Fundamentals of Mental Health

Fundamentals of Mental Health

Effectiveness of mindfulness-based cognitive therapy on rumination, distress tolerance, and negative hyperemotional dimensions among individuals with substance abuse

Document Type : Research Paper

Authors
Alireza Esmaeeilzadeh 1
Hassan Toozandehjani 2
Ahmad Zendehdel 3
Zahra Bagherzadeh Golmakani 3
1 Ph.D. student of psychology, Department of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran.
2 Associate professor, Department of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran.
3 Assistant professor, Department of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran.
10.22038/JFMH.2025.81064.3143
Abstract
Introduction: The current study aimed to investigate the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) on rumination, distress tolerance, and negative hyperemotional dimensions among individuals with substance abuse.
 
Materials and Methods: The statistical population included all individuals with substance abuse who were referred to addiction treatment centers in Mashhad, Iran, in 2023. Three addiction treatment centers were selected. Using the convenience sampling method and based on the scores of the Repetitive Thinking (Rumination) Questionnaire, Distress Tolerance Scale, and Hyperemotional Dimensions Scale in the pre-test, 40 individuals with substance abuse were selected and were randomly assigned to two groups of 20 each. The experimental group received MBCT, while the control group received no treatment. We analyzed the data using Multivariate Analysis of Variance (MANOVA) with repeated measurements.
 
Results: The findings indicated that MBCT changed the scores of rumination, distress tolerance, and negative hyperemotional dimensions significantly in the post-test, and 1-month follow-up stages in the experimental group compared to the control group (P< 0.05).
 
Conclusion: Therefore, mindfulness-based cognitive therapy is effective to reduce rumination and negative hyperemotional dimensions, and increase distress tolerance among individuals with substance abuse.
Keywords
Distress tolerance
Emotion
Mindfulness-based cognitive therapy
Rumination
Substance abuse
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Fundamentals of Mental Health
Volume 27, Issue 3
May and June 2025
Pages 181-187