نوآوری های اخیر در روان‌شناسی

نوآوری های اخیر در روان‌شناسی

ارزیابی مجدد شناختی به عنوان یک مکانیسم تغییر: چگونه برنامه کاهش استرس مبتنی بر ذهن‌آگاهی، حساسیت اضطرابی را در مردان جوان کاهش می‌دهد؟

نوع مقاله : تمام متن انگلیسی

نویسندگان
زهرا ساعدی 1
فاطمه کریمی 2
شقایق نعمتی 3
فاطمه جنیدی پور 1
مهدی امیری 4
1 کارشناسی ارشد روان‌شناسی بالینی، دانشگاه علوم پزشکی مشهد، مشهد، ایران
2 کارشناسی ارشد روان‌شناسی عمومی، واحد رامهرمز، دانشگاه آزاد اسلامی، رامهرمز، ایران
3 کارشناسی ارشد روان‌شناسی عمومی، موسسه آموزش عالی جهاد دانشگاهی خوزستان، اهواز، ایران
4 استادیار، گروه روان‌شناسی بالینی، دانشگاه علوم پزشکی مشهد، مشهد، ایران
10.22034/rip.2025.559290.1118
چکیده
اگرچه کاهش استرس مبتنی بر ذهن‌آگاهی (MBSR) به‌طور مؤثری علائم اضطراب را کاهش می‌دهد، اما سازوکارهای روان‌شناختی خاصی که این تغییر را توضیح می‌دهند، همچنان نیازمند بررسی بیشتر هستند. این پژوهش به دنبال پاسخ به این سوال بود که آیا کاهش استرس مبتنی بر ذهن‌آگاهی با تقویت ارزیابی مجدد شناختی می‌تواند حساسیت اضطرابی را در مردان جوان کاهش دهد؟ در یک پژوهش شبه آزمایشی با طرح پیش‌آزمون و پس‌آزمون با گروه کنترل (لیست انتظار) تعداد ۳۰ دانشجوی پسر با روش نمونه‌گیری هدفمند انتخاب شده و به صورت تصادفی در دو گروه گمارش شدند.گروه آزمایش مداخله کاهش استرس مبتنی بر ذهن‌آگاهی (MBSR) را به مدت هشت جلسه ۹۰ دقیقه‌ای (هر هفته یک جلسه) را دریافت کرد. همه شرکت‌کنندگان شاخص تجدید نظر شده حساسیت اضطرابی (ASI-R) و پرسشنامه تنظیم هیجان (ERQ) را تکمیل کردند. تحلیل کوواریانس چندمتغیره نشان داد که در مقایسه با گروه کنترل، گروه آزمایش کاهش معناداری در نگرانی‌های جسمانی و شناختی مرتبط با حساسیت اضطرابی و همچنین افزایش معناداری در ارزیابی مجدد شناختی نشان داد. تحلیل میانجی‌گری نیز نشان داد که ارزیابی مجدد شناختی به‌عنوان یک سازوکار مهم توضیح می‌دهد که چگونه مداخله کاهش استرس مبتنی بر ذهن‌آگاهی (MBSR) نگرانی‌های شناختی مرتبط با اضطراب را کاهش می‌دهد. این یافته‌ها پیشنهاد می‌کنند که ادغام راهبردهای ارزیابی مجدد شناختی در مداخلات مبتنی بر ذهن‌آگاهی می‌تواند نتایج مرتبط با فرایندهای شناختیِ اضطراب‌محور را در مردان جوان بهبود بخشد.
کلیدواژه‌ها
تنظیم هیجان
حساسیت اضطرابی
کاهش استرس مبتنی بر ذهن‌آگاهی
موضوعات

عنوان مقاله English

Cognitive Reappraisal as a Mechanism of Change: How Mindfulness-Based Stress Reduction Reduces Anxiety Sensitivity in Young Men?

نویسندگان English

Zahra Saedi 1
Fatemeh Karimi 2
Shaghayegh Nemati 3
Fatemeh Joneydiepour 1
Mahdi Amiri 4
1 MSc. in Clinical Psychology, Mashhad University of Medical Sciences, Mashhad, Iran
2 MSc. in General Psychology, Ramhormoz Branch, Islamic Azad University,, Ramhormoz, Iran
3 MSc. in General Psychology, Jahad Daneshgahi Higher Education Institute of Khuzestan, Ahvaz, Iran
4 Assistant Professor, Department of Clinical Psychology, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده English

