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عامری, نرجس, نجفی, محمود. (1404). مقایسه اثربخشی شناخت درمانی مبتنی بر ذهن‌آگاهی و درمان ذهن‌آگاهی مبتنی بر خودشفقت‌ورزی بر باورهای فراشناختی در افراد وابسته به مواد تحت درمان نگهدارنده با متادون. نشریه هنرهای کاربردی, 17(2), 51-69. doi: 10.22075/jcp.2025.37052.3138
نرجس عامری; محمود نجفی. "مقایسه اثربخشی شناخت درمانی مبتنی بر ذهن‌آگاهی و درمان ذهن‌آگاهی مبتنی بر خودشفقت‌ورزی بر باورهای فراشناختی در افراد وابسته به مواد تحت درمان نگهدارنده با متادون". نشریه هنرهای کاربردی, 17, 2, 1404, 51-69. doi: 10.22075/jcp.2025.37052.3138
عامری, نرجس, نجفی, محمود. (1404). 'مقایسه اثربخشی شناخت درمانی مبتنی بر ذهن‌آگاهی و درمان ذهن‌آگاهی مبتنی بر خودشفقت‌ورزی بر باورهای فراشناختی در افراد وابسته به مواد تحت درمان نگهدارنده با متادون', نشریه هنرهای کاربردی, 17(2), pp. 51-69. doi: 10.22075/jcp.2025.37052.3138
عامری, نرجس, نجفی, محمود. مقایسه اثربخشی شناخت درمانی مبتنی بر ذهن‌آگاهی و درمان ذهن‌آگاهی مبتنی بر خودشفقت‌ورزی بر باورهای فراشناختی در افراد وابسته به مواد تحت درمان نگهدارنده با متادون. نشریه هنرهای کاربردی, 1404; 17(2): 51-69. doi: 10.22075/jcp.2025.37052.3138

مقایسه اثربخشی شناخت درمانی مبتنی بر ذهن‌آگاهی و درمان ذهن‌آگاهی مبتنی بر خودشفقت‌ورزی بر باورهای فراشناختی در افراد وابسته به مواد تحت درمان نگهدارنده با متادون

