Volume 30, Issue 2 (Avicenna Journal of Clinical Medicine-Summer 2023)
Avicenna J Clin Med 2023, 30(2): 90-98 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Salehpoor A, Yousefi Z, Golparvar M. Comparing the Effectiveness of Mindfulness-Based Stress Reduction with Acceptance and Commitment Therapy on Social Anxiety and Its Dimensions in Stuttering Adults. Avicenna J Clin Med 2023; 30 (2) :90-98
URL: http://sjh.umsha.ac.ir/article-1-2720-en.html
URL: http://sjh.umsha.ac.ir/article-1-2720-en.html
1- Faculty of Education and Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
2- Department of Clinical Psychology, Faculty of Education and Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran ,z.yousefi@khuisf.ac.ir
3- Department of Clinical Psychology, Faculty of Education and Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
2- Department of Clinical Psychology, Faculty of Education and Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran ,
3- Department of Clinical Psychology, Faculty of Education and Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
Abstract: (1280 Views)
Background and Objective: Adults with stuttering show a fear of communication. This study aimed to compare the effectiveness of mindfulness-based stress reduction to that of acceptance and commitment therapy on social anxiety and its dimensions in adults with stuttering.
Materials and Methods: This study was a semi-experimental type with a pretest-posttest and follow-up design. The statistical population included all stuttering adults aged 18 to 40 who were referred to speech therapy and psychology centers in Isfahan, Iran, in 2022 and 2023. The sample included 45 individuals, divided into two experimental groups and one control group. The subjects’ social anxiety was measured in three stages by administering the Connor social anxiety questionnaire.
Results: The results showed that the experimental methods were effective on the dependent variables in the experimental groups compared to the control group. Regarding the effectiveness of the two experimental methods on physiological symptoms, there was no significant difference. On the other hand, mindfulness-based stress reduction had a more significant effect on fear, avoidance, and the total score of social anxiety compared to acceptance and commitment therapy (P<0.05).
Conclusion: Based on the findings, both mindfulness-based stress reduction, as well as acceptance and commitment therapy are effective in reducing social anxiety and its dimensions among people who stutter.
Materials and Methods: This study was a semi-experimental type with a pretest-posttest and follow-up design. The statistical population included all stuttering adults aged 18 to 40 who were referred to speech therapy and psychology centers in Isfahan, Iran, in 2022 and 2023. The sample included 45 individuals, divided into two experimental groups and one control group. The subjects’ social anxiety was measured in three stages by administering the Connor social anxiety questionnaire.
Results: The results showed that the experimental methods were effective on the dependent variables in the experimental groups compared to the control group. Regarding the effectiveness of the two experimental methods on physiological symptoms, there was no significant difference. On the other hand, mindfulness-based stress reduction had a more significant effect on fear, avoidance, and the total score of social anxiety compared to acceptance and commitment therapy (P<0.05).
Conclusion: Based on the findings, both mindfulness-based stress reduction, as well as acceptance and commitment therapy are effective in reducing social anxiety and its dimensions among people who stutter.
Type of Study: Original |
Subject:
Clinical Psychology
Extended Abstract [HTML 28 KB] (64 Download)
References
1. Salehpoor A, Latifi Z, Tohidast SA. Evaluating parents' reactions to children's stuttering using a Persian version of Reaction to Speech Disfluency Scale. Int J Pediatr Otorhinolaryngology. 2020;134:110076. PMID: 32388081 DOI: 10.1016/j.ijporl.2020.110076
2. Ataabadi S, Yousefi Z, Khayatan F. Comparing the effectiveness of quality of life therapy with acceptance and commitment therapy on appreciation and happiness among mothers of children with stuttering disorder. AFTJ. 2022;3(3):520-535.
3. Kasbi F, Mokhlesin M, Maddah M, Noruzi R, Monshizadeh L, Khani MM. Effects of stuttering on quality of life in adults who stutter. Midd East J Rehab Health Stud. 2015;2(1);e43352. DOI: 10.17795/mejrh-25314
4. Shafiei M. Comparing the quality of life among individuals with and without stuttering. SLP. 2014;1(3):69-75. DOI: 10.13140/RG.2.1.1779.8483
5. Alqhazo M, Blomgren M, Roy N, Abu Awwad M. Discrimination and internalised feelings experienced by people who stutter in Jordan. IJSLP. 2017;19(5):519-28.
6. Iverach L, Rapee RM. Social anxiety disorder and stuttering: Current status and future directions. J Fluency Disord. 2014;40:69-82. PMID: 24929468 DOI: 10.1016/j.jfludis.2013.08.003
7. Shafiei B, Heshmatipour M, Tavakol S, Saghaei M, Ghayumi Z. Determining the effect of laser acupuncture in treating stutterers in comparison with speech therapy. Adv Biomed Res. 2015;4:8. PMID: 25625114 DOI: 10.4103/2277-9175.148290
8. Emami Meybodi A, Banijamali SH, Yazdi Seyede M, Shafiei M. Effectiveness of mindfulness-based stress reduction (MBSR) training on improvement of cognitive, emotional and behavioral reactions in individuals with stuttering. MEJDS. 2015;5(11):109-18.
