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Showing 33 results for Mindfulness

Fatemeh Abbasi Tehrani, Dr Mohammad Naghi Farahani, Dr Mahnaz Shahgholian Ghahfarrokhi, Dr Balal Izanloo,
Volume 16, Issue 2 (9-2022)
Abstract

This study aimed to develop and introduce training package of chronic pain self-management interventions and evaluate its effects on improving pain self-management (PSM), mindfulness skills (MS), metacognitive beliefs (MB), and cognitive emotion regulation strategies (CERS) in people with chronic musculoskeletal pain (CMP). The statistical population included all patients with CMP who were referred to Tehran hospitals between June 2020 and December 2021. Among these, 22 people (two experimental and control groups) of eligible individuals were selected by voluntary sampling method and examined during a quasi-experimental design. The experimental group underwent 8 online intervention sessions and were evaluated online by GSCS-7, PSMC-18, FFMQ-39, MCQ-30 and CERQ-18 during tree sessions (pre-test, post-test and follow-up). Data were analyzed by MANKOVA. According to the results, the overall effects of the self-management interventions were significant (p < 0.05). Also the interventions had a significant effects on improving PSM, increasing the use of MS, and improving CERS (p<0.05), however, the interventions had no significant effects on reducing dysfunctional MB (p < 0.05). Considering the evidence from this study, the authors believe that the use of chronic pain self-management interventions for people with CMP has significant clinical benefits, so its use is recommended to health care providers.
 
Dr Jafar Shabani, Dr Alireza Ghorbani, Miss Sedighe Mir,
Volume 16, Issue 3 (1-2023)
Abstract

Purpose: The aim of this article is to investigate the effectiveness of cognitive therapy group training based on mindfulness on academic vitality and social health. Method: Quantitative-applied research of an experimental type with a pre-test, post-test design with a control group, and the statistical population includes all female students of the first grade of high school in Bandar Anzali city, who were randomly divided into two groups of 20 people, controlled and tested. Martin and Marsh's (2008) academic vitality questionnaires, Keyes and Shapiro's (2004) social health questionnaires, as well as the mindfulness training protocol have been used as the intervention variable of the research for data collection tools. To test the hypotheses, univariate covariance analysis was used using SPSS software. Findings: The research results showed that mindfulness training is effective on academic vitality and social health. Conclusion: Mindfulness training improves the social health and academic vitality of female students.
 
Dr Abdolsamad Nikan, Ahmad Torabi, Zahra Mohseninasab, Asie Bahadori, Zeinab Javanmard, Masoome Hosinirad,
Volume 17, Issue 1 (6-2023)
Abstract

The purpose of this research was to compare the effectiveness of schema therapy and cognitive therapy based on mindfulness on stress, resilience, emotional regulation and psychological well-being of cardiovascular patients. The research method is practical in terms of purpose and semi-experimental in terms of data collection method. The statistical population of this research includes cardiovascular patients in Tehran in 1401. According to the nature of the study method, the size of the statistical sample was 30 people. The research tools are Connor and Davidson's resilience questionnaire, Rief's psychological well-being questionnaire, Cohen's perceived stress questionnaire and Garnevsky's emotion regulation questionnaire. It was found that schema therapy has been effective on the resilience of cardiovascular patients, cognitive therapy based on mindfulness has been effective on the stress of cardiovascular patients, schema therapy has been effective on emotional regulation of cardiovascular patients, cognitive therapy based on mindfulness has been effective on emotional regulation of patients Cardiovascular has been effective, schema therapy has been effective on the psychological well-being of cardiovascular patients, cognitive therapy based on mindfulness has been effective on the psychological well-being of cardiovascular patients; It was also found that schema therapy was more effective than cognitive therapy based on mindfulness.
 
