Volume 10, Issue 1 (June 2024)                   Elderly Health Journal 2024, 10(1): 52-61 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bigonah Roodmajani M, Nayyeri M, Ramezani J. Comparison of Mindfulness-Based Cognitive Therapy and Integrated Transdiagnostic Psychotherapy for Emotion Regulation and Distress Tolerance. Elderly Health Journal 2024; 10 (1) :52-61
URL: http://ehj.ssu.ac.ir/article-1-310-en.html
Department of Psychology, Torbat-e Jam Branch, Islamic Azad University, Torbat-e Jam, Iran , Mahdi.nayyeri@gmail.com
Abstract:   (332 Views)
Introduction: Cardiac disease significantly impacts global health, causing substantial disability and mortality. This study compared the effectiveness of mindfulness-based cognitive therapy (MBCT) and integrated transdiagnostic psychotherapy (ITP) on emotion regulation and distress tolerance in patients with type D personality, characterized by social inhibition and negative affectivity.
Methods: A semi-experimental design randomly assigned 60 cardiac patients with type D personality from Simorgh Heart Clinic, Mashhad, Iran, in 2022, to MBCT group (n = 20), ITP group (n = 20) and control group (n = 20). The MBCT and ITP groups received respective interventions, while the control group received no intervention. Emotion regulation and distress tolerance were assessed using validated scales before and after the interventions.
Results: MBCT demonstrated significantly greater improvement in both emotion regulation and distress tolerance compared to ITP and the control group.
Conclusion: This study suggests that MBCT may be a more effective intervention than ITP in improving emotion regulation and distress tolerance in cardiac patients with type D personality. Mindfulness-based approaches could offer valuable tools for managing emotional challenges in this population.

Corresponding Author:  Mehdi Nayyeri
View Orcid in Profile
You can search for this author in PubMed     Google Scholar Profile
Full-Text [PDF 739 kb]   (231 Downloads) |   |   Full-Text (HTML)  (233 Views)  
Type of Study: Research | Subject: General
Received: 2023/12/13 | Accepted: 2024/04/28 | Published: 2024/06/21

References
1. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics—2015 update: a report from the American heart association. Circulation. 2015; 131(4): 29-322.
2. Loucks EB, Britton WB, Howe CJ, Eaton CB, Buka SL. Positive associations of dispositional mindfulness with cardiovascular health: the new England family study. International Journal of Behavioral Medicine. 2015; 22(4): 540-50.
3. Goldston K, Baillie AJ. Depression and coronary heart disease: a review of the epidemiological evidence, explanatory mechanisms and management approaches. Clinical Psychology Review. 2008; 28(2): 288-306.
4. Chapman BP, Roberts B, Duberstein P. Personality and longevity: knowns, unknowns, and implications for public health and personalized medicine. Journal of Aging Research. 2011; 2011: 1-25.
5. Denollet J, Pedersen SS, Ong AT, Erdman RA, Serruys PW, van Domburg RT. Social inhibition modulates the effect of negative emotions on cardiac prognosis following percutaneous coronary intervention in the drug-eluting stent era. European Heart Journal. 2006; 27(2): 171-7.
6. Denollet J, Pedersen SS. Anger, depression, and anxiety in cardiac patients: the complexity of individual differences in psychological risk. Journal of the American College of Cardiology. 2009; 53(11): 947-9.
7. Grande G, Romppel M, Barth J. Association between type D personality and prognosis in patients with cardiovascular diseases: a systematic review and meta-analysis. Annals of Behavioral Medicine. 2012; 43(3): 299-310.
8. Denollet J, Schiffer AA, Spek V. A general propensity to psychological distress affects cardiovascular outcomes: evidence from research on the type D (distressed) personality profile. Circulation: Cardiovascular Quality and Outcomes. 2010; 3(5): 546-57.
9. Tunstall-Pedoe H, Kuulasmaa K, Mähönen M, Tolonen H, Ruokokoski E. Contribution of trends in survival and coronary-event rates to changes in coronary heart disease mortality: 10-year results from 37 WHO MONICA Project populations. The Lancet. 1999; 353(9164): 1547-57.
10. Li J, Loerbroks A, Bosma H, Angerer P. Work stress and cardiovascular disease: a life course perspective. Journal of Occupational Health. 2016; 58(2): 216-9.
11. Li CC, Shun SC. Understanding self-care coping styles in patients with chronic heart failure: A systematic review. European Journal of Cardiovascular Nursing. 2016; 15(1): 12-9.
12. Messerli-Bürgy N, Molloy GJ, Poole L, Wikman A, Kaski JC, Steptoe A. Psychological coping and recurrent major adverse cardiac events following acute coronary syndrome. The British Journal of Psychiatry. 2015; 207(3): 256-61.
13. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, et al. Guidelines: Editor's choice: 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). European Heart Journal. 2016; 37(29): 2315-81.
14. Howard S, Myers LB, Hughes BM. Repressive coping and cardiovascular reactivity to novel and recurrent stress. Anxiety, Stress, & Coping. 2017; 30(5): 562-74.
15. Appleton AA, Loucks EB, Buka SL, Kubzansky LD. Divergent associations of antecedent-and response-focused emotion regulation strategies with midlife cardiovascular disease risk. Annals of Behavioral Medicine. 2014; 48(2): 246-55.
16. Augustine AA, Hemenover SH. On the relative effectiveness of affect regulation strategies: a meta-analysis. Cognition and Emotion. 2009; 23(6): 1181-220.
17. Simons JS, Gaher RM. The distress tolerance scale: development and validation of a self-report measure. Motivation and Emotion. 2005; 29: 83-102.
18. Lotan G, Tanay G, Bernstein A. Mindfulness and distress tolerance: relations in a mindfulness preventive intervention. International Journal of Cognitive Therapy. 2013; 6(4): 371-85.
19. Lawrence M, Booth J, Mercer S, Crawford E. A systematic review of the benefits of mindfulness-based interventions following transient ischemic attack and stroke. International Journal of Stroke. 2013; 8(6): 465-74.
20. Fogarty FA, Booth RJ, Gamble GD, Dalbeth N, Consedine NS. The effect of mindfulness-based stress reduction on disease activity in people with rheumatoid arthritis: a randomised controlled trial. Annals of the Rheumatic Diseases. 2015; 74(2): 472-4.
21. Labelle LE, Campbell TS, Faris P, Carlson LE. Mediators of mindfulness-based stress reduction (MBSR): Assessing the timing and sequence of change in cancer patients. Journal of Clinical Psychology. 2015; 71(1): 21-40.
22. Nehra DK, Sharma N, Kumar P, Nehra S. Efficacy of mindfulness-based stress reduction programme in reducing perceived stress and health complaints in patients with coronary heart disease. Dysphrenia. 2014; 5(1): 1-10.
23. Abbott RA, Whear R, Rodgers LR, Bethel A, Coon JT, Kuyken W, et al. Effectiveness of mindfulness-based stress reduction and mindfulness based cognitive therapy in vascular disease: A systematic review and meta-analysis of randomised controlled trials. Journal of Psychosomatic Research. 2014; 76(5): 341-51.
24. Alsubaie M, Abbott R, Dunn B, Dickens C, Keil TF, Henley W, et al. Mechanisms of action in mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR) in people with physical and/or psychological conditions: A systematic review. Clinical Psychology Review. 2017; 55: 74-91.
25. Tully PJ, Ang SY, Lee EJ, Bendig E, Bauereiß N, Bengel J, Baumeister H. Psychological and pharmacological interventions for depression in patients with coronary artery disease. The Cochrane Database of Systematic Reviews. 2021; 12(12).
26. Luberto CM, Crute S, Wang A, Yeh GY, Celano CM, Huffman JC, et al. Lower distress tolerance is associated with greater anxiety and depression symptoms among patients after acute coronary syndrome. General Hospital Psychiatry. 2021; 70:143-4.
27. Roest A, de Jonge P, Lim C, Stein DJ, Al-Hamzawi A, Alonso J, et al. Fear and distress disorders as predictors of heart disease: a temporal perspective. Journal of Psychosomatic Research. 2017; 96: 67-75.
28. Kessler RC, Ormel J, Petukhova M, McLaughlin KA, Green JG, Russo LJ, et al. Development of lifetime comorbidity in the World Health Organization world mental health surveys. Archives of General Psychiatry. 2011; 68(1): 90-100.
29. Tully PJ, Cosh SM. Generalized anxiety disorder prevalence and comorbidity with depression in coronary heart disease: a meta-analysis. Journal of Health Psychology. 2013; 18(12): 1601-16.
30. Suls J, Bunde J. Anger, anxiety, and depression as risk factors for cardiovascular disease: the problems and implications of overlapping affective dispositions. Psychological Bulletin. 2005; 131(2): 260-300.
31. Norton PJ, Roberge P. Transdiagnostic therapy. The Psychiatric Clinics of North America. 2017; 40(4): 675-87.
32. Dear B, Fogliati V, Fogliati R, Gandy M, McDonald S, Talley N, et al. Transdiagnostic internet-delivered cognitive-behaviour therapy (CBT) for adults with functional gastrointestinal disorders (FGID): a feasibility open trial. Journal of Psychosomatic Research. 2018; 108: 61-9.
