Clinical Psychology: Research and Practice Innovations

Clinical Psychology: Research and Practice Innovations"

The Effectiveness of Schema-oriented Mindfulness on the Social Anxiety Symptoms and Experiential Avoidance in Gifted Female Students with social anxiety

Document Type : Original Article

Authors
shokooh vatankhahan esfahani 1
ilnaz sajjadian 2
1 M.A. Student in General psychology, Department of Psychology,, Isfahan (Khorasgan)Branch, Islamic Azad University, Isfahan, Iran
2 Associate Professor, Department of Clinical Psychology, Community Health Research Center, Isfahan (Khorasgan)Branch, Islamic Azad University, Isfahan, Iran.
10.22075/jcp.2024.31827.2742
Abstract
Introduction: Gifted students suffer from psychological damage caused by heavy academic load.The present study was conducted with the aim of investigating the effectiveness of Schema-oriented Mindfulness intervention on the social anxiety symptoms and experiential avoidance in gifted female students with social anxiety.
Method: The research method was experimental with pre-test-post-test design with a control group and a one-month follow-up. For this purpose, among the 14 to 18 years old gifted female students with social anxiety in the academic year of 2022-2023 in the Isfahan city, who were identified based on the La Greca’s Social Anxiety Scale for Adolescent; 38 persons were selected by purposeful sampling and randomly assigned to two experimental and control groups (19 person in each group). The experimental group received 8 sessions of 90 minutes per week of Schema-oriented Mindfulness but the control group did not receive any intervention until the end of the study. The students completed La Greca’s Adolescent Social Anxiety Scale and Gamez’s Multidimensional Experiential Avoidance Questionnaire in three stages: pre-test, post-test and follow-up. The data were analyzed by the analysis of variance with repeated measurements method.
Results: The results of data analysis showed that Schema-oriented Mindfulness has a significant effect on reducing social anxiety and experiential avoidance in the post-test and follow-up stages (p< 0.001).
Conclusion: According to the results of this research, Schema-oriented Mindfulness intervention can be used to reduce the symptoms of social anxiety and experiential avoidance in gifted adolescents.
Keywords: Social anxiety, Mindfulness, Schema, Experiential avoidance, Gifted
Keywords
"Social anxiety"
"Mindfulness"
"Schema"
"Experiential avoidance"
"Gifted"
Subjects