Maryam Zareei, Dr Abdolmajid Bahrainian, Dr Qasem Ahi, Dr Ahmad Mansouri,
Volume 17, Issue 3 (12-2023)
Abstract

The present study was conducted with the aim of comparing the effectiveness of cognitive therapy based on mindfulness and schema therapy on mental rumination and social anxiety of women with practical obsessive-compulsive symptoms. The current research method was semi-experimental with pre-test, post-test and follow-up. The statistical population of the research included all women with obsessive-compulsive disorder who referred to the counseling centers of Mashhad in 1402, based on the entry and exit criteria, 48 people were selected as a sample using the purposeful-available sampling method and randomly divided into two experimental groups. and a control group were assigned. Subjects were evaluated using Hoeksma and Maro (1991) rumination questionnaires and Wells' (1994) social anxiety questionnaires in the pre-test, post-test and follow-up stages. The results of mixed analysis of variance showed that the difference Significance between intervention groups with control in mental rumination and social anxiety of women with obsessive compulsive symptoms, the presence of medication, cognitive therapy based on mindfulness and schema therapy has led to the reduction of mental rumination and social anxiety. Also, schema therapy is more effective than cognitive therapy based on mindfulness in mental rumination.

Maryam Zareii, Dr Abdolmajid Bahreinian, Dr Qasem Ahi, Dr Ahmad Mansouri,
Volume 17, Issue 4 (3-2024)
Abstract

The present study aimed to comparison the effectiveness of cognitive therapy based on mindfulness and schema therapy on emotional regulation and distress tolerance of women with obsessive-compulsive symptoms. The present research method was semi-experimental with pretest, posttest and follow-up. The statistical population of the study included all women with obsessive-compulsive disorder who referred to the counseling centers of Mashhad in 2023-2024. Based on the inclusion and exclusion criteria, 48 people were selected by convenience sampling and randomly assigned to two experimental groups and one control group. The participants were evaluated using the emotion regulation questionnaire (Gross & John, 2003) and distress tolerance scale in the pretest, posttest and follow-up. Data were analyzed using SPSS 26 software and using descriptive and inferential statistics. The results of and analysis of variance with repeated measures showed that there is a significant difference between the experimental and control groups in emotion regulation and distress tolerance (P<0.05). Cognitive therapy based on mindfulness and schema therapy has led to improved emotion regulation and increased distress tolerance. Cognitive therapy based on mindfulness is more effective than schema therapy in improving emotion regulation.

Samira Atar, Dr Hasan Zareii Mahmoodabadi, Dr Najme Sedrpooshan,
Volume 18, Issue 1 (6-2024)
Abstract

Mindful parenting is a new application of mindfulness that aims to improve parenting by promoting parental attention, increasing awareness of parenting stress, and reducing parental reactivity. The purpose of this study was to identify the components of mindful parenting. The research method was qualitative and the strategy was thematic analysis. The research environment included all parents who referred to psychology and counseling clinics in Shiraz, as well as psychologists and specialists in the field of working with children. Using the available sampling method and semi-structured interviews, a total of 12 people were selected. After collecting the data, analysis and coding were performed. The results showed that the components of mindful parenting include: appropriate behavior towards the child, age and capacity of the child, problem-solving efforts, child-like role model, leveling with the child, deep attention to interaction with the child, self-regulation, preventing judgment of the child, promoting emotional intelligence, empathy with the child, and forgiveness.

Miss Sargoli Shahkhaseh, ِdr Jafar Hasani, Dr Mohammad Shakeri,
Volume 18, Issue 3 (12-2024)
Abstract

The aim of this study was to assess the efficacy of cognitive-behavioral therapy and mindfulness-based cognitive therapy in perfectionism of patients with migraine headache. Using pretest-posttest based quasi-experimental design, with a three-group design. Using quasi-experimental design based on pre-test and post-test, three groups of patients with migraine headaches referring to Mashhad neurology clinic were selected based on the inclusion and exclusion criteria and were randomly divided into three groups (two experimental groups and one control group, each group 15).  The perfectionism questionnaire was used to collect information. Data were analyzed by multivariate analysis of covariance (MONCOVA) and Bonferroni post hoc test. Based on the results, both cognitive-behavioral therapy and mindfulness-based cognitive therapy significantly reduced perfectionism in patients with migraine headache. The results also showed that mindfulness based cognitive therapy has a greater effect on reducing perfectionism in patients with migraine headache. In general, interventions based on mindfulness and cognitive behavioral principles can play a fundamental role in ensuring the psychological health of patients with migraine headache.
 
