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The Effectiveness of Mindfulness-Based Schema Therapy on Cognitive Distortions and Causal Attributions in Nursing and Midwifery Students with Health Anxiety

Shabnam Navidi Poshtiri, Ramezan Hasanzadeh, Seyedeh Olia Emadian

Applied Family Therapy Journal 2023 DOI: 10.61838/kman.aftj.4.4.35 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Quasi-experimental study with pre-test, post-test, and three-month follow-up Peer reviewed
Sample size 30
Population Nursing and midwifery students with health anxiety at the Guilan Branch of Azad University, 2021
Intervention Mindfulness-based schema therapy
Duration 10 sessions of 90 minutes, with three-month follow-up
Measures Ellis's Cognitive Distortion Questionnaire, Attribution Style Questionnaire
Topics Anxiety Meditation
Key findings Mindfulness-based schema therapy was reported to reduce cognitive distortions and to change causal attributions among nursing and midwifery students with health anxiety, with effects measured at post-test and three-month follow-up. The authors suggest therapists consider mindfulness-based schema therapy for such students.

Abstract

Aim: The aim of this study was to investigate the effectiveness of mindfulness-based schema therapy on cognitive distortions and causal attribution in nursing and midwifery students with health anxiety.

Method: The research design is quasi-experimental with pre-test-post-test design and three-month follow-up with the control group. The statistical population included all nursing and midwifery students with health anxiety in Guilan Branch of Azad University in 2021. Among them, 30 people were selected by available sampling method and were randomly replaced in the experimental group (mentality-based schema therapy) and the control group (15 people in each group). Mentally based schema therapy was performed in 10 sessions of 90 minutes based on Young et al. (2003) training package in the experimental group. Data were collected using Ellis's Cognitive Distortion Questionnaire (1986) and the Attribution Style Questionnaire of Peterson et al. (1982). Data were collected using cognitive distortions by Ellis, Peterson et al. Data were analyzed using SPSS-22 software and repeated measures analysis of variance.

Results: The results showed that mentally based schema therapy was effective on cognitive distortions (F= 3.59, P= 0.035) and causal attributions (F=40.30, P<0.001) of nursing and midwifery students with health anxiety.

Conclusion: Considering the role of beliefs and thoughts in health anxiety, it is suggested that therapists consider mindfulness-based therapeutic schemas in reducing the symptoms of cognitive distortions and causal attributions.

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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