روان شناسی بالینی
مقاله 4، دوره 17، شماره 2 - شماره پیاپی 66، تیر 1404، صفحه 51-69    اصل مقاله (1.32 M)
نوع مقاله: مقاله پژوهشی
شناسه دیجیتال (DOI): 10.22075/jcp.2025.37052.3138
نویسندگان
نرجس عامری1؛ محمود نجفی* 2
1دانشجوی دکتری، گروه روانشناسی بالینی، دانشگاه سمنان، سمنان، ایران
2دانشیار، گروه روانشناسی بالینی، دانشگاه سمنان، سمنان، ایران.
تاریخ دریافت: 19 اسفند 1403،  تاریخ بازنگری: 20 تیر 1404،  تاریخ پذیرش: 20 خرداد 1404 
چکیده
هدف: باورهای فراشناختی از چالش‌های مهم درمان وابستگی است و روش‌های مؤثر درمانی می‌توانند نقش بسزایی در کاهش آن داشته باشند. این پژوهش با هدف پژوهش حاضر مقایسه اثربخشی شناخت درمانی مبتنی بر ذهن‌آگاهی و درمان ذهن‌آگاهی مبتنی بر خودشفقت‌ورزی بر باورهای فراشناختی در افراد وابسته به مواد بود.
روش: این مطالعه از نوع نیمه آزمایشی با طرح پیش‌آزمون-پس‌آزمون با گروه کنترل ومرحله پیگیری سه ماهه بود. جامعه آماری شامل بیماران وابسته به مواد تحت درمان با متادون مراجعه‌کننده به مراکز ترک اعتیاد شهر شاهرود در سال 1403 بودند. ۴۸ نفر به صورت نمونه گیری هدفمند انتخاب و به صورت تصادفی در سه گروه 16 نفره شامل دو گروه آزمایش و یک گروه کنترل گمارده شدند. جهت جمع‌آوری داده‌ها از پرسشنامه باورهای فراشناختی ولز و کاترایت- هاتون (2004) استفاده شد. گروه آزمایشی اول، شناخت‌درمانی مبتنی بر ذهن‌آگاهی (8 جلسه 90 دقیقه‌ای) و گروه آزمایشی دوم درمان ذهن آگاهی مبتنی بر خودشفقت‌ورزی (8 جلسه 90 دقیقه‌ای) را به صورت یک جلسه در هفته دریافت کردند. داده‌ها با استفاده از تحلیل واریانس اندازه‌گیری‌های مکرر و آزمون تعقیبی بن‌فرونی در نرم افزار SPSS26 تحلیل شدند.
یافته‌ها: نتایج نشان داد هر دومداخله د بهبود مولفه‌های باورهای فراشناختی درپس‌آزمون وپیگیری موثر بوده‌اند (0/05<p). همچنین، بین دو گروه آزمایش تفاوت معناداری در میانگین پس‌آزمون و پیگیری مولفه‌های باورهای فراشناختی وجود داشت و درمان ذهن‌آگاهی مبتنی بر خودشفقت‌ورزی نسبت به شناخت درمانی مبتنی بر ذهن‌آگاهی اثربخش‌تر بود (0/05<p).
نتیجه‌گیری: این یافته‌ها بر لزوم بهره‌گیری ازدرمان ذهن‌آگاهی مبتنی برخودشفقت‌ورزی در درمان وابستگی به مواد تأکید دارد.
کلیدواژه‌ها
باورهای فراشناختی؛ خودشفقت‌ورزی؛ ذهن‌آگاهی؛ شناخت درمانی؛ متادون
عنوان مقاله [English]
A Comparison of the Efficacy of Mindfulness-Based Cognitive Therapy and Mindfulness-Based Self-Compassion on Metacognitive Beliefs in Individuals with Substance Dependence Receiving Methadone Maintenance Treatment
نویسندگان [English]
Narjes Ameri1؛ Mahmoud Najafi2
1Ph.D. Student, Department of Clinical Psychology, Semnan University, Semnan, Iran.
2Associate Professor, Department of Clinical Psychology, Semnan University, Semnan, Iran.
چکیده [English]
Background: Metacognitive beliefs are pose a significant challenge in addiction treatment. Effective therapeutic interventions have the potential to significantly reduce these beliefs. This study aimed to compare the effectiveness of Mindfulness-Based Cognitive Therapy and Self-Compassion-Based Mindfulness Therapy on metacognitive beliefs in individuals with substance dependence undergoing Methadone Maintenance Treatment.
Method:This quasi-experimental study employed a pretest–posttest design with a control group and a three-month follow-up. The statistical population included individuals with substance dependence receiving Methadone Maintenance Treatment at addiction treatment centers in Shahrood city in 2024. A total of 48 participants were selected via purposive sampling and randomly assigned to three groups of 16: two experimental groups and one control group. Data were collected using the Metacognitions Questionnaire (Wells & Cartwright-Hatton, 2004). The first experimental group received Mindfulness-Based Cognitive Therapy and the second Self-Compassion-Based Mindfulness Therapy, each delivered in eight weekly 90-minute sessions. Data were analyzed using repeated measures ANOVA and Bonferroni post-hoc tests via SPSS26.
Results: Both interventions led to significant improvements in metacognitive beliefs at the posttest and follow-up stages (p < 0.05). Additionally, Self-Compassion-Based Mindfulness Therapy demonstrated significantly greater efficacy compared to Mindfulness-Based Cognitive Therapy in reducing metacognitive beliefs (p < 0.05).
Conclusion: The findings indicate that both Mindfulness-Based Cognitive Therapy and Self-Compassion-Based Mindfulness Therapy are effective in improving metacognitive beliefs among individuals with substance dependence undergoing Methadone Maintenance Treatment. Notably, Self-Compassion-Based Mindfulness Therapy showed superior outcomes and may serve as a promising therapeutic approach for addressing psychological vulnerabilities in this population.
کلیدواژه‌ها [English]
Metacognitive beliefs, Self-compassion, Mindfulness, Cognitive therapy, Methadone Maintenance Treatment
مراجع
منابع

