Comparing the effectiveness of mindfulness training with schema therapy on self-referential thinking and cognitive fusion among female nurses
Mindfulness training among female nurses
DOI:
https://doi.org/10.22122/cdj.v11i3.792Keywords:
Mindfulness, Schema Therapy, Self-Referential, Cognitive, Female Nurses, Burnout, Covid-19Abstract
BACKGROUND: Nurses are a powerful force in the health care system and play an important role in the development, improvement, and promotion of care. Therefore, this research was conducted to compare the effectiveness of mindfulness programs with schema therapy on cognitive fusion and referential thinking in female nurses.
METHODS: The research was semi-experimental with a pretest-posttest design and follow-up with a control group. The statistical population of the research included all the female nurses of Imam Khomeini Hospital in Tehran, Iran, in 2021, from September to November, from whom 60 nurses were selected by convenience sampling method and replaced in three groups of 20 people, taking into account the entry criteria. Research tools included the Cognitive Fusion Questionnaire (CFQ) and Repetitive Thinking Questionnaire (RTQ). The intervention program was implemented for each of the experimental groups during 8 weekly sessions (1 hour). But the control group did not receive these programs. To analyze data, repeated measures analysis of variance (ANOVA) and SPSS software were used.
RESULTS: In addition to the effect of time and group, the interaction effect of group × time for referential thinking (h2 = 0.327, P = 0.001, F = 12.41) and cognitive fusion (h2 = 0.263, P = 0.001, F = 9.11) was significant. This finding indicates that the implementation of mindfulness-based therapy and schema therapy has affected the variables of referential thinking and cognitive fusion in nurses.
CONCLUSION: Based on the findings of the current research, it is recommended to use schema therapy programs as well as mindfulness programs as effective psychological methods to improve referential thinking and cognitive fusion of the staff working in the field of treatment, especially nursing personnel.
References
Lasalvia A, Amaddeo F, Porru S, Carta A, Tardivo S, Bovo C, et al. Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy. BMJ Open. 2021; 11(1): e045127.
Sampaio F, Sequeira C, Teixeira L. Nurses' mental health during the covid-19 outbreak: a cross-sectional study. J Occup Environ Med. 2020; 62(10): 783-7.
Gazquez Linares JJ, Molero Jurado MDM, Martos MA, Jimenez-Rodriguez D, Perez-Fuentes MDC. The repercussions of perceived threat from COVID-19 on the mental health of actively employed nurses. Int J Ment Health Nurs. 2021; 30(3): 724-32.
Sadeghi A, Goharloo Arkawaz A, Cheraghi F, Moghimbeigi A. Survey of nurses' job satisfaction in educational and therapeutic centers of Hamadan University of Medical Sciences. Avicenna J Nurs Midwifery Care. 2018; 26(1): 40-8.
Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. Frontline nurses' burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine. 2020; 24: 100424.
Zhang Y, Wang C, Pan W, Zheng J, Gao J, Huang X, et al. Stress, Burnout, and Coping Strategies of Frontline Nurses During the COVID-19 Epidemic in Wuhan and Shanghai, China. Front Psychiatry. 2020; 11: 565520.
Wang D, Xie X, Tian H, Wu T, Liu C, Huang K, et al. Mental fatigue and negative emotion among nurses during the COVID-19 pandemic. Curr Psychol. 2022; 41(11): 8123-31.
Cookson C, Luzon O, Newland J, Kingston J. Examining the role of cognitive fusion and experiential avoidance in predicting anxiety and depression. Psychol Psychother. 2020; 93(3): 456-73.
Faustino B, Vasco AnB, Farinha-Fernandes An, Delgado J. Psychological inflexibility as a transdiagnostic construct: relationships between cognitive fusion, psychological well-being and symptomatology. Curr Psychol. 2023; 42(8): 6056-61.
Xing X, Zhong B, Luo H, Rose T, Li J, Antwi-Afari MF. Effects of physical fatigue on the induction of mental fatigue of construction workers: A pilot study based on a neurophysiological approach. Automation in Construction. 2020; 120: 103381.