9. Dryman MT, Heimberg RG. Emotion regulation in social anxiety and depression: A systematic review of expressive suppression and cognitive reappraisal. Clin Psychol Rev. 2018;65:17-42. PMID: 30064053 DOI: 10.1016/j.cpr.2018.07.004
10. Hashemi SS, Sharifi Daramadi P, Dastjerdi Kazemi M, Rezaei S. The efficacy of acceptance and commitment group therapy program on social anxiety and speech fluency in adolescents with stuttering. JPS. 2022;21(115):1301-13. DOI: 10.52547/JPS.21.115.1301
11. Salajegheh S, Bakhshani N. Effectiveness of combined group exposure therapy and coping with stress skills training on social anxiety rate of university students. JSR. 2014;15(2):96-104.
12. Graham B, Bowes L, Ehlers A. External locus of control but not self-esteem predicts increasing social anxiety among bullied children. Clin Psychol Eur. 2022;4(2):e3809. PMID: 36397943 DOI: 10.32872/cpe.3809
13. Brignell A, Krahe M, Downes M, Kefalianos E, Reilly S, Morgan AT. A systematic review of interventions for adults who stutter. J Fluency Disord. 2020;64:105766. PMID: 32438123 DOI: 10.1016/j.jfludis.2020.105766
14. Boyle MP. Mindfulness training in stuttering therapy: A tutorial for speech-language pathologists. J Fluency Disord. 2011;36(2):122-9. PMID: 21664530 DOI: 10.1016/j.jfludis.2011.04.005
15. Scheurich JA, Beidel DC, Vanryckeghem M. Exposure therapy for social anxiety disorder in people who stutter: An exploratory multiple baseline design. J Fluency Disord. 2019;59:21-32. PMID: 30578977 DOI: 10.1016/j.jfludis.2018.12.001
16. Beilby JM, Byrnes ML, Yaruss JS. Acceptance and commitment therapy for adults who stutter: Psychosocial adjustment and speech fluency. J Fluency Disord. 2012;37(4):289-99. PMID: 23218212 DOI: 10.1016/j.jfludis.2012.05.003
17. Menzies R, O’Brian S, Lowe R, Packman A, Onslow M. International Phase II clinical trial of CBTPsych: A standalone Internet social anxiety treatment for adults who stutter. J Fluency Disord. 2016;48:35-43. PMID: 27498893 DOI: 10.1016/j.jfludis.2016.06.002
18. Kabat Zinn J. Mindfulness-based interventions in context: past, present, and future. ClinPsychol Sci Pract. 2003;10(2):144–56.
19. Goldin PR, Gross JJ. Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion. 2010;10(1):83-91. PMID: 20141305 DOI: 10.1037/a0018441
20. Arab Ghaeni M, Mojtabaei M, Aghabeiki A. The effect of mindfulness training (MBSR) on the increasing assertiveness among anxious students. Stud Med Sci. 2017;28(2):119-29.
21. Emge G, Pellowski MW. Incorporating a mindfulness meditation exercise into a stuttering treatment program. Commun Disord Q. 2019;40(2):125-8.
22. Garcia-Rubio C, Rodríguez-Carvajal R, Castillo-Gualda R, Moreno-Jiménez JE, Montero I. Long-term effectiveness of a mindfulness based intervention (MBI) program for stuttering: A case study. Clínica Y Salud. 2021;32(2):55-63. DOI: 10.5093/clysa2021a1
23. Harley J. The role of attention in therapy for children and adolescents who stutter: Cognitive behavioral therapy and mindfulness-based interventions. Am J Speech Lang Pathol. 2018;27(3S):1139-51. PMID: 30347059 DOI: 10.1044/2018_AJSLP-ODC11-17-0196
24. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behav Res Ther. 2006;44(1):1-25. PMID: 16300724 DOI: 10.1016/j.brat.2005.06.006
25. Salimi Souderjani M, Yousefi Z. The effectiveness of parenting styles training based on acceptance and commitment therapy (ACT) to mothers on decreasing separation anxiety and oppositional defiant disorder of children. J Child Ment Health. 2017;4(2):104-15.
26. Yousefi Z, Homaie F. The effectiveness of mood improvement training based on acceptance and commitment on reducing depression and improving mothers' parenting styles in Zarinshahr. J Jiroft Univ Med Sci. 2018;4(2):236-48.
27. Babaie Z, Saeidmanesh M. The effectiveness of acceptance and commitment therapy on stress and depression in adolescents aged 14 to 18 years with stuttering: a randomized controlled clinical trial. JRRS. 2019;15(5):243-8. DOI: 10.22122/jrrs.v15i5.3433
28. Naz H, Kausar R. Acceptance and commitment therapy integrated with stuttering management: a case study. BJPP. 2020;19(2):133-53.
29. Zareie Faskhudi B, Karbalaee Mohammad Meigouni A, Rezabakhsh H, Ghelichi L. Comparison of the effect of unified transdiagnostic treatment from emotional disorders and emotion efficacy therapy on emotion regulation among adults with stuttering. JAPR. 2021;12(2):185-209. DOI: 10.22059/JAPR.2021.312232.643672
30. Sønsterud H, Halvorsen MS, Feragen KB, Kirmess M, Ward D. What works for whom? Multidimensional individualized stuttering therapy (MIST). J Comm Disord. 2020;88:106052. PMID: 33080388 DOI: 10.1016/j.jcomdis.2020.106052
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Articles Copyright © The Author(s).
Owned by Hamadan University of Medical Sciences
Published by UMSHA Press
Journal Tel: +988138380924
Publisher Tel:+988138380548
Website: http://sjh.umsha.ac.ir
Email: s_ journal[at]umsha.ac.ir