  1. United Nations Office on Drugs and Crime. (n.d.) World Drug Report 2019: 35 million People Worldwide Suffer from Drug Use Disorders While Only 1 in 7 People Receive Treatment. Available online: (accessed on 5 August 2021). https://www.unodc.org/unodc/en/frontpage/2019/June/world-drug-report-2019_-35-million-people-worldwide-suffer-from-drug-use-disorders-while-only-1-in-7-people-receive-treatment.html
  2. Marel C, Siedlecka E, Wilson J, Eugene Dit Rochesson S, Chu D, Fisher A, & Mills KL. A systematic review and meta-analysis of the prevalence of alcohol and other drug use and problematic use among people accessing mental health treatment in Australia. Australian & New Zealand Journal of Psychiatry 2025; 59(4): 361-377.‏ https://org/10.1177/00048674251321272
  3. World Health Organization. WHO report on surveillance of antibiotic consumption: 2016-2018 early implementation. ‏
  4. Ghaemi A, Ahadi H, Tajeri B. Comparison of the Effectiveness of Acceptance and Commitment Therapy and Cognitive-Behavioral Therapy on Resilience in Employed and Unemployed Substance-Dependent Individuals in Recovery. etiadpajohi 2024; 18 (73):55-78. [Persian] http://etiadpajohi.ir/article-1-3128-fa.html
  5. McCall Jones C, Baldwin GT, Compton WM. Recent increases in cocaine-related overdose deaths and the role of opioids. American journal of public health 2017; 107(3): 430-432. https://doi.org/2105/AJPH.2016.303627
  6. Center for Disease Control (CDC). CDC WONDER online databases. December 15. 2018.
  7. Food and Drug Administration (FDA). Information about Medication-Assisted Treatment (MAT). August 15 2018.
  8. Diep NB, Trang NT, Van HTH, Truc TT, Van Dung D, Li MJ, ... & Giang LM. Non-adherence to treatment and concurrent opioid use among people on methadone maintenance treatment using methamphetamine in Vietnam. Journal of Substance Use and Addiction Treatment 2025; 173: 209686.‏ https://doi.org/10.1016/j.josat.2025.209686
  9. Wakeman SE, Larochelle MR, Ameli O, Chaisson CE, McPheeters JT, Crown WH, et al. Comparative effectiveness of different treatment pathways for opioid use disorder. JAMA network open 2020; 3(2): e1920622-e1920622. https://doi.org/1001/jamanetworkopen.2019.20622
  10. Machavariani E, Bromberg DJ, Dumchev K, Esserman D, Earnshaw VA, Pykalo I, ... & Altice FL. Decrease in provider stigma is associated with improved quality health indicators among individuals receiving methadone in primary care centers in Ukraine. International Journal of Drug Policy 2025; 136: 104682.‏ https://doi.org/10.1016/j.drugpo.2024.104682
  11. Carl A, Pasman E, Broman MJ, Lister JJ, Agius E, Resko SM. Experiences of healthcare and substance use treatment provider-based stigma among patients receiving methadone. Drug and Alcohol Dependence Reports 2023; 7(6); 100138.‏ https://doi.org/10.1016/j.dadr.2023.100138
  12. Calcaterra SL, Bach P, Chadi A, Chadi N, Kimmel SD, Morford KL, et al. Methadone matters: what the United States can learn from the global effort to treat opioid addiction. Journal of general internal medicine 2019; 34(11): 1039-1042.‏ https://doi.org/10.1007/s11606-018-4801-3
  13. Krawczyk N, Rivera BD, Jent V, Keyes KM, Jones CM, Cerdá M. Has the treatment gap for opioid use disorder narrowed in the US?: A yearly assessment from 2010 to 2019”. International Journal of Drug Policy 2022; 110:103786.‏ https://doi.org/10.1016/j.drugpo.2022.103786
  14. D'Aunno T, Park SE, Pollack HA. Evidence-based treatment for opioid use disorders: A national study of methadone dose levels, 2011–2017. Journal of substance abuse treatment 2019; 96: 18-22.‏ https://doi.org/1016/j.jsat.2018.10.006
  15. Ameri N, Najafi M. The Efficacy of Mindfulness-Based Cognitive Therapy on Components of Shame and Internal Stigma in Substance-Dependent Individuals Undergoing Methadone Maintenance Treatment. etiadpajohi 2024; 18 (73): 241-258. [Persian]
http://etiadpajohi.ir/article-1-3174-fa.html