Sepideh Esmzamaniaghmiouni, Roya Rasouli, Azadeh Taheri,
Volume 18, Issue 4 (3-2025)
Abstract

The aim of the present study was to examine the mediating role of empathy in the relationship between relational mindfulness and marital intimacy. Given the fundamental impact of marital relationships on individual and social mental health, identifying factors that enhance the quality and intimacy of these relationships is of paramount importance. This descriptive-correlational study targeted the entire population of married students at the University of Tehran during the academic year 2022-2023. A sample of 300 married students (both male and female) was selected using convenience sampling. Data were collected using three validated questionnaires: the Marital Intimacy Questionnaire (Vandenbroek & Werten, 1995), the Empathy Scale (Jolliffe & Farrington, 2006), and the Relational Mindfulness Scale (Kims et al., 2018). The data were analyzed using SPSS26 and AMOS24 through structural equation modeling. The results indicated a significant and positive relationship between relational mindfulness and empathy (β = 0.27, p < 0.001). Additionally, empathy was significantly and positively related to marital intimacy (β = 0.36, p < 0.001), and a positive and significant relationship was found between relational mindfulness and marital intimacy (β = 0.17, p < 0.002). Comparing the direct and full models revealed that empathy plays a partial mediating role in the relationship between relational mindfulness and marital intimacy. These findings underscore the importance of understanding the role of empathy and mindfulness in enhancing marital intimacy and can serve as a foundation for designing psychological interventions aimed at improving marital relationships.

Shahla Goudarzi, Mona Soleiman Heshmat, Melika Bolouri, Hamed Rashidiasl, Mozhgan Esmailpour,
Volume 19, Issue 1 (6-2025)
Abstract

The aim of the present study was to determine the effectiveness of mindfulness-based cognitive therapy (MBCT) on perceived stress and concentration in students with attention deficit hyperactivity disorder (ADHD). This study was a quasi-experimental design with a pre-test, post-test, and follow-up with a control group. The statistical population included all students with attention deficit hyperactivity disorder who referred to Atieh Derakhshan Mind Clinic in Tehran between April and June 2025. Among the eligible individuals, 30 students were selected using convenience sampling and randomly assigned to two experimental and control groups (15 students in each group). The experimental group underwent mindfulness-based cognitive therapy intervention for eight 90-minute sessions, while the control group remained on the waiting list. Data were collected using the Connors Parent Rating Scale, Cohen's Perceived Stress Questionnaire, and the Attention and Concentration Test. The results showed that the mean perceived stress in the experimental group decreased significantly from pre-test to post-test and follow-up, and the mean concentration in this group increased significantly, while no significant change was observed in the control group. Also, the effects of the treatment remained largely stable at the follow-up stage. These findings indicate that mindfulness-based cognitive therapy can be used as an effective intervention to reduce perceived stress and improve concentration in students with attention deficit hyperactivity disorder.

