The Efficacy of Mindfulness-Based Cognitive Therapy on Components of Shame and Internal Stigma in Substance-Dependent Individuals Undergoing Methadone Maintenance Treatment

Ameri, Narjess; Najafi, Mahmoud

doi:10.61186/etiadpajohi.18.73.241

Volume 18, Issue 73 (11-2024) etiadpajohi 2024, 18(73): 241-258 | Back to browse issues page

‎ 10.61186/etiadpajohi.18.73.241

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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
URL: http://etiadpajohi.ir/article-1-3174-en.html

The Efficacy of Mindfulness-Based Cognitive Therapy on Components of Shame and Internal Stigma in Substance-Dependent Individuals Undergoing Methadone Maintenance Treatment

Narjess Ameri

, Mahmoud Najafi ^*

Associate Professor, Department of Clinical Psychology, Semnan University, Semnan, Iran

Abstract: (875 Views)

Objective: The aim of the present study was to determine the efficacy of mindfulness-based cognitive therapy on the components of shame and internal stigma in individuals with substance dependence undergoing methadone maintenance treatment. Method: A quasi-experimental study with a pre-test-post-test design with a control group was employed. The study population consisted of all individuals with substance dependence receiving methadone treatment at addiction treatment centers in Shahrood in 2024. From this population, 32 individuals were selected using the convenience sampling method and were randomly assigned to two groups: experimental (n=16) and control (n=16). Participants in both groups completed the external shame and internal stigma questionnaires in the pre-test and post-test. Mindfulness-based cognitive therapy was implemented in eight 90-minute sessions, once a week, to the experimental group. Data were analyzed using multivariate analysis of covariance. Results: The results indicated a significant difference between the two groups, and mindfulness-based cognitive therapy led to a reduction in the components of shame and improvement in internal stigma in individuals with substance dependence undergoing methadone maintenance treatment. Conclusion: Based on the obtained results, addiction specialists can emphasize the improvement of shame and internal stigma components by using mindfulness-based cognitive therapy.

Keywords: Mindfulness, Cognitive therapy, Shame, Internal stigma, Methadone

Full-Text [PDF 469 kb] (227 Downloads)

Type of Study: Research | Subject: Special
Received: 2024/08/4 | Accepted: 2024/12/17 | Published: 2024/12/20

References

1. احمدی، سیروس؛ صرامی فروشانی، حمیدرضا و نوریان نجف آبادی، محمد (1403). مقایسه حمایت اجتماعی در افراد وابسته به مواد با ترک موفق و ناموفق. فصلنامه علمی اعتيادپژوهي، ۱۸(۷۲)، 230-211.

2. ثلاثی، بیتا؛ رمضانی، محمد آرش و جهان، فائزه (1402). بررسی اثربخشی طرحواره درمانی بر خودسرزنش‌گری و شرم در معتادین تحت درمان نگهدارنده با متادون. مجله علوم روانشناختی، ۲۲(۱۲۱)، ۱۴۳-۱۷۰.

3. جعفری، عیسی؛ حمیدی راد، حمیدرضا؛ رسول زاده، بهزاد؛ کردمیرزا نیکوزاده، عزت اله و پورمحسنی کلوری، فرشته (1401). اثربخشی شناخت‌درمانی ‌مبتنی ‌بر ذهن‌آگاهی بر انگیزش‌ درمان و خودانتقادی افراد در وابسته به مواد. فصلنامه علمی اعتيادپژوهي، 16(66)، ۱۱۲-۹۱.

4. صادقی، انسیه؛ سجادیان، ایلناز و نادی، محمد علی (1399). مقایسۀ اثربخشی ذهن‌آگاهی شفقت‌محور و شناخت‌درمانی مبتنی بر ذهن‌آگاهی بر نگرش‌های ناکارآمد، خودکنترلی و سلامت روان. پژوهش نامه روانشناسی مثبت، 6(1)، 48-31.

5. عاصی کوچصفهانی، عطااله و برادران مجید (1401). اثربخشی آموزش ذهن آگاهی بر تنظیم شناختی هیجان، اجتناب تجربی و کاهش دوز متادون در بیماران تحت درمان با متادون. فصلنامه علمی اعتيادپژوهي، ۱۶(۶۶)، 310-291.

6. عامری، نرجس (1401). روابط ساختاری طرحواره‌های ناسازگار اولیه با ولع مصرف در افراد وابسته به مواد تحت درمان نگهدارنده با متادون: نقش میانجی شفقت به خود. فصلنامه علمی اعتيادپژوهي، 16(6)، ۴۷-۷۰.

