Comparison of the effectiveness of two mindfulness and logotherapy methods on anxiety index in chronic daily headache of women with marital conflict: A clinical trial study
DOI:
https://doi.org/10.22122/cdj.v8i2.510Keywords:
Mindfulness, Logotherapy, AnxietyAbstract
BACKGROUND: Anxiety is considered as the most common psychiatric disorder and the most common response to stress stimuli. Women with marital conflict experience a significant level of anxiety, which can have an adverse effect on other psychological and, in general, quality of life. This study was conducted to compare the effectiveness of two mindfulness and logotherapy methods on anxiety in women with chronic daily headache (CDH) with marital conflict.
METHODS: In a randomized clinical trial (RCT), during April 2015 to July 2015, 45 female patients with marital conflict were selected from among the referrers to the psychiatric centers of Hamadan City, Iran, using a purposive sampling method and were assigned into two treatment and control groups through block randomization method. Two mindfulness and logotherapy methods were presented in the form of 8 weekly sessions to the participants of the experimental group and the control group merely received the routine treatments of the center. Evaluation of two anxiety and marital conflict indices was performed at two points before and after treatment. The data were analyzed using analysis of covariance (ANCOVA) and Shefeh test in the software environment of SPSS.
RESULTS: The primary outcomes of the study showed that both mindfulness therapy and logotherapy were associated with a decrease in total anxiety scores (P < 0.0010). Secondary outcomes also showed that logotherapy had a significant effect in reducing apparent anxiety (P < 0.0010) and hidden anxiety (P < 0.0040) compared to mindfulness therapy.
CONCLUSION: The results of this study, consistent with the research background, suggest that both mindfulness therapy and logotherapy are effective in reducing anxiety syndrome in women. However, the logotherapy was associated with more favorable therapeutic outcomes. These findings can have clinical applications in the context of family interventions.
References
Pirnia B, Pirnia K. Comparison of two mindfulness-based cognitive therapies and acupuncture on the pain and depression index in a case with lobular carcinoma: A single case experimental study. Int J Cancer Manag 2018; 11(6): e65641.
Redzuan M. Perception of Women towards family values and their marital satisfaction. J Am Sci 2010; 6(4): 132-7.
Whisman MA, Uebelacker LA, Weinstock LM. Psychopathology and marital satisfaction: the importance of evaluating both partners. J Consult Clin Psychol 2004; 72(5): 830-8.
Eslami M. Determination of the effect of mata yoga training on the reduction of women's anxiety 20-49 [MSc Thesis]. Tehran, Iran: Tarbiat Modares University; 2013. [In Persian].
Vilardaga R, Heffner JL, Mercer LD, Bricker JB. Do counselor techniques predict quitting during smoking cessation treatment? A component analysis of telephone-delivered Acceptance and Commitment Therapy. Behav Res Ther 2014; 61: 89-95.
Kaviani H, Javaheri F, Hatami N. Mindfulness-based Cognitive Therapy (MBCT) Reduces Depression and Anxiety Induced by Real Stressful Setting in Non-clinical Population. Intern Jour Psych Psychol Therapy 2011; 11(2): 285-96.
Kabat-Zinn J, Massion AO, Kristeller J, Peterson LG, Fletcher KE, Pbert L, et al. Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. Am J Psychiatry 1992; 149(7): 936-43.
Piet J, Hougaard E. The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: A systematic review and meta-analysis. Clin Psychol Rev 2011; 31(6): 1032-40.
First MB, Spitzer RL, Gibbon M, Williams JB. Structured clinical interview for axis 1 DSM-IV disorders. New York, NY: Biometric Research Department, New York State Psychiatric Institute; 1994.
Pirnia B, Pirnia K, Mohammadpour S, Malekanmehr P, Soleimani A, Mahmoodi Z, et al. The effectiveness of acupuncture on HPA functional in depressed patients under methadone maintenance treatment, a randomized double-blind sham-controlled trial. Asian J Psychiatr 2018; 36: 62-3.
Robatmili S, Mehrabizade Honarmand M, Zargar Y, Karimi Khoygani R. The effect of group logotherapy on depression and hope in university students. Knowledge & Research in Applied Psychology 2013; 14(3): 3-10. [In Persian].
Rasoli L, Borjali A. The efficiency of group logo therapy in decreasing anxiety and increasing self-esteem in patients with multiple sclerosis. Clinical Psychology Studies 2011; 1(3): 43-59. [In Persian].
Cheavens JS, Feldman DB, Gum A, Michael ST, Snyder CR. Hope therapy in a community sample: A pilot investigation. Soc Indic Res 2006; 77(1): 61-78.
Akbari Daghi H. The effectiveness of stress-reduction mindfulness therapy method in reducing stress, anxiety, depression and ineffective attitudes in cardiac patients [MSc Thesis]. Tehran, Iran: Tehran Branch, Islamic Azad University; 2012. [In Persian].
Walsh JJ, Balint MG, Smolira SJ DR, Fredericksen LK, Madsen S. Predicting individual differences in mindfulness: The role of trait anxiety, attachment anxiety and attentional control. Pers Individ Dif 2009; 46(2): 94-9.
Rostami A, Shariatnia K, Khajehvand Khoshli A. The relationship between self-efficacy and mind fullness with rumination among students of Islamic Azad University, Shahrood Branch. Medical Sciences. 2015; 24(4): 254-9. [In Persian].