Volume 23, Issue 9 (1-2025)
JRUMS 2025, 23(9): 751-763 |
Back to browse issues page
Ethics code: IR.IAU.SARI.REC.1402.318
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Bagheri H, Pourfaraj Omran M. The Effectiveness of Compassion-Focused Therapy on Rumination and Psychological Well-Being of Patients with Depression: A Quasi-Experimental Study. JRUMS 2025; 23 (9) :751-763
URL: http://journal.rums.ac.ir/article-1-7464-en.html
URL: http://journal.rums.ac.ir/article-1-7464-en.html
Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Islamic Azad University, Behshahr Branch, Behshahr, Iran
Abstract: (663 Views)
Background and Objectives: Depression is one of the common problems. The use of compassion therapy and conducting research in this field has been increased in recent years. Therefore, the present study was conducted with the aim of determining the effectiveness of compassion-focused treatment on rumination and psychological well-being of patients with depression.
Materials and Methods: The present study was a quasi-experimental study with a pretest-posttest design with a control group. The statistical population of the research included all the people suffering from depression in Gorgan City in 2023, 32 people were selected by convenience sampling and randomly assigned into the experimental group (16 people) and control (16 people) groups. Then both groups were evaluated by Nolen and Hoeksema’s (1993) Rumination Questionnaire and Ryff’s (1989) Psychological Well-Being. The people in the experimental group received 8 sessions of group therapy focused on compassion during two months and as a 90-minute session per week, and the control group did not receive any intervention. The data were analyzed by multivariate analysis of covariance.
Results: The results showed that after treatment, the mean rumination score (39.37±11.24) in the experimental group decreased (p<0.001) and the mean psychological well-being score (76.01±7.07) in the experimental group increased (p<0.001).
Conclusion: The present study showed that compassion-focused therapy is effective on rumination and psychological well-being of depressed patients. Therefore, it is suggested to use this approach to reduce rumination and improve psychological well-being.
Key words: Rumination, Psychological well-being, Depression, Compassion therapy
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics Committee of Islamic Azad University, Behshahr Branch of Medical Sciences, approved the study (IR.IAU.SARI.REC.1402.318).
Authors’ contributions:
- Conceptualization: Haniyeh Bagheri
- Methodology: Haniyeh Bagheri
- Data collection: Haniyeh Bagheri
- Formal analysis: Haniyeh Bagheri
- Supervision: Majid Pourfaraj Omran
- Project administration: Majid Pourfaraj Omran
- Writing – original draft: Haniyeh Bagheri
- Writing – review & editing: Haniyeh Bagheri
Materials and Methods: The present study was a quasi-experimental study with a pretest-posttest design with a control group. The statistical population of the research included all the people suffering from depression in Gorgan City in 2023, 32 people were selected by convenience sampling and randomly assigned into the experimental group (16 people) and control (16 people) groups. Then both groups were evaluated by Nolen and Hoeksema’s (1993) Rumination Questionnaire and Ryff’s (1989) Psychological Well-Being. The people in the experimental group received 8 sessions of group therapy focused on compassion during two months and as a 90-minute session per week, and the control group did not receive any intervention. The data were analyzed by multivariate analysis of covariance.
Results: The results showed that after treatment, the mean rumination score (39.37±11.24) in the experimental group decreased (p<0.001) and the mean psychological well-being score (76.01±7.07) in the experimental group increased (p<0.001).
Conclusion: The present study showed that compassion-focused therapy is effective on rumination and psychological well-being of depressed patients. Therefore, it is suggested to use this approach to reduce rumination and improve psychological well-being.
Key words: Rumination, Psychological well-being, Depression, Compassion therapy
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics Committee of Islamic Azad University, Behshahr Branch of Medical Sciences, approved the study (IR.IAU.SARI.REC.1402.318).
Authors’ contributions:
- Conceptualization: Haniyeh Bagheri
- Methodology: Haniyeh Bagheri
- Data collection: Haniyeh Bagheri
- Formal analysis: Haniyeh Bagheri
- Supervision: Majid Pourfaraj Omran
- Project administration: Majid Pourfaraj Omran
- Writing – original draft: Haniyeh Bagheri
- Writing – review & editing: Haniyeh Bagheri
Type of Study: Research |
Subject:
روانپزشكي
Received: 2024/07/31 | Accepted: 2024/12/28 | Published: 2025/01/21
Received: 2024/07/31 | Accepted: 2024/12/28 | Published: 2025/01/21
References
1. Ross RE, VanDerwerker CJ, Saladin ME, Gregory CM. The role of exercise in the treatment of depression: biological underpinnings and clinical outcomes. Molecular Psychiatry 2023; 28(1): 298-328.
2. WHO, CONSTITUTION OF. World health organization. Air Quality Guidelines for Europe 2020; 91.
3. Fried EI, Flake JK, Robinaugh DJ. Revisiting the theoretical and methodological foundations of depression measurement. Nature Reviews Psychology 2022; 1(6): 358-68.