  1. Mansueto G, Palmieri S, Caselli G, Spada MM. Impulsiveness in substance users: Metacognitive beliefs and repetitive negative thinking as potential maintenance factors. Clinical Psychology & Psychotherapy 2024; 31(6): e70014.‏ https://doi.org/10.1002/cpp.70014
  2. Demir B, Ozsoy F. Relationship of clinical features with metacognition and states of mind in methamphetamine-use disorder patients. Current Psychology 2024; 43(44): 34009-34017.‏ https://doi.org/1007/s12144-024-06895-5
  3. Delonca D, Trouillet R, Alarcon R, Nalpas B, Perney P. Relationships between attentional bias and craving in alcohol use disorder: role of metacognitions. Addictive Behaviors 2021; 117: 106846.‏ https://doi.org/1016/j.addbeh.2021.106846
  4. Hamonniere T, Milan L, Varescon I. Repetitive negative thinking, metacognitive beliefs, and their interaction as possible predictors for problematic cannabis use. Clinical Psychology & Psychotherapy 2022; 29(2): 706-717.‏ https://doi.org/1016/j.addbeh.2021.106846
  5. Wells A. Metacognitive therapy for anxiety and depression. Guilford press.‏
  6. Anderson LH. The effect of behavioral activation group therapy on the resilience, quality of life and perceived stress in abusing in drug abuser patient. American journal of Orthodontics Orthodontics 2015; 131(5): 571-572.‏
https://doi.org/ 10.1111/add.14049

  1. Spada MM, Hiou K, Nikcevic AV. Metacognitions, emotions, and procrastination. Journal of cognitive psychotherapy 2006; 20(3): 319.‏ https://doi.org/1891/088983906780644028
  2. McNeely J, Troxel AB, Kunins HV, Shelley D, Lee JD, Walley A, et al. Study protocol for a pragmatic trial of the Consult for Addiction Treatment and Care in Hospitals (CATCH) model for engaging patients in opioid use disorder treatment. Addiction science & clinical practice 2019; 14: 1-12.‏
https://doi.org/10.1186/s13722-019-0135-7

  1. Ramadas E, Lima MPD, Caetano T, Lopes J, Dixe MDA. Effectiveness of mindfulness-based relapse prevention in individuals with substance use disorders: A systematic review. Behavioral Sciences 2021; 11(10): 133.‏
https://doi.org/10.3390/bs11100133

  1. Hamonniere T, Billieux J. Individually delivered mindfulness‐based cognitive therapy in concomitant problematic substance use and emotional symptoms: A process‐based case study. Clinical Psychology & Psychotherapy 2023; 30(3): 714-727.‏ https://doi.org/1002/cpp.2827
  2. Kabat-Zinn J. Wherever you go, there you are: Mindfulness meditation in everyday life. Hachette UK.‏
  3. Sadeghi Firoozabadi V. The Effectiveness of Mindfulness-Based Group Therapy on Improving Metacognitive Beliefs in Preventing Relapse of Women Consuming Stimulants. Iranian Journal of Health Psychology 2019; 2(2): 127-135.‏ [Persian] https://doi.org/10.30473/ijohp.2020.52538.1075
  4. Segal ZV, Williams JMG, Teasdale JD. Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse. 1st ad. New York, United States: Guilford Press; 2001.
  5. Kashefinishabouri J, Eftekhar Saadi Z, Pasha R., Heidari A, Makvandi B. The effect of mindfulness-based cognitive therapy and emotion-regulation training on rumination and social anxiety in teenagers prone to addiction. Journal of Occupational Health and Epidemiology 2021; 10(1): 1-11.‏ http://johe.rums.ac.ir/article-1-407-en.html
  6. Dalili Z, Bayazi MH. The effectiveness of mindfulness-based cognitive therapy on the illness perception and psychological symptoms in patients with rheumatoid arthritis. Complementary therapies in clinical practice 2019; 34: 139-144.‏ https://doi.org/1016/j.ctcp.2018.11.012
  7. Ahmadi Bejagh S, Bakhshipour B, Faramarzi MB. The effectiveness of group mindfulness–Based cognitive Therapy on obsessive-compulsive disorder, metacognition beliefs and rumination. Clinical Psychology Studies 2015; 5(20): 79-109.‏ [Persian] https://jcps.atu.ac.ir/article_1862.html
  8. Movassagh MT, Arshadi N, Bassaknejad S, Beshlideh K. The effect of mindfulness in motion-based trainings on resiliency, emotion regulation, and job stress. Journal of Occupational Health and Epidemiology 2019; 8(1): 49-55.‏ http://johe.rums.ac.ir/article-1-307-en.html
  9. Lee SH, Cho SJ. Cognitive behavioral therapy and mindfulness-based cognitive therapy for depressive disorders. Major depressive disorder: Rethinking and understanding recent discoveries 2021; 1305: 295-310.‏
https://doi.org/10.1007/978-981-33-6044-0_16