Pooneh Nezakat, Negin Ghadami, Fatemeh Houshmand, Armaghan Atshani Kouchesfahani , Samaneh Kheradiyar,
Volume 19, Issue 1 (6-2025)
Abstract

The present study aimed to examine the effectiveness of a relationship-based mindfulness intervention on perceived stress and the quality of marital interactions among couples experiencing communication problems. This research employed a quasi-experimental design with pretest–posttest, control group, and short-term follow-up. The study population consisted of couples seeking family counseling services in Tehran in 2025, with 30 couples selected through convenience sampling and randomly assigned to experimental and control groups. Instruments included the Cohen Perceived Stress Scale, the Marital Interaction Quality Questionnaire, and a demographic information form. The intervention consisted of eight sessions focused on mindfulness skills applied in relational contexts, including present-moment awareness, mindful listening, conflict management, and empathy cultivation. Data were analyzed using repeated measures ANOVA and post-hoc tests. Results indicated that the intervention significantly reduced perceived stress and enhanced the quality of marital interactions, with effects maintained at short-term follow-up. These findings align with previous studies and highlight the capacity of relationship-based mindfulness to manage conflicts, foster empathy, and improve couples’ relational skills. The study underscores the potential of this intervention as an evidence-based approach for family counselors and preventive programs targeting marital communication issues. Limitations include a small sample size, short-term follow-up, and self-report measures; future studies are recommended to utilize larger samples and longer follow-up periods to examine the durability of intervention effects.

Nazila Kazemi Jame Bozorgi, Dr Amine Jalali,
Volume 19, Issue 2 (9-2025)
Abstract

The aim of the present study was to investigate the effectiveness of the Mindfulness-Based Stress Reduction (MBSR) program on chronic fatigue, psychosomatic symptoms, and resilience in patients with multiple sclerosis (MS). This applied study was conducted with a pre-test-post-test quasi-experimental design with a control group and a follow-up phase. The statistical population included MS patients referring to the Hormozgan MS Association in Farvardin 1404, from whom 30 people were selected by convenience sampling and randomly assigned to two experimental and control groups (15 people in each group). The experimental group received the mindfulness-based stress reduction program as a group during 8 intervention sessions by a psychologist, while the control group did not receive any intervention. The research instruments included the Fatigue Scale, the Psychosomatic Symptoms Questionnaire, and the Connor-Davidson Resilience Scale. The data were analyzed using analysis of variance with repeated measures.

The findings showed that the mindfulness-based stress reduction program intervention significantly reduced chronic fatigue and psychosomatic symptoms, as well as significantly increased resilience in the experimental group compared to the control group. The results of the follow-up phase also showed that the effects of the intervention remained largely stable. The largest effect size was related to psychosomatic symptoms, followed by resilience, which indicates the effective role of this intervention in improving emotional regulation and reducing physical symptoms related to stress. In summary, the results of this study indicate that the mindfulness-based stress reduction program can be used as an effective complementary intervention in improving the psychological and physical status of patients with MS and play an important role in improving their quality of life.


Dr Sheida Nasseri Akbar, Dr Ezatallah Kordmirza Nikoozadeh, Dr Mahnaz Moghanloo, Dr Seyedeh Zahra Alibakhshi, Dr Amin Rafiepoor,
Volume 19, Issue 2 (9-2025)
Abstract

The purpose of this study was to compare the effectiveness of therapeutic interventions of acceptance and commitment and mindfulness on the biological, psychological and social indicators of women with human papillomavirus.This study was a semi-experimental method with a pre-test-post-test design and a two-month follow-up period. The statistical population included all female patients with human papilloma virus who lived in Dubai and visited Al-Shafa Behavioral Diseases Clinic .Through purposive sampling, 45 subjects were selected and randomly allocated to either the ACT, mindfulness or the control group (n = 15 per group). Then the subjects of the two experimental groups were subjected to training based on acceptance and commitment therapy and training based on mindfulness for 8 sessions of 90 minutes.  The data collection tool was DASS-21 (1993), Marlowe and Crown's (1996) Social Desirability Scale. the results, a tangible difference was spotted between the groups in the pre-and post-test stage and considering time impact on the mean virous (η2=0.888, F=222.695, p<0.001), depression (η2=0.953, F=562.146, P<0.001), anxiety (η2=0.760, F=88.843, P<0.001), stress (η2=0.953, F=405.704, P<0.001), and social desirability (η2=0.26, F=9.820, P<0.001). In general, the results showed that both methods of educational intervention were effective in women.