  1. منابع

    1. Joukar KamalAbadi M, Rajabi S, Savabet F. The Effectiveness of Cyber-Psychology Cognitive Behavioral Training in Reducing Perfectionism and Anxiety in the Student Elite Community. Journal of Applied Psychological Research. 2021 Feb 19;11(4):317-36. [Persian]
    2. Gorji M, Rowhany NS, Seyed Mousavi M, Azizi M, Samimi Z. Prediction of Social Anxiety Based on Early Maladaptive Schemas and Resilience of Girl Students. Journal of Psychological Studies(2019);15(3):23-38. [Persian]
    3. Ganji M. Abnormal Psychology Based on Dsm-5. 3, editor. Iran: Salavan; 2016. 944 p. [Persian]
    4. Keshavarz Afshar H, Safarifard R, Navai G. The effect of solution-focused brief therapy on social anxiety in adolescents. Journal of School Psychology. 2022;11(1):80-91. [Persian]
    5. Davidson G, Neal J, Krring A.M, janson L.Sh. Abnormal Psychol. 12(1),.Dehestani M, Iran: Arjmand; 2020. 346 p. [Persian]
    6. Asadi H, Mohammadi M, Naziri G, Davoodi A. Comparison of the Effectiveness of ACT Matrix with ACT Focused on Compassion on Social Anxiety Disorder. Psychological Methods and Models. (2021);12(45):59-78. [Persian]
    7. Hatampour E, Mostafai A, Sohrabi Z. The Effectiveness of Mindfulness Training Program on Perceived Stress, Anxiety Sensitivity and Anxiety Symptoms in Adolescents with Symptoms of Social Anxiety Disorder. Journal of Nursing Education (JNE). 2021 Feb;9(6). [Persian]
    8. Shojaati, A., Kalantari, M., Molavi, H. Comparison of the Effect of Short-Term Group Therapy Based on Predictive Model of Social Anxietyand Hoffman Short Term Cognitive –Behavioral Group Therapy on Social Anxiety Symptoms in Junior High School Students, Journal of Clinical Psychology Studies; (2022):12(47), 37-61. [Persian]
    9. Ghadampour E, Hosseini Ramaghani NA, Moradiani Gizeh Rod S. Effectiveness of emotional schema therapy on anxiety sensitivity and emotion regulation strategies in socially anxious students. Armaghane danesh. (2018) Nov 10;23(5):591-607. [Persian]
    10. Singh R, Singh B, Mahato S, Hambour VK. Social support, emotion regulation and mindfulness: A linkage towards social anxiety among adolescents attending secondary schools in Birgunj, Nepal. PloS one. 2020 Apr 2;15(4):e0230991.
    11. Bianchi D, Lonigro A, Baiocco R, Baumgartner E, Laghi F. Social anxiety and peer communication quality during adolescence: The interaction of social avoidance, empathic concern and perspective taking. CYC. 2020 Dec (Vol. 49, pp. 853-876). Springer US.
    12. Bakhshipour Roudsari A, Hashemi Nosrat Abad T, Joorbonyan A, Mahmood Alilou M. The Role of Psychosocial Factors in Social Anxiety: A structural Equation Modeling Approach. Contemporary Psychology, Biannual Journal of the Iranian Psychological Association. 2020 Jul 10;15(1):83-98. [Persian]
    13. Azizi T, Amiri H, Afshari Nia K. Structural Equation Modeling of Parent-Adolescent Conflict Relationship with Emotional Disorder in Adolescents: The Mediating Role of Experience Avoidance. Islamic-Iranian Family Studies Journal. 2022 Feb 20;1(2):99-114. [Persian]
    14. Wong QJ, Moulds ML. Impact of rumination versus distraction on anxiety and maladaptive self-beliefs in socially anxious individuals. Behav.Res.Ther. 2009 Oct 1;47(10):861-7.
    15. Shojaati A, Kalantari M, Mulavi H. Do emotional abuse and personality traits predict early maladaptive schemas and social anxiety. Early child development and care. 2021 Feb 17;191(3):389-402. [Persian]
    16. Jami M, Shahabizadeh F, Salarifar MH, Tabatabaee T, Ghanifar H. The Effectiveness of Cognitive-Behavioral Education based on Intolerance of Uncertainty and Emotional Regulation on Behavioral Activation/Inhibition Systems and Generalized Anxiety Disorder of Students with Social Anxiety Disorder. [Persian]
    17. Taylor JH, Landeros-Weisenberger A, Coughlin C, Mulqueen J, Johnson JA, Gabriel D, Reed MO, Jakubovski E, Bloch MH. Ketamine for social anxiety disorder: a randomized, placebo-controlled crossover trial. Neuropsychopharmacology. 2018 Jan;43(2):325-33.
    18. Straarup NS, Renneberg HB, Farrell J, Younan R. Group schema therapy for patients with severe anxiety disorders J. Clin. Psychol. 2022 Aug;78(8):1590-600.
    19. Kocovski NL, Fleming JE, Blackie RA, MacKenzie MB, Rose AL. Self-help for social anxiety: Randomized controlled trial comparing a mindfulness and acceptance-based approach with a control group. Behav.Ther. 2019 Jul 1;50(4):696-709.
    20. Gashouli M, MohammadPanah AA, Choobforoushzadeh A. The effectiveness of group schema therapy on social anxiety and its specific symptoms in blind and visually impaired people. [Persian]
    21. Ahmad Zadeh Samani S, Dehghani A, Kalantari M, Rezaei Dehnavi S. Effectiveness of schema therapy on cognitive avoidance of female students with early maladaptive schemas. Empowering Exceptional Children. 2021 Aug 23;12(2):56-65. [Persian]
    22. Young J.E & Klosko J.s. Renewing Your life: The Breakthrough Program to End Negative Behavior and Feel Great again.4(1) Gholami A & Gholami M; Iran: Atisa; 2019. 380 p. [Persian]
    23. Kouchi S, Mami S, Ahmadi V. The mediating role of cognitive emotion regulation strategies and social self-efficacy in the relationship between early maladaptive schemas and social anxiety in adolescent girls. Journal of Psychological Science. 2021 Sep 10;20(102):953-66. [Persian]
