Comparing The Effectiveness of Mindfulness-Based Therapy and Paradoxical Treatment on Rumination in Adolescents with Social Anxiety Symptoms

Authors

    Atefeh Nurollahi Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran
    Fatemeh Shahabizadeh * Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran f_shahabizadeh@yahoo.com
    Maryam Nasri Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran
https://doi.org/10.61838/kman.jarac.5.4.20

Keywords:

Mindfulness-Based Therapy, Paradoxical Treatment, Rumination, Social Anxiety Disorder, Adolescents, Cognitive-Behavioral Therapy, Depression

Abstract

Objective:  This study aimed to compare the effectiveness of Mindfulness-Based Therapy (MBT) and Paradoxical Treatment (PT) in reducing rumination and associated symptoms in adolescents with social anxiety disorder (SAD).

Methods and Materials: The study employed a quasi-experimental design with pretest-posttest and two-month follow-up across two experimental groups and one control group. Sixty adolescents aged 12-18 years with diagnosed SAD were selected through purposive sampling and randomly assigned to MBT, PT, or control groups (20 participants each). Participants completed self-report measures of rumination and depression at three stages: pretest, posttest, and follow-up. The MBT group received seven weekly 90-minute sessions based on Kabat-Zinn’s mindfulness framework, while the PT group received seven weekly 90-minute sessions focused on paradoxical intention strategies. Data were analyzed using repeated measures ANOVA, with Bonferroni post-hoc tests to explore differences between groups and across time points.

Findings: The repeated measures ANOVA indicated significant within-group effects for both brooding (F(1.24, 190.59) = 30.87, p < 0.001, η² = 0.35) and reflection (F(1.29, 254.37) = 64.45, p < 0.001, η² = 0.53). Interaction effects between the test stages and group were also significant for both brooding (F(2.49, 74.03) = 11.99, p < 0.001, η² = 0.30) and reflection (F(2.58, 59.34) = 15.04, p < 0.001, η² = 0.35). Post-hoc tests revealed significant reductions in rumination and depression for both MBT and PT groups compared to the control group, with no significant difference between the interventions.

Conclusion: Both MBT and PT are effective in reducing rumination and depression in adolescents with SAD, providing sustained therapeutic benefits over time.

Downloads

Downloads

Additional Files

Published

2023-12-20

How to Cite

Nurollahi, A. ., Shahabizadeh, F., & Nasri , M. . (2023). Comparing The Effectiveness of Mindfulness-Based Therapy and Paradoxical Treatment on Rumination in Adolescents with Social Anxiety Symptoms. Journal of Assessment and Research in Applied Counseling (JARAC), 5(4), 181-190. https://doi.org/10.61838/kman.jarac.5.4.20
Crossref
0
Scopus
0

Most read articles by the same author(s)