 
Arshida Sayadi, Fatemeh Houshmand, Seyedeh Reyhaneh Hashemi, Tara Sotvar, Arsalan Barekat,
Volume 19, Issue 2 (9-2025)
Abstract

Attention deficit hyperactivity disorder (ADHD) in adolescence is associated with persistent deficits in self-regulation, poor self-management skills, and increased social-emotional problems, including social anxiety. The aim of the present study was to investigate the effectiveness of a mindfulness-based stress reduction program on self-management skills and social anxiety in adolescents with ADHD. The study was conducted in a quasi-experimental manner with a pre-test-post-test design with a control group and a two-month follow-up. The study population included adolescents aged 13 to 15 years with this disorder, 30 of whom were selected using a convenience method and randomly assigned to two experimental and control groups. The experimental group participated in eight 90-minute sessions of a mindfulness-based stress reduction program, while the control group was on a waiting list. The research instruments included the Adolescent Self-Management Questionnaire and the Adolescent Social Anxiety Scale, which were administered in three stages: pre-test, post-test, and follow-up. Data were analyzed using repeated measures multivariate analysis of variance. The results showed that the implementation of the mindfulness-based stress reduction program significantly increased self-management skills and significantly reduced social anxiety in the experimental group compared to the control group, and these effects remained largely stable at the two-month follow-up. Based on the findings, the mindfulness-based stress reduction program can be used as a complementary and effective intervention in improving cognitive-behavioral functions and reducing social-emotional problems in adolescents with attention deficit hyperactivity disorder.

Zahra Amir Azdi, Soheila Rahmani, Parisa Kolahi,
Volume 19, Issue 2 (9-2025)
Abstract

Fibromyalgia, as a chronic pain disorder, imposes a heavy psychological burden on patients; therefore, this study aimed to determine the effectiveness of the Mindfulness-Based Stress Reduction (MBSR) program on rumination and alexithymia in women with fibromyalgia. The design of this study was semi-experimental, featuring a pre-test, post-test, and a 2-month follow-up with a control group. The statistical population consisted of all women with fibromyalgia who were members of the Fibromyalgia Association, from whom 30 patients were selected through convenience sampling and randomly assigned to either the experimental group or the control group. The experimental group received the MBSR intervention in eight weekly sessions, while the control group received no intervention during this period. The assessment tools included the Toronto Alexithymia Scale and the Ruminative Responses Scale, and the gathered data were analyzed using repeated measures analysis of variance (ANOVA). The statistical results indicated that the Mindfulness-Based Stress Reduction program led to a significant decrease in the scores of ruminations and alexithymia in the experimental group compared to the control group. Furthermore, post-hoc analysis confirmed the sustainability and durability of these psychological outcomes during the 2-month follow-up stage. In conclusion, the Mindfulness-Based Stress Reduction program is an efficient and sustainable tool for emotional regulation and mitigating psychological distress in women with fibromyalgia by modifying cognitive infrastructures and enhancing non-judgmental emotional awareness; thus, its application as a complementary therapy is highly recommended.

Mohammad Mehdi Zeidabadinejad, Ahmad Torabi, Fatemeh Mohammadifar, Zahra Nori, Roya Tovakoli,
Volume 19, Issue 3 (12-2025)
Abstract