4. Wu Q, Feng X, Gerhardt M, Wang L. Maternal depressive symptoms, rumination, and child emotion regulation. European Child & Adolescent Psychiatry 2020; 29: 125-34.
5. Watkins ER, Roberts H. Reflecting on rumination: Consequences, causes, mechanisms and treatment of rumination. Behaviour Research and Therapy 2020; 127: 103-16.
6. Liu D, Liu S, Deng H, Qiu L, Xia B, Liu W, et al. Depression and suicide attempts in Chinese adolescents with mood disorders: the mediating role of rumination. European Archives of Psychiatry and Clinical Neuroscience 2023; 273(4): 931-40.
7. Hadian S, Jabalameli S. The effectiveness of compassion–focused therapy (CFT) on rumination in students with sleep disorders: a quasi‐experimental research, before and after. Studies in Medical Sciences 2019; 30(2): 86-96. [Farsi]
8. Demehri F, Sardari Z, Saeidmanesh M. The Effectiveness of Enriched with Compassion Acceptance and Commitment therapy (ACT) on Psychological Well-Being and Suicidal Tendency in Adolescents with Parents with Chronic Psychological Illness. Socialworkmag 2022; 10(4): 37-47. [Farsi]
9. Chan ASW, Lo IPY, Yan E. Health and social inclusion: The impact of psychological well-being and suicide attempts among older men who have sex with men. American Journal of Men's Health 2022; 16(5): 38-49.
10. Molinero O, Salguero A, Márquez S. Perceived health, depression and psychological well-being in older adults: physical activity and osteoarticular disease. Sustainability 2021; 13(15): 8157-69.
11. Au TM, Sauer-Zavala S, King MW, Petrocchi N, Barlow DH, Litz BT. Compassion-based therapy for trauma-related shame and posttraumatic stress: Initial evaluation using a multiple baseline design. Behavior Therapy 2017; 48(2): 207-21.
12. Navarro-Gil M, Lopez-del-Hoyo Y, Modrego-Alarcón M, Montero-Marin J, Van Gordon W, Shonin E, et al. Effects of attachment-based compassion therapy (ABCT) on self-compassion and attachment style in healthy people. Mindfulness 2020; 11(1): 51-62.
13. Gilbert P. Compassion focused therapy: special Issue. International. Journal of Cognitive Therapy 2016; 3(2): 197-201.
14. Rahbaran R, Karmi R, Shah Mohammadi Kalibar M. The effectiveness of behavioral activation therapy in reducing rumination and depression in adolescents. Thought and behavior in clinical psychology 2018; 13(52): 17-26. [Farsi]
15. Alighanavati S, Bahrami F, Godarzi K, Rouzbahani M. Effectiveness of compassion-based therapy on rumination and concern of women with breast cancer. Health Psychology 2018; 7(27): 152-68. [Farsi]
16. Asano K, Shimizu E. A case report of compassion focused therapy (CFT) for a Japanese patient with recurrent depressive disorder: the importance of layered processes in CFT. Case Reports in Psychiatry 2018; 98: 213-25.
17. Jiang T, Chen Z. Meaning in life accounts for the association between long-term ostracism and depressive symptoms: The moderating role of self-compassion. The Journal of Social Psychology 2020; 160(5): 535-47.
18. Finlay-Jones AL, Rees CS, Kane RT. Self-compassion, emotion regulation and stress among Australian psychologists: Testing an emotion regulation model of self-compassion using structural equation modeling. PloS one 2015; 10(7): 133-41.
19. Taheri A, Marashi SA, Hamid N, Beshlideh K. The Effectiveness of Compassion-Focused Therapy on Psychological Well-Being and Meaning in Life of Mothers of Children With Intellectual and Developmental Disorders. IJPCP 2022; 28(1): 20-33. [Farsi]
20. Gheibee A, Tajeri B, Kooshki S, Sobhi Gharamaleki N. Comparison of the Effectiveness of Acceptance and Commitment and Compassion Therapy on Psychological Well-being in Patient with Multiple Sclerosis. IJRN 2021; 7(2): 63-73. [Farsi]
21. Erdur-Baker Ö, Bugay A. The short version of ruminative response scale: reliability, validity and its relation to psychological symptoms. Procedia-Social and Behavioral Sciences 2010; 1(5): 2178-81.
22. Bagherinejad M, Salehi Fadardi J, Tabatabaei SM. The relationship between rumination and depression in a sample of Iranian university of students. Research in Clinical Psychology and Counseling 2010; 11(1): 21-38. [Farsi]
23. Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology 1989; 57(6): 1069-81.
24. Khanjani M, Shahidi SH, Fathabadi J, Mazaheri MA, Shokri O. Factorial structure and psychometric properties of the short form (18 questions) of Ryff psychological well- being scale in male and female students. Journal of Thought and Behavior in Clinical Psychology 2014; 9(32): 27-36. [Farsi]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
