The Effectiveness of Mindfulness‑Based Cognitive Therapy on Behavioral Emotion Regulation and Coping Styles

Authors

Keywords:

Mindfulness-based cognitive therapy, behavioral emotion regulation, coping styles

Abstract

The present study aimed to determine the effectiveness of mindfulness‑based cognitive therapy (MBCT) on behavioral emotion regulation and coping styles in individuals with autoimmune diseases. The research method was a quasi‑experimental applied study conducted using a pretest–posttest design with a control group. The statistical population of the present study consisted of all individuals with autoimmune diseases who referred to hospitals and medical centers in District 2 of Tehran during the first half of 2024. The sample of the present study included 30 individuals selected from the population using purposive sampling and randomly assigned to an experimental group (15 participants) and a control group (15 participants). The research instruments included the Behavioral Emotion Regulation Questionnaire by Craij and Garnefski (2019) and the Coping Styles Questionnaire by Endler and Parker (1990). To analyze the data and examine the research hypotheses, multivariate analysis of covariance (MANCOVA) and univariate analysis of covariance (ANCOVA) were used. All statistical analyses were conducted using SPSS version 27. The results of the study showed that the difference between the intervention group and the control group was significant in terms of the mean scores of behavioral emotion regulation and coping styles (p < .001). Overall, the findings indicated that mindfulness‑based cognitive therapy increased behavioral emotion regulation and problem‑focused coping style while reducing emotion‑focused coping style and avoidant coping style in individuals with autoimmune diseases.

Downloads

Download data is not yet available.

References

Abbasi, M., Pahlavan, M., Ali Akbari, M., Aghasi, M., & Hosseini, M. S. (2022). Effectiveness of group spiritual therapy on resilience and coping styles of families of individuals undergoing addiction treatment. Iranian Journal of Health, 5(3), 47-58.

Abend, A. H., He, I., Bahroos, N., Christianakis, S., Crew, A. B., & Wise, L. M. (2024). Estimation of prevalence of autoimmune diseases in the United States using electronic health record data. Journal of Clinical Investigation, 135(4), e178722. https://doi.org/10.1172/JCI178722

Afshar, H., Roohafza, H. R., Keshteli, A. H., Mazaheri, M., Feizi, A., & Adibi, P. (2015). The association of personality traits and coping styles according to stress level. Journal of Research in Medical Sciences, 20(4), 353-358.

Afshari, A., & Rezaei, R. (2022). Relationship between social support and coping styles with psychological well‑being of the elderly: The mediating role of self‑worth. Aging Psychology, 8(4), 401-418.

Akbulut, G., & Erci, B. (2024). The effect of conscious mindfulness‑based informative approaches on managing symptoms in hemodialysis patients. The Interplay of Stress, Health, and Well‑Being, 15.

Akmatov, M. K., Kohring, C., Pessler, F., & Holstiege, J. (2025). Sex‑specific and regional differences in the prevalence of diagnosed autoimmune diseases in Germany, 2022. Research in Health Services & Regions, 4(1), 3. https://doi.org/10.1007/s43999-025-00061-5

Alhawatmeh, H., Alshammari, S., & Rababah, J. A. (2022). Effects of mindfulness meditation on trait mindfulness, perceived stress, emotion regulation, and quality of life in hemodialysis patients. International journal of nursing sciences, 9(2), 139-146.

Alkasir, E., Masjedi‑Arani, A., Jafarian Dehkordi, F., Sam Kianimoghadam, A., Afshari, B., & Yousefi, S. (2025). Comparison of the effectiveness of mindfulness‑based stress reduction versus cognitive‑behavioral therapy on emotion regulation, mindfulness, and cognitive‑executive functions in female patients with rheumatoid arthritis. Journal of education and health promotion, 14, 99. https://doi.org/10.4103/jehp.jehp_1917_23

Alotiby, A. (2024). Immunology of Stress: A Review Article. Journal of clinical medicine, 13(21), 6394. https://doi.org/10.3390/jcm13216394

Alzaabi, A. A., Alzaabi, F. M., Al Tarawneh, D. J., Khan, A., & Siddiqui, S. W. (2025). The Impact of Stress on Autoimmune Disorders: Type 1 Diabetes Mellitus and Systemic Lupus Erythematosus. Cureus, 17(3), e81228. https://doi.org/10.7759/cureus.81228

Angarita‑Osorio, N., Escorihuela, R. M., & Canete, T. (2024). The relationship between neuroticism as a personality trait and mindfulness skills: a scoping review. Frontiers in psychology, 15, 1401969. https://doi.org/10.3389/fpsyg.2024.1401969

Asoudi Qousheh Gonbadi, J., Bakhshipour, A., & Akbari Amraghan, H. (2023). Comparison of the effectiveness of mindfulness‑based cognitive therapy and behavioral activation therapy on cognitive avoidance and emotion regulation in individuals with generalized anxiety disorder. Sabzevar University of Medical Sciences Journal, 30(4), 428-441.

Babaei, E., Ghadimi, M., Ahmadi, A., & Golestani Bakht, T. (2021). The role of resilience and coping styles in predicting job burnout among nurses in COVID‑19 wards. Quarterly Journal of Nursing Management, 10(4), 86-95.

Conduah, A. K., Essiaw, M. N., & Ofoe, S. H. (2025). Coping With Chronic Illness: A Systematic Review of Adaptive Strategies Across Cancer, COPD, Diabetes and Heart Disease. Public Health Challenges, 4(4), e70129. https://doi.org/10.1002/puh2.70129

Fakhrmand, A., Mehrinejad, A., Khosravi, Z., & Kamali, H. (2024). Effectiveness of cognitive behavioral therapy integrated with mindfulness on negative affect and cognitive emotion regulation in patients with multiple sclerosis: A clinical trial. Toloo‑e Behdasht, 23(5), 50-65.