The aim of the present study was to compare the effectiveness of Mindfulness-Based Stress Reduction (MBSR) and Intensive Short-Term Dynamic Psychotherapy (ISTDP) on obsessive-compulsive symptoms and treatment adherence in patients with non-alcoholic fatty liver disease. This study employed a quasi-experimental design with a pretest, posttest, and one-month follow-up, including a control group. The statistical population consisted of patients with non-alcoholic fatty liver disease who were referred to specialized gastroenterology and liver centers in Tehran in 2025. A total of 48 participants were selected using purposive sampling and were randomly assigned to three groups: Mindfulness-Based Stress Reduction, Intensive Short-Term Dynamic Psychotherapy, and a control group. Ultimately, the data of 45 participants were analyzed. The experimental groups received eight 90-minute intervention sessions, whereas the control group was placed on a waiting list. Data were collected using the Maudsley Obsessive-Compulsive Inventory (MOCI) and the Morisky Medication Adherence Scale (MMAS) and were analyzed using repeated-measures analysis of variance and the Bonferroni post hoc test. The findings indicated that both interventions significantly reduced obsessive-compulsive symptoms and increased treatment adherence compared with the control group. Furthermore, Mindfulness-Based Stress Reduction demonstrated greater effectiveness than Intensive Short-Term Dynamic Psychotherapy in reducing obsessive-compulsive symptoms and improving treatment adherence, and these effects remained stable at the follow-up assessment. Overall, both therapeutic approaches were effective in improving the psychological status of patients with non-alcoholic fatty liver disease; however, Mindfulness-Based Stress Reduction showed superior effectiveness.

Zohreh Esmaaili, Sahar Shakour, Samira Ramazenkhani, Hosna Rostami, Fatemeh Ghasempour,
Volume 19, Issue 4 (3-2025)
Abstract

This review study aimed to evaluate the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in reducing social anxiety among adolescents. A systematic search was conducted across Web of Science, ScienceDirect, Scopus, PubMed, Google Scholar, Magiran, and IranDoc using relevant keywords. Studies assessing MBCT’s impact on adolescent social anxiety with a PEDro score above 5 were included. From 43 identified articles, 6 met the inclusion criteria. Findings indicated that MBCT significantly reduces social anxiety in adolescents, though variations in methodology, sample size, and assessment tools were observed. These results underscore MBCT’s potential as an effective intervention for social anxiety. It is recommended that MBCT be integrated into school-based counseling and mental health programs. Further research with standardized methodologies is needed to explore MBCT’s efficacy across diverse cultural contexts.
 
Zohreh Ahmadi,
Volume 19, Issue 4 (3-2025)
Abstract

The present study aimed to determine the effectiveness of mindfulness-based cognitive therapy on rumination and depressive symptoms in students with major depressive disorder. This study was a quasi-experimental study with a pre-test-post-test design with a control group. The statistical population included all students with major depressive disorder referred to the Tehran Health Center in 1404, from which 30 students with major depressive disorder were selected through purposive sampling and randomly assigned to two experimental and control groups. The experimental group underwent 8 90-minute sessions of mindfulness-based cognitive therapy intervention, while the control group did not receive any intervention. Data collection tools included the Beck Depression Inventory (BDI-II) and the Rumination Scale (RRS). Data were analyzed using analysis of covariance. The results of data analysis showed that there was a significant difference between the mean pre-test and post-test scores of the experimental group in rumination variables and depressive symptoms. In fact, participating in mindfulness-based cognitive therapy sessions led to a significant reduction in the repetition of unwanted thoughts and the alleviation of clinical symptoms of depression in students. Mindfulness-based cognitive therapy, by teaching the skills of being present in the moment and accepting without judgment, is an effective tool for managing repetitive thoughts and improving the mental state of students with major depression and can be used as a complementary intervention in university counseling centers.

