family therapy

Nafiseh Javidnia, Seyed Abolghasem Mehrinejad, Amaneh Moazedian

Applied Family Therapy Journal 2022 DOI: 10.61838/kman.aftj.3.1.25 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Quasi-experimental pretest-posttest design with a control group Peer reviewed
Sample size 36
Population Patients referred to Motamedi Hospital and Roshna Semnan Counseling Center in 2019 with anxiety and obsessive thoughts
Interventions Mindfulness-based cognitive therapy Metacognitive therapy
Measures Obsessive Beliefs Questionnaire (OBQ)
Topics Meditation
Key findings Both mindfulness-based cognitive therapy and metacognitive therapy reduced obsessive-compulsive symptoms in anxious patients compared with no intervention (P < 0.01), and the two therapies did not differ significantly from each other (P > 0.05). The authors conclude that both approaches are effective and comparable for reducing obsessive thoughts.

Abstract

Aim: This study aims to compare the effectiveness of cognitive therapy based on mind-fulness and metacognition on reducing obsessive thoughts in anxiety patients.

Methods: The research method is quasi-experimental with a pretest-posttest design with a control group.The statistical population consisted of all patients referred to Motamedi Hospital and Roshna Semnan Counseling Center in 2019, from which a sample of 36 persen was selected and randomly assigned to three groups of 12 persen, including two experimental and a control group.At first, the OBQ questionnaire of the study group on obsessive-com-pulsive disorder (2003) was distributed in all three groups and the answers were recorded as pre-test scores.The members of the first experimental group were treated with "mind-fulness-based cognitive therapy" based on the protocol of Seagal, Williams and Tizdell (2002). Members of the second experimental group underwent "metacognitive therapy" based on the method of metacognitive therapy of Wales (2008). No intervention was per-formed for control group. Finally, the obtained data were analyzed using multivariate anal-ysis of covariance (MANCOVA) with SPSS-22 statistical software.

Results: The results show the effectiveness of both mindfulness-based cognitive therapy and metacognitive therapy approaches in reducing obsessive-compulsive disorder in anxious patients (P <0.01). In addition, the results shwos that there was no istatistical significant difference (P> 0.05) between the effectiveness of mindfulness-based cognitive therapy intervention and metacognitive therapy on reducing obsessive thoughts in anxiety patients. Conclsion: According to this study, it can be concluded that both cognitive therapy-based approaches to mindfulness and metacognitive therapy on reducing obsessive thoughts in anxiety pa-tients are not different from each other and can be effective.

Comparable studies

Other experimental studies on meditation, most cited first.

Study Year Design Participants
The benefits of being present: Mindfulness and its role in psychological well-being. Cancer patients (clinical intervention study) 2003 Mixed methods: scale development, correlational, quasi-experimental, laboratory, experience-sampling, and clinical intervention study
Loving-kindness meditation increases social connectedness. 2008 Controlled laboratory experiment
Mindfulness and mind-wandering: Finding convergence through opposing constructs. 2012 Two studies: correlational study and experimental study
Mental Training Enhances Attentional Stability: Neural and Behavioral Evidence 2009 Experimental study
Mindfulness meditation and substance use in an incarcerated population. Incarcerated population 2006 Quasi-experimental with treatment-as-usual control condition

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