7. عامری، نرجس و جمالی، سارا (1402). اثربخشی آموزش ذهن آگاهی مبتنی بر خودشفقت‌ورزی بر آشفتگی روانشناختی و ولع مصرف مواد در افراد وابسته به مواد محرک. فصلنامه علمی اعتيادپژوهي، 17(۷۰)، ۱۰۷-۱۲۸.

8. فروغی، علی اکبر؛ خانجانی، سجاد؛ کاظمینی، محبت و طیری، فریبا (1394). ساختار عاملی و ویژگی¬های روان سنجی نسخه ایرانی مقیاس شرم بیرونی. مجله روانشناسی و روانپزشکی شناخت، 2(2)، 57-49.

9. گرجی، یوسف؛ طباییان، سیده مینا و شکراللهی، مژگان (1399). اثربخشی شناخت‌درمانی مبتنی بر ذهن‌آگاهی بر خودپنداره، پذیرش خویشتن و خودانتقادگری در زنان دارای اختلال سوءمصرف مواد. فصلنامه علمی اعتيادپژوهي، 14(58)، 88-73.

10. مرادزاده، شیدا و نجفی، محمود (1401). پیش‌بینی افسردگی بر اساس ترومای کودکی، تکانشگری و تنظیم شناختی هیجان در افراد وابسته به مواد. فصلنامه علمی اعتيادپژوهي، 16(64)، 240-219.

11. Asadabad, R. A., Imani, S., Fathabadi, J., Noroozi, A., & Alizadehgoradel, J. (2022). Effectiveness of mindfulness-based relapse prevention group therapy and treatment as usual on shame and self-criticism in individuals with opioid use disorder: a comparative investigation. International journal of high risk behaviors and addiction, 11(1), 1-6. [DOI:10.5812/ijhrba.117042]

12. Bielenberg, J., Swisher, G., Lembke, A., & Haug, N. A. (2021). A systematic review of stigma interventions for providers who treat patients with substance use disorders. Journal of substance abuse treatment, 131(7), 108486.‏ [DOI:10.1016/j.jsat.2021.108486] [PMID]

13. Bilevicius, E., Neufeld, D. C., Single, A., Foot, M., Ellery, M., Keough, M. T., & Johnson, E. A. (2019). Vulnerable narcissism and addiction: The mediating role of shame. Addictive behaviors, 92(11), 115-121.‏ [DOI:10.1016/j.addbeh.2018.12.035] [PMID]

14. Chang, C. W., Chen, J. S., Huang, S. W., Potenza, M. N., Su, J. A., Chang, K. C., ... & Lin, C. Y. (2023). Problematic smartphone use and two types of problematic use of the internet and self-stigma among people with substance use disorders. Addictive Behaviors, 147(9), 107807.‏ [DOI:10.1016/j.addbeh.2023.107807] [PMID]

15. Dai, J., Sun, D., Li, B., Zhang, Y., Wen, M., Wang, H., & Bi, H. (2024). Mixed-Mode Mindfulness-based cognitive therapy for psychological resilience, Self Esteem and Stigma of patients with schizophrenia: a randomized controlled trial. BMC psychiatry, 24(1), 179.-190. [DOI:10.1186/s12888-024-05636-z] [PMID] []

16. Gomez, E., Gyger, M., Borene, S., Klein-Cox, A., Denby, R., Hunt, S., & Sida, O. (2023). Using SBIRT (Screen, Brief Intervention, and Referral Treatment) training to reduce the stigmatization of substance use disorders among students and practitioners. Substance Abuse: Research and Treatment, 17(2), 1-8.‏ [DOI:10.1177/11782218221146391] [PMID] []

17. Goss, K., Gilbert, P., & Allan, S. (1994). An exploration of shame measures-I: The other as Shamer scale. Personality and Individual differences, 17(5), 713-717. [DOI:10.1016/0191-8869(94)90149-X]

18. Halamová, J., Kanovsky, M., Jurkova, V., & Kupeli, N. (2018). Effect of a short-term online version of a mindfulness-based intervention on self-criticism and self-compassion in a nonclinical sample. Studia Psychologica, 60(4), 259-273.‏ [DOI:10.21909/sp.2018.04.766]

19. Hamonniere, T., & Billieux, J. (2023). Individually delivered mindfulness‐based cognitive therapy in concomitant problematic substance use and emotional symptoms: A process‐based case study. Clinical Psychology & Psychotherapy, 30(3), 714-727.‏ [DOI:10.1002/cpp.2827] [PMID]

20. Jegede, O., Bellamy, C., & Jordan, A. (2024). Systemic Racism as a Determinant of Health Inequities for People With Substance Use Disorder. JAMA psychiatry, 81(3), 225-236. [DOI:10.1001/jamapsychiatry.2023.4958] [PMID]