Although Mindfulness-Based Stress Reduction (MBSR) has been shown to effectively reduce anxiety symptoms, the specific psychological mechanisms underlying this change require further investigation. The present study sought to determine whether MBSR can reduce anxiety sensitivity in young men by enhancing cognitive reappraisal. Using a quasi-experimental design with pre-test and post-test assessments and a waitlist control group, thirty male university students were selected through purposive sampling and randomly assigned to two groups. The experimental group received an eight‑session MBSR intervention consisting of weekly 90-minute sessions. All participants completed the Anxiety Sensitivity Index--Revised (ASI-R) and the Emotion Regulation Questionnaire (ERQ). Multivariate analysis of covariance indicated that, compared to the control group, the experimental group showed significant reductions in physical and cognitive concerns related to anxiety sensitivity, as well as a significant increase in cognitive reappraisal. Mediation analysis further demonstrated that cognitive reappraisal functioned as a key mechanism explaining how the MBSR intervention reduced cognitive anxiety concerns. These findings suggest that incorporating cognitive reappraisal strategies into mindfulness‑based interventions may enhance outcomes related to anxiety‑related cognitive processes in young men.

کلیدواژه‌ها English

Anxiety Sensitivity
Emotion Regulation
Mindfulness-based Stress Reduction
References
Al-Heqili, M., Alotaibi, M. T., Altamimi, N., Abu-Dawas, S. B., Yaqinuddin, A., & Alkattan, K. (2025). The Relative Contribution of Anxiety and Depression in Predicting Quality of Life among Alfaisal University Students. https://doi.org/10.20944/preprints202509.0696.v1
Bavi, S., Roshani Salar, A., Talayeri, A., & Bahmaei, H. (2025). The Efficacy of Mindfulness-Based Stress Reduction in Mitigating Rumination and Anxiety Sensitivity Among Adolescents with Social Anxiety Disorder. Journal of Contemporary Psychotherapy, 1-7. https://doi.org/10.1007/s10879-025-09676-8
Boğahan, M., Yılmaz, S., & Yılmaz, M. (2025). Effects of Mindfulness-Based Stress Reduction Program on the Mental Health and Care Burden in Family Caregivers of Individuals with Psychosis. Community Mental Health Journal, 1-11. https://doi.org/10.1007/s10597-025-01527-z
Brockman, R., Ciarrochi, J., Parker, P., & Kashdan T. (2017). Emotion regulation strategies in daily life: Mindfulness, cognitive reappraisal and emotion suppression. Cognitive Behaviour Therapy, 46(2), 91-113. https://doi.org/10.1080/16506073.2016.1218926
Cohen, S. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health (pp. 31–67). Sage Publications, Inc.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of health and social behavior, 385-396. https://www.jstor.org/stable/2136404
Conway, C. C., Forbes, M. K., & South, S. C. (2022). A Hierarchical Taxonomy of Psychopathology (HiTOP) primer for mental health researchers. Clinical Psychological Science, 10(2), 236-258. https://doi.org/10.1177/21677026211017834
Eustis, E. H., Cardona, N., Nauphal, M., Sauer-Zavala, S., Rosellini, A. J., Farchione, T. J., & Barlow, D. H. (2020). Experiential avoidance as a mechanism of change across cognitive-behavioral therapy in a sample of participants with heterogeneous anxiety disorders. Cognitive Therapy and Research, 44(2), 275-286. https://doi.org/10.1007/s10608-019-10063-6
Gkintoni, E., Aroutzidis, A., Antonopoulou, H., & Halkiopoulos, C. (2025). From neural networks to emotional networks: A systematic review of EEG-based emotion recognition in cognitive neuroscience and real-world applications. Brain Sciences, 15(3), 220. https://doi.org/10.3390/brainsci15030220
Gross, J. J., & Jazaieri, H. (2014). Emotion, emotion regulation, and psychopathology: An affective science perspective. Clinical psychological science, 2(4), 387-401.
https://doi.org/10.1177/2167702614536164
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. https://doi.org/10.1037/0022-3514.85.2.348
Im, S., & Kahler, J. (2022). Evaluating the empirical evidence for three transdiagnostic mechanisms in anxiety and mood disorders. The Journal of general psychology, 149(2), 232-257. https://doi.org/10.1080/00221309.2020.1828252