    24. Peeters N, van Passel B, Krans J. The effectiveness of schema therapy for patients with anxiety disorders, OCD, or PTSD: A systematic review and research agenda. Br. J. Clin. Psychol. 2022 Sep;61(3):579-97.
    25. Aghaeepour Gavasaraee M, Tavoli A, Kamal AS, Ghafoory Gholamy Z. Effectiveness of schema therapy, cognitive-behavioral therapy, and mindfulness-Based stress reduction on reducing anxiety and depression in spouses of veterans. Clinical Psychology and Personality. 2020 Sep 26;17(1):123-34. [Persian]
    26. Vreesswijk MV,Broersen J & Schurink G. Mindfulness and Schema Therapy: a Practical Guide. 2, Zirak H & Hamidpour H. Iran: EbneSina; 2019. 235 p. [Persian]
    27. Carlton CN, Sullivan-Toole H, Strege MV, Ollendick TH, Richey JA. Mindfulness-based interventions for adolescent social anxiety: A unique convergence of factors. Front. psychol. 2020 Jul 22;11:1783.
    28. Hambour VK, Zimmer-Gembeck MJ, Clear S, Rowe S, Avdagic E. Emotion regulation and mindfulness in adolescents: Conceptual and empirical connection and associations with social anxiety symptoms. Pers. Individ. Differences. 2018 Nov 1;134:7-12.
    29. Kaviani H, Javaheri F, Bahyaraei H. The effectiveness of mindfulness-based cognitive therapy (MBCT) in reducing negative self-concept, ineffective approach, depression and anxiety: a 60-day follow-up. Advances in Cognitive Science. 2006;7:49-59. [Persian]
    30. Parsafer A, Asghar A, Farid A, Dortaj F, Bahramabadi MZ. Investigating the Effectiveness of Schema Therapy on Social Anxiety and Academic Procrastination of Students. [Persian]
    31. Ghadampour E, Hosseini Ramaghani N, Moradi S, Rod MG, Alipour K. Effectiveness of emotional schema therapy on decrease of post-event rumination and cognitive avoidance in people with clinical symptoms of social anxiety. Internal Medicine Today. 2018 May 10;24(2):111-8. [Persian]
    32. Farjaleh Chaabi, I, Mehrabizade Honarmand, M & Amini N. The Effectiveness of Schema Therapy in Experiential Avoidance and Anxiety Sensitivity of Students with Academic Procrastination, Psychological Achievements, (2022). 29(Special Issue):1-14. [Persian]
    33. Heshmati R. The effect of mindfulness-based intervention on social anxiety and resilience in female high school students. Journal of School Psychology and Institutions. 2021 Sep 23;10(3):18-32. [Persian]
    34. Strege MV, Swain D, Bochicchio L, Valdespino A, Richey JA. A pilot study of the effects of mindfulness-based cognitive therapy on positive affect and social anxiety symptoms. Front. psychol. 2018 Jun 1;9:866.
    35. Besharat MA. Multidimensional Scale of Perceived Social Support: Questionnaire, Instruction and Scoring. [Persian]
    36. Ostovar S & Razavieh A. A review of the psychometric properties of the social anxiety scale for adolescents (A-SAS) for use in Iran, Psychological methods and models. (2013).3(12):69-78. [Persian]
    37. La Greca AM, Dandes SK, Wick P, Shaw K, Stone WL. Development of the Social Anxiety Scale for Children: Reliability and concurrent validity. Journal of Clinical Child Psychology. 1988 Mar 1;17(1):84-91.
    38. Pechorro P, Ayala-Nunes L, Nunes C, Marôco J, Gonçalves RA. The Social Anxiety Scale for Adolescents: Measurement Invariance and Psychometric Properties Among a School Sample of Portuguese Youths. Child Psychiatry & Human Development. 2016;47(6):975-84.
    39. La Greca AM, Lopez N. Social anxiety among adolescents: Linkages with peer relations and friendships. J. abnorm. child psychol. 1998 Apr;26:83-94.
    40. La Greca AM, Harrison HM. Adolescent peer relations, friendships, and romantic relationships: Do they predict social anxiety and depression?.J. clin. child and adolescent psychol. 2005 Feb 1;34(1):49-61.
    41. Esmaeilian N, Dehghani M, Akbari F, Hasanvand M. Evaluation of psychometric and factor structural properties of Experiential Avoidance multidimensional questionnaire (short form). Thoughts and Behavior in Clinical Psychology. 2016 Mar 20;11(39):57-66. [Persian]
    42. Gámez W, Chmielewski M, Kotov R, Ruggero C, Watson D. Development of a measure of experiential avoidance: the Multidimensional Experiential Avoidance Questionnaire. Psychological assessment. 2011 Sep;23(3):692.
    43. Ghaderi F, Kalantari M, Mehrabi the effectiveness of group schema therapy on early maladaptive schemas and reducing symptoms of social anxiety disorder, Clinical psychology studies, 2016 Nov 21;6(24):1-28. [Persian]
    44. Hjeltnes A, Moltu C, Schanche E, Jansen Y, Binder PE. Both sides of the story: Exploring how improved and less-improved participants experience mindfulness-based stress reduction for social anxiety disorder. Psychotherapy Res. 2018 Jan 2;28(1):106-22.
    45. Fassbinder E, Arntz A. Schema therapy with emotionally inhibited and fearful patients. Journal of contemporary psychotherapy. 2019 Mar 15;49(1):7-14.
    46. Liu X, Yi P, Ma L, Liu W, Deng W, Yang X, Liang M, Luo J, Li N, Li X. Mindfulness-based interventions for social anxiety disorder: A systematic review and meta-analysis. Psychiatry Res. 2021 Jun 1;300:113935.
    47. Ghadampour E, Hosseini Ramaghani N, Moradi S, Rod MG, Alipour K. Effectiveness of emotional schema therapy on decrease of post-event rumination and cognitive avoidance in people with clinical symptoms of social anxiety. Internal Medicine Today. 2018 May 10;24(2):111-8. [Persian]

  • Receive Date 18 September 2023
  • Revise Date 24 June 2023
  • Accept Date 24 June 2023
  • First Publish Date 22 December 2023
  • Publish Date 22 December 2023