Harrison V, Moulds ML, Jones K. Perceived social support and prenatal wellbeing; The mediating effects of loneliness and repetitive negative thinking on anxiety and depression during the COVID-19 pandemic. Women Birth. 2022; 35(3): 232-41.
Marchand WR. Self-referential thinking, suicide, and function of the cortical midline structures and striatum in mood disorders: possible implications for treatment studies of mindfulness-based interventions for bipolar depression. Depress Res Treat. 2012; 2012: 246725.
Kabat-Zinn J, de Torrijos F, Skillings AH, Blacker M, Mumford GT, Alvares DL, et al. Delivery and effectiveness of a dual language (English/Spanish) mindfulness-based stress reduction (MBSR): Program in the inner city - a seven-year experience: 1992-1999. Mindfulness and Compassion. 2016; 1(1): 2-13.
Talebi M. The effectiveness of mindfulness-based cognitive therapy on anxiety, happiness and mindfulness in nurses. Avicenna J Nurs Midwifery Care. 2021; 29(2): 126-36.
Hamidi F, Shamloo M. effectiveness of mindfulness based on stress reduction on teacher’s job stress and job burnout. Research in Teacher Education. 2021; 4(1): 55-71.
Kriakous SA, Elliott KA, Lamers C, Owen R. The effectiveness of mindfulness-based stress reduction on the psychological functioning of healthcare professionals: A systematic review. Mindfulness (NY). 2021; 12(1): 1-28.
La Torre G, Raffone A, Peruzzo M, Calabrese L, Cocchiara RA, D'Egidio V, et al. Yoga and mindfulness as a tool for influencing affectivity, anxiety, mental health, and stress among healthcare workers: Results of a single-arm clinical trial. J Clin Med. 2020; 9(4).
Young JE, Klosko JS, Weishaar ME. Schema therapy: A practitioner's guide. New York, NY: Guilford Press; 2006.
Shahmoradi Z, Khaleghipour S, Masjedi M. Comparing effectiveness of “Schema Therapy” and “Mindfulness-Based Cognitive Therapy” on maladaptive schemas and general health in patients with Vitiligo. J Health Promot Manag. 2019; 7(6): 42-52.
Piri M, Hosseinaei A, Asadi J, Shariatnia K. Comparison of effectiveness of group schema therapy and group acceptance and commitment therapy on symptoms of borderline personality disorder of patients with substance abuse. Neurosci J Shefaye Khatam. 2020; 8(4): 56-69.
Javidnasab Y, Behboodi M, Hasani J. Comparison of the effectiveness of acceptance and commitment-based therapy (ACT) and semantic therapy on job performance of cultural women referred to education counseling centers. Journal of Analytical-Cognitive Psychology. 2021; 12(45): 151-63.
Gillanders DT, Bolderston H, Bond FW, Dempster M, Flaxman PE, Campbell L, et al. The development and initial validation of the cognitive fusion questionnaire. Behav Ther. 2014; 45(1): 83-101.
Ehring T, Watkins ER. Repetitive negative thinking as a transdiagnostic process. Int J Cogn Ther 2008; 1(3): 192-205.
Pagnini F, Cavalera C, Rovaris M, Mendozzi L, Molinari E, Phillips D, et al. Longitudinal associations between mindfulness and well-being in people with multiple sclerosis. Int J Clin Health Psychol. 2019; 19(1): 22-30.
Slutsky J, Chin B, Raye J, Creswell JD. Mindfulness training improves employee well-being: A randomized controlled trial. J Occup Health Psychol. 2019; 24(1): 139-49.
Valian Z, Fazilati M, Darvishan H, Bayat Shahparast F, SamadiS. Comparison of the effectiveness of mindfulness training and cognitive behavioral therapy on nurses' mental health in coronavirus epidemics. Elementary Education Online. 2022; 21(3): 1-11.
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