Jamieson, S. D., Tuckey, M. R., Li, Y., & Hutchinson, A. D. (2022). Is primary appraisal a mechanism of daily mindfulness at work?. Journal of Occupational Health Psychology, 27(4), 377. https://psycnet.apa.org/doi/10.1037/ocp0000324
Kabat-Zinn, J., & Hanh, T. N. (2009). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delta.
Khakpoor, S., Saed, O., & Shahsavar, A. (2019). The concept of “Anxiety sensitivity” in social anxiety disorder presentations, symptomatology, and treatment: A theoretical perspective. Cogent Psychology, 6(1), 1617658. https://doi.org/10.1080/23311908.2019.1617658
Kotov, R., Cicero, D. C., Conway, C. C., DeYoung, C. G., Dombrovski, A., Eaton, N. R., ... & Wright, A. G. (2022). The Hierarchical Taxonomy of Psychopathology (HiTOP) in psychiatric practice and research. Psychological medicine, 52(9), 1666-1678. https://doi.org/10.1017/s0033291722001301
Krueger, R. F., & Eaton, N. R. (2015). Transdiagnostic factors of mental disorders. World Psychiatry, 14(1), 27-29. https://doi.org/10.1002/wps.20175
Mofatteh, M. (2020). Risk factors associated with stress, anxiety, and depression among university undergraduate students. AIMS public health, 8(1), 36-65. https://doi.org/10.3934/publichealth.2021004
Moghadam, M. S., Parvizifard, A., Foroughi, A., Ahmadi, S. M., & Farshchian, N. (2025). An examination of the effectiveness of mindfulness-integrated cognitive behavior therapy on depression, anxiety, stress and sleep quality in Iranian women with breast cancer: a randomized controlled trial. Scientific Reports, 15(1), 11041. https://doi.org/10.1038/s41598-025-85745-1
Mohsenabadi, H., Pirmoradi, M., Zahedi Tajrishi, K., & Gharraee, B. (2025). A transdiagnostic approach to investigate of the relationships between anxiety sensitivity and health anxiety: the mediated roles of distress tolerance and emotion regulation. Frontiers in Psychiatry, 16, 1478442. https://doi.org/10.3389/fpsyt.2025.1478442
Qu, Y., Wu, H., & Xu, X. (2022, June). How mindfulness affects resilience: Based on mindfulness-based stress reduction and mindfulness in motion therapy. In 2022 8th International Conference on Humanities and Social Science Research (ICHSSR 2022) (pp. 2939-2946). Atlantis Press. https://doi.org/10.2991/assehr.k.220504.533
Rastogi, S., Gupta, S., Deepak, D., Mishra, B. N., Gore, R., & Singh, V. (2025). A Systematic Literature Review on Anxiety Among Undergraduate Students: Causes and Coping Strategies. Annals of Neurosciences, 09727531251366078. https://doi.org/10.1177/09727531251366078
Smits, J. A., Julian, K., Rosenfield, D., & Powers, M. B. (2012). Threat reappraisal as a mediator of symptom changes in cognitive-behavioral treatment of anxiety disorders: A systematic review. Journal of Consulting and Clinical Psychology, 80(4), 624–635. https://doi.org/10.1037/a0028957
Tabatabaeian, A., Hosseinian, S., Taheri, A., & Leavitt, C. E. (2024). The mediating role of emotion regulation in the relationship between sexual mindfulness and relational quality in a sample of Iranian women. Journal of Sex & Marital Therapy, 50(4), 468- 481. https://doi.org/10.1080/0092623X.2024.2309965
Taylor, S. (2019). Treating anxiety sensitivity in adults with anxiety and related disorders. In The clinician's guide to anxiety sensitivity treatment and assessment (pp. 55-75). Academic Press. https://doi.org/10.1016/b978-0-12-813495-5.00004-8
Taylor, S., & Cox, B. J. (1998). An expanded anxiety sensitivity index: evidence for a hierarchic structure in a clinical sample. Journal of anxiety disorders, 12(5), 463-483. https://doi.org/10.1016/S0887-6185(98)00028-0
Wang, Y., Tian, J., & Yang, Q. (2024). Experiential avoidance process model: a review of the mechanism for the generation and maintenance of avoidance behavior. Psychiatry and Clinical Psychopharmacology, 34(2), 179-189. https://doi.org/10.5152/pcp.2024.23777
Xie, Q., Guan, Y., Hofmann, S. G., Jiang, T., & Liu, X. (2023). The potential mediating role of anxiety sensitivity in the impact of mindfulness training on anxiety and depression severity and impairment: A randomized controlled trial. Scandinavian journal of psychology, 64(1), 21-29. https://doi.org/10.1111/sjop.12860
Zhang, J., & Zhao, S. (2024). Academic Major and Mental Health among Chinese College Students. Journal of Mental Health Disorders, 4(1), 34-42. https://doi.org/10.33696/mentalhealth.4.023