33. Weihs KL, McConnell MH, Wiley JF, Crespi CM, Sauer-Zavala S, Stanton AL. A preventive intervention to modify depression risk targets after breast cancer diagnosis: Design and single-arm pilot study. Psychooncology. 2019; 28(4): 880-7.
34. Parsons JT, Rendina HJ, Moody RL, Gurung S, Starks TJ, Pachankis JE. Feasibility of an emotion regulation intervention to improve mental health and reduce HIV transmission risk behaviors for HIV-positive gay and bisexual men with sexual compulsivity. AIDS and Behavior. 2017; 21(6): 1540-9.
35. Sharma P, Mehta M, Sagar R. Efficacy of transdiagnostic cognitive-behavioral group therapy for anxiety disorders and headache in adolescents. Journal of Anxiety Disorders. 2017; 46: 78-84.
36. Barlow DH, Ellard KK, Fairholme CP. Unified protocol for transdiagnostic treatment of emotional disorders: Workbook: Oxford University Press; 2010.
37. Tabachnick BG, Fidell LS. Using multivariate statistics. (15th ed). New York: Allyn: Bacon; 2007.p.123.
38. Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of Personality and Social Psychology. 2003; 85(2): 348-62.
39. Balzarotti S, John, OP, Gross JJ. An Italian adaptation of the emotion regulation questionnaire. European Journal of Psychological Assessment. 2010; 26: 61-7.
40. Qasimpour A, Ilbigi R, Shahnaz H. Psychometric characteristics of Gross and John emotion regulation questionnaire in an Iranian sample. In The 6th Student Mental Health Conference, Guilan University 2011 (pp. 722-24).
41. Alavi K. Effectiveness of group dialectic organizational behavior in reducing depression symptoms of Mashhad students [Master's thesis]. Mashhad: Ferdowsi University; 2008. [In Persian].
42. Segal ZV, Williams, JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press: 2002.
43. Bakhshipour A, Vojodi B, Mahmood Alilo M, Abdi R. The effectiveness of integrated Transdiagnostic Treatment in reducing the symptoms of major depressive disorder. Thoughts and Behavior in Clinical Psychology. 2016 ;11(41):67-76.
44. Katherine P, Gene S, Alison G, Claire H, David K, Alice M, et al. The coMforT study of a trauma-informed mindfulness intervention for women who have experienced domestic violence and abuse: a protocol for an intervention refinement and individually randomized parallel feasibility trial. Pilot and Feasibility Studies. 2020; 6(33): 2-14.
45. Taherifard Mm, Mikaeili N. The effectiveness of cognition-based mindfulness therapy on social anxiety, resilience and emotion regulation in women victims of domestic violence. Thought & Behavior in Clinical Psychology. 2019; 13(51): 17-26. [Persian]
46. Sirus Jahedi Z, Akbari B, Amir Sadeghi S. Comparing levels of domestic abuse and emotional regulation of normal women and women exposed to violence. Razavi International Journal of Medicine. 2017; 5(3): 602-14.
47. Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of Personality and Social Psychology. 2003; 85(2): 348-62.
48. Pollatos O, Matthias E, Keller J. When interoception helps to overcome negative feelings caused by social exclusion. Frontiers in Psychology. 2015; 6: 1-8.
49. Lynch TR, Mizon GA. Distress over tolerance and distress intolerance: A behavioral perspective. In: Zvolensky MJ, Bernstein A, Vujanovic AA, editors Distress tolerance: Theory, research, and clinical applications. The Guilford Press; 2011; P. 52-79.
50. Osma J, Martínez-García, L, Quilez-Orden A, Peris-Baquero Ó. Unified protocol for the transdiagnostic treatment of emotional disorders in medical conditions: a systematic review. International Journal of Environmental Research and Public Health. 2021; 18(10): 1-19.
51. Zarei Faskhudi B, Karbalai Mohammad Migouni A, Rezabakhsh H, Ghelichi L. Comparison of the effectiveness of the integrated overdiagnostic treatment of emotional disorders and the overdiagnostic treatment of emotional efficiency on the emotion regulation of adults with stuttering. Quarterly Journal of Applied Psychological Research. 2021; 12(2): 185-209. [Persian]
52. Firouzi M, Biranvandi M. Effectiveness of integrated transdiagnostic treatment on cognitive regulation of emotion in cardiovascular patients. Scientific Research Journal. 2018; 20 (2):102-93.
53. Gross JJ, Jazaieri H. Emotion, emotion regulation, and psychopathology: an affective science perspective. Clinical Psychological Science. 2014; 2(4): 387-401.
54. Bardeen JR, Fergus TA, Orcutt HK. Testing a hierarchical model of distress tolerance. Journal of Psychopathology and Behavioral Assessment. 2013; 35: 495-505.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Elderly Health Journal

Designed & Developed by : Yektaweb