  1. Mehel Tutuk SP, Budak F. The effect of mindfulness-based psychoeducation on internalized stigma and substance abuse proclivity in individuals with substance use disorder. Journal of Substance Use 2024; 29(5): 680-688.‏ https://doi.org/1080/14659891.2023.2199847
  2. Sadeghi E, Sajjadian I. Nadi MA. Comparison of the Effectiveness of Mindfulness Based Compassion and Mindfulness-Based Cognitive Therapy on Students' Dysfunctional Attitude, Self-control, and Mental Health. Positive Psychology Research 2020; 6(1): 31-48. [Persian] 6(1), 31-48. https://doi.org/22108/ppls.2020.120851.1861
  3. Hunt CA, Goodman RD, Hilert AJ, Hurley W, Hill CE. A mindfulness-based compassion workshop and pre-session preparation to enhance therapist effectiveness in psychotherapy: A pilot study. Counselling psychology quarterly 2022; 35(3): 546-561.‏ https://doi.org/10.1080/09515070.2021.1895724
  4. Ondrejková A, Švrček Š, Ondrejka R, Beníšek Z, Süli J, Kopřiva V, et al. Historical analysis of epizootiological situation of rabies on the territory of the Slovak Republic. Acta virologica 2020; 64(2): 216-225.
https://doi.org/10.4149/av_2020_211

  1. Ameri N, Jamali S. The Effectiveness of Self-Compassion-Based Mindfulness Training on Psychological Distress and Craving in Stimulant-Dependent People. etiadpajohi 2024; 17 (70):107-128. [Persian]
http://etiadpajohi.ir/article-1-3016-fa.html

  1. Creswell JD. Mindfulness interventions. Annual review of psychology 2017; 68(1): 491-516.‏ https://doi.org/10.1146/annurev-psych-042716-051139
  2. Félix-Junior IJ, Donate APG, Noto AR, Galduróz JCF, Simionato NM, Opaleye ES. Mindfulness-based interventions in inpatient treatment for Substance Use Disorders: A systematic review. Addictive Behaviors Reports 2022; 16: 100467.‏ https://doi.org/10.1016/j.abrep.2022.100467
  3. Sahraian K, Abdollahpour Ranjbar H, Namavar Jahromi B, Cheung HN, Ciarrochi J, Habibi Asgarabad M. Effectiveness of mindful self-compassion therapy on psychopathology symptoms, psychological distress and life expectancy in infertile women treated with in vitro fertilization: a two-arm double-blind parallel randomized controlled trial. BMC psychiatry 2024; 24(1): 174.‏ https://doi.org/10.1186/s12888-023-05411-6
  4. Wells A, Cartwright-Hatton S. A short form of the metacognition's questionnaire: properties of the MCQ-30. Behaviour research and therapy 2004; 42(4): 385-396.
https://doi.org/10.1016/S0005-7967(03)00147-5

  1. osoli A, sharat madar A. kalantar A. The relationship between metacognitive beliefs with academic self-regulation and parents-adolesent conflict. Counseling Culture and Psycotherapy 2016; 7(27): 83-104. [Persian]
https://doi.org/10.22054/qccpc.2016.6726

  1. Kabat-Zinn J, Zinn JK. Mindfulness meditation in everyday life.‏ London: Piatkus Books. 2013.
  2. Ivtzan I, Young T, Martman J, Jeffrey A, Lomas T, Hart R, Eiroa-Orosa FJ. Integrating mindfulness into positive psychology: A randomised controlled trial of an online positive mindfulness program. Mindfulness 2016; 7(1): 1396-1407.‏ https://doi.org/10.1007/s12671-016-0581-1
  3. Mohsenabadi H, Shabani MJ, Zanjani Z. Factor structure and reliability of the mindfulness attention awareness scale for adolescents and the relationship between mindfulness and anxiety in adolescents. Iranian Journal of Psychiatry and Behavioral Sciences 2019; 13(1): 104-112. https://doi.org/10.5812/ijpbs.64097
  4. Sheikhzadeh M, Zanjani Z, Baari A. Efficacy of mindfulness-based cognitive therapy and cognitive behavioral therapy for anxiety, depression, and fatigue in cancer patients: a randomized clinical trial. Iranian Journal of Psychiatry 2021; 16(3): 271.‏ https://doi.org/10.18502/ijps.v16i3.6252
48. Ameri N. Structural Relations of Early Maladaptive Schemas to Craving in Substance-Dependent Individuals under Methadone Maintenance Treatment: The Mediating Role of Self-Compassion. etiadpajohi 2023; 16(66): 47-70
http://etiadpajohi.ir/article-1-2828-fa.html

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