Zahra Akhavan, Mojtaba Rahnemazadeh,
Volume 20, Issue 1 (4-2026)
Abstract

Depression and attention deficit disorders are common childhood problems that can affect children's mental health and academic performance. The present study aimed to determine the effectiveness of mindfulness training on symptoms of depression and attention deficit disorders in children aged 7 to 12 years. This study was a quasi-experimental study with a pre-test, post-test, and three-month follow-up design with a control group. The statistical population included all children aged 7 to 12 years who referred to Rahyab Counseling and Psychology Center in Amol in 1404. Among them, 30 children were selected through purposive sampling and randomly assigned to two experimental and control groups (15 people in each group). The experimental group received mindfulness training during eight weekly sessions, while the control group did not receive any intervention during the study period. Data were collected using the Children's Depression Inventory (CDI) and the Connors Questionnaire (Teacher Form) and analyzed using repeated measures analysis of variance. The findings showed that mindfulness training significantly reduced depressive symptoms and improved attention functions in children in the experimental group compared to the control group (P<0.05). Also, the results of the three-month follow-up phase showed that the effects of the intervention continued in both research variables. Based on the research findings, mindfulness training can be used as an effective complementary intervention in counseling centers and educational environments to reduce depressive symptoms and improve children's attention functions.
Ms Firoozeh Jalalipour, Dr Soheila Rahmani,
Volume 20, Issue 2 (6-2026)
Abstract

Test anxiety, as a psychological and educational challenge, imposes a considerable burden on adolescent students. Therefore, the present study aimed to determine the effectiveness of an adolescent-centered Mindfulness-Based Stress Reduction (MBSR) program on alexithymia and test anxiety symptoms in adolescents. The present study was a quasi-experimental study with a pretest-posttest design and a two-month follow-up with a control group. The statistical population consisted of adolescent students studying in two schools in Tehran during the 2025 academic year. From among them, 30 students were selected using convenience sampling and randomly assigned to the experimental and control groups. The experimental group received the adolescent-centered Mindfulness-Based Stress Reduction program in eight weekly sessions, whereas the control group received no intervention during the study period. Data were collected using the Toronto Alexithymia Scale and the Test Anxiety Questionnaire and were analyzed using repeated-measures analysis of variance. The statistical results indicated that the adolescent-centered Mindfulness-Based Stress Reduction program led to a significant reduction in alexithymia and test anxiety symptoms among students in the experimental group compared with those in the control group. Furthermore, the follow-up results demonstrated the stability and persistence of the effects of this psychological intervention at the two-month follow-up assessment. In conclusion, the adolescent-centered Mindfulness-Based Stress Reduction program can be considered an effective and sustainable intervention for reducing alexithymia and test anxiety symptoms in adolescents, and its application as a complementary intervention in educational settings is recommended.


Saba Sedaghatzadeh, Dr Sima Farzaneh,
Volume 20, Issue 2 (6-2026)
Abstract

The present study aimed to determine the effectiveness of Acceptance and Commitment Therapy (ACT) on the emotional schema of shame and emotional expressivity in adolescent boys with high social anxiety in District 13 of Tehran. This study employed a quasi-experimental design with a pretest–posttest and follow-up design with a control group. The statistical population consisted of all male students in the first and second levels of secondary school with high social anxiety in the 2025–2026 academic year. Using a multistage cluster sampling method, 30 students whose scores on the Social Anxiety Questionnaire were above the cutoff point were selected and randomly assigned to an experimental group (n = 15) and a control group (n = 15). The research instruments included the Leahy Emotional Schema Scale (2002), the Emotional Expressivity Scale (King & Emmons, 1990), and the Social Anxiety Questionnaire (Connor et al., 2000). The experimental group received Acceptance and Commitment Therapy in eight 120-minute sessions, whereas the control group received no intervention. Data were analyzed using repeated-measures analysis of variance in SPSS version 26. The results indicated that the effects of time, group, and the interaction between time and group on the dependent variables were statistically significant . Furthermore, Acceptance and Commitment Therapy led to a significant and sustained reduction in the emotional schema of shame and a significant increase in emotional expressivity in the experimental group compared with the control group at the posttest and follow-up stages. Based on the findings, Acceptance and Commitment Therapy can be considered an effective intervention for reducing the emotional schema of shame and improving emotional expressivity in adolescents with social anxiety.


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