The Effectiveness of Mindfulness-Based Stress Reduction Training on Self-Efficacy and Self-Esteem in Patients with Obsessive-Compulsive Disorder

MSc, Department of General Psychology, Kish Branch, Islamic Azad University, Kish, Iran

PhD, Department of Health Psychology, South Tehran Branch, Islamic Azad University, Tehran, Iran

PhD Student, Counseling, Farhangian University, Shahid Rajaei Fars Campus, Shiraz, Iran


Background: Obsession is a repetitive and harmful thought, perception, feeling, or movement that is associated with a sense of compulsion and a tendency to resist it. The purpose of this study was to determine the effectiveness of mindfulness-based stress reduction training on self-efficacy and self-esteem in patients with obsessive-compulsive disorder (OCD).

Methods: The present study was a quasi-experimental study with a pretest-posttest design, control group, and follow-up period. The statistical population of this study included all patients with OCD in Tehran, Iran, in 2018. The study sample consisted of 30 people who were selected using convenience ‎sampling method and divided into experimental (n = 15) and control group (n = 15) participants. Measurement tools included ‎the Coopersmith Self-esteem Inventory (CSEI) (1976) and General Self-Efficacy (GSE) Scale (Schwarzer & Jerusalem, 1995). First, pretest was conducted in both groups. The experimental group then underwent 8 sessions of intervention each lasting 90 minutes, and then, the posttest was performed in both groups. Moreover, 1 month later, the follow-up phase was completed. Data were analyzed using multivariate analysis of covariance (MANCOVA) and one-way analysis of covariance (ANCOVA).

Results: The results showed that mindfulness-based stress reduction training was effective on self-efficacy and self-esteem in patients with OCD, and this effect persisted until the follow-up.

Conclusion: It can be concluded that mindfulness therapy can stop the rumination cycle and distance individuals from their negative thoughts. Challenging negative beliefs about emotions improves self-esteem and self-efficacy in patients with OCD.

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