21. Jones, S., Jack, B., Kirby, J., Wilson, T. L., & Murphy, P. N. (2021). Methadone‐Assisted Opiate Withdrawal and Subsequent Heroin Abstinence: The Importance of Psychological Preparedness. The American Journal on Addictions, 30(1), 11-20.‏ [DOI:10.1111/ajad.13062] [PMID]

22. Kabat-Zinn, J., & Zinn, J. K. (2013). Mindfulness meditation in everyday life.‏ London: Piatkus Books. [DOI:10.1007/s12671-014-0323-1]

23. Khosravani, V., Nikčević, A. V., Spada, M. M., Samimi Ardestani, S. M., & Najafi, M. (2024). The Independent Contribution of Positive and Negative Metacognitions About Smoking to Urge to Smoke, Withdrawal Symptoms and Dependence in Smoking‐Dependent Men. Clinical Psychology & Psychotherapy, 31(4), e3024.‏ [DOI:10.1002/cpp.3024] [PMID]

24. Luoma, J. B., Chwyl, C., & Kaplan, J. (2019). Substance use and shame: A systematic and meta-analytic review. Clinical psychology review, 70(9), 1-12.‏ [DOI:10.1016/j.cpr.2019.03.002] [PMID]

25. Luoma, J. B., O'Hair, A. K., Kohlenberg, B. S., Hayes, S. C., & Fletcher, L. (2010). The development and psychometric properties of a new measure of perceived stigma toward substance users. Substance use & misuse, 45(1-2), 47-57.‏ [DOI:10.3109/10826080902864712] [PMID] []

26. Mehel Tutuk, S. P., & Budak, F. (2024). The effect of mindfulness-based psychoeducation on internalized stigma and substance abuse proclivity in individuals with substance use disorder. Journal of Substance Use, 29(5), 680-688.‏ [DOI:10.1080/14659891.2023.2199847]

27. Proeve, M., Anton, R., & Kenny, M. (2018). Effects of mindfulness‐based cognitive therapy on shame, self‐compassion and psychological distress in anxious and depressed patients: A pilot study. Psychology and Psychotherapy: Theory, Research and Practice, 91(4), 434-449.‏ [DOI:10.1111/papt.12170] [PMID]

28. Schanche, E., Vøllestad, J., Visted, E., Lillebostad Svendsen, J., Binder, P. E., Osnes, B., ... & Sørensen, L. (2021). Self‐criticism and self‐reassurance in individuals with recurrent depression: Effects of mindfulness‐based cognitive therapy and relationship to relapse. Counselling and Psychotherapy Research, 21(3), 621-632.‏ [DOI:10.1002/capr.12381]

29. Stynes, G., Leão, C. S., & McHugh, L. (2022). Exploring the effectiveness of mindfulness-based and third wave interventions in addressing self-stigma, shame and their impacts on psychosocial functioning: a systematic review. Journal of Contextual Behavioral Science, 23(9), 174-189.‏ [DOI:10.1016/j.jcbs.2022.01.006]

30. Tang, Q., Yang, S., Liu, C., Li, L., Chen, X., Wu, F., & Huang, X. (2021). Effects of mindfulness-based cognitive therapy on stigma in female patients with schizophrenia. Frontiers in psychiatry, 12(1), 694575.‏ [DOI:10.3389/fpsyt.2021.694575] [PMID] []

31. Taylor, A., Wright, K., Roberts, R. M., Proeve, M., Turner, J., & Miller, C. (2024). Prevention of internalizing difficulties in the middle years: Protocol for a noninferiority randomized trial of Mindfulness‐Based Cognitive Therapy for Children and Cognitive Behavioural Therapy. Early Intervention in Psychiatry, 18(2), 547-552. [DOI:10.1111/eip.13501] [PMID]

32. Walker, D. M., Lefebvre, R. C., Davis, A., Shiu-Yee, K., Chen, S., Jackson, R. D., ... & Knudsen, H. K. (2024). Differences in perceptions of community stigma towards opioid use disorder between community substance use coalition members and the general public. Journal of Substance Use and Addiction Treatment, 158(33), 209276.‏ [DOI:10.1016/j.josat.2023.209276] [PMID]

33. Westerman, G., McCann, E., & Sparkes, E. (2020). Evaluating the effectiveness of mindfulness and compassion-based programs on shame and associated psychological distress with potential issues of salience for adult survivors of childhood sexual abuse: A systematic review. Mindfulness, 11(9), 1827-1847.‏ [DOI:10.1007/s12671-020-01340-7]