Gkintoni, E., Vassilopoulos, S. P., & Nikolaou, G. (2025). Mindfulness‑Based Cognitive Therapy in Clinical Practice: A Systematic Review of Neurocognitive Outcomes and Applications for Mental Health and Well‑Being. Journal of clinical medicine, 14(5), 1703. https://doi.org/10.3390/jcm14051703

Guo, L. (2024). The correlation between mindfulness, decentering, and psychological problems: A structural equation modeling meta‑analysis. Mindfulness, 15(8), 1873-1895. https://doi.org/10.1007/s12671-024-02395-6

Haji Aliani, V., Bahrami Ehsan, H., & Nofresti, A. (2020). The effect of mindfulness‑based cognitive therapy on coping strategies, depression and suicidal ideation in students. Psychological Science, 19(96), 1557-1568.

Han, L., Wu, T., Zhang, Q., & Zhou, X. (2025). Immune Tolerance Regulation Is Critical to Immune Homeostasis. Journal of Immunology Research, 2025, 5006201. https://doi.org/10.1155/jimr/5006201

Izadi, M., & Taghizadeh, M. E. (2021). Effectiveness of mindfulness‑based cognitive therapy (MBCT) on emotional regulation and self‑awareness in adolescent girls. Journal of Health Psychology and Social Behavior, 1(1), 15-30.

Jokar, P., & Rahmanian, M. (2025). Effectiveness of mindfulness‑based cognitive therapy on cognitive regulation and improvement of quality of life in women with trichotillomania. Health Psychology, 14(53), 77-92.

Knitza, J., Kraus, J., Krusche, M., & Klein, J. P. (2025). Digital Psychological Intervention for Inflammatory Rheumatic Diseases: A Pilot Randomized Clinical Trial. JAMA Network Open, 8(9), e2529892. https://doi.org/10.1001/jamanetworkopen.2025.29892

Mudra Rakshasa‑Loots, A., Swiffen, D., Steyn, C., & Smith, D. J. (2025). Affective disorders and chronic inflammatory conditions: analysis of 1.5 million participants in Our Future Health. BMJ Mental Health, 28(1), e301706. https://doi.org/10.1136/bmjment-2025-301706

Rafiei Rad, Z., Besharpour, S., & Lotfi Saeidabad, S. (2021). The role of behavioral emotion regulation, health locus of control and mindfulness in predicting quality of life in recovered COVID‑19 patients. Royesh‑e Ravanshenasi, 10(10), 75-84.

Rezaee, M., Lotfi, F., Gholami, A., Azizpoor, J., Aflaki, E., Vazin, A., & Keshavarz, K. (2025). Economic Burden of Rheumatoid Arthritis in Iran: A Societal Perspective. Public Health Challenges, 4(4), e70131. https://doi.org/10.1002/puh2.70131

Sadat Rasoul, S., & Alizadeh Fard, S. (2021). Psychometric properties of the behavioral emotion regulation questionnaire. Psychological Methods and Models, 12(44), 13-24.

Shahvardi, A., Omidi, M., & Mousavi Nik, M. (2023). Effectiveness of mindfulness‑based cognitive therapy on cognitive emotion regulation, severity of psychosomatic migraine symptoms and stress coping styles in women with migraine. Iranian Journal of Psychiatry and Clinical Psychology, 29(2), 18-31.

Soltani Zadeh, M., Kazemi, H., Darabi, N., & Ghodatipour, S. (2021). Effectiveness of mindfulness‑based cognitive therapy on emotion regulation and distress tolerance among firefighters in Isfahan. Applied Psychological Research Quarterly, 12(2), 83-100.

Song, X., Liang, H., Nan, F., & Zhang, D. (2025). Autoimmune Diseases: Molecular Pathogenesis and Therapeutic Targets. Medcomm, 6(7), e70262. https://doi.org/10.1002/mco2.70262

Zarei, M., Bahrinian, S. A., Ahi, G., & Mansouri, A. (2023). Comparison of the effectiveness of mindfulness‑based cognitive therapy and schema therapy on emotion regulation and distress tolerance in women with obsessive‑compulsive symptoms. Research in Psychological Health, 17(4), 82-100.

Zhang, K., Luo, Z., & Wang, X. (2024). The association of common autoimmune diseases with autoimmune thyroiditis: a two‑sample Mendelian randomization study. Frontiers in Endocrinology, 15, 1383221. https://doi.org/10.3389/fendo.2024.1383221

Zhao, M., Zhai, H., Li, H., & Wei, P. (2024). Age‑standardized incidence, prevalence, and mortality rates of autoimmune diseases in adolescents and young adults (15‑39 years): an analysis based on the global burden of disease study 2021. BMC public health, 24(1), 1800. https://doi.org/10.1186/s12889-024-19290-3

Zhou, J., Fan, X., Gan, Y., & Cao, Y. (2024). Effect of fatigue on quality of life in patients with rheumatoid arthritis: the chain mediating role of resilience and self‑efficacy. Advances in Rheumatology, 64(1), 66. https://doi.org/10.1186/s42358-024-00410-x

cbl

Downloads

Published

1405-05-01

Issue

Section

مقالات

How to Cite

Mogharebi, R. S. ., & Sabet, M. (1405). The Effectiveness of Mindfulness‑Based Cognitive Therapy on Behavioral Emotion Regulation and Coping Styles. Journal of Cognition, Behavior, Learning, 1-15. https://www.journalcbl.com/index.php/jcbl/article/view/jcbl-2603-4570

Similar Articles

1-10 of 169

You may also start an advanced similarity search for this article.