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Volume 25, Issue 164 (10-2026)
Journal of Psychological Science 2026, 25(164): 1-18 |
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Fereidooni A, Rajabi M, Saremi A A. (2026). Comparing the Effectiveness of Schema Therapy and Mindfulness Therapy on Maladaptive Cognitive Emotion Regulation Strategies in Patients with Rheumatoid Arthritis. , Journal of Psychological Science. 25(164), : 15 doi:10.66224/jps.25.164.15
URL: http://psychologicalscience.ir/article-1-3510-en.html
URL: http://psychologicalscience.ir/article-1-3510-en.html
Department of Psychology, ToJ.C., Islamic Azad University, Torbat Jam, Iran. , mohammad.rajabi@iau.ac.ir
Abstract: (93 Views)
Background: Rheumatoid arthritis, as a chronic and disabling disease, in addition to physical complications, may contribute to psychological disorders such as anxiety, depression, and reduced quality of life through impairments in cognitive emotion regulation and increased use of maladaptive strategies. Therefore, investigating effective interventions for improving emotion regulation in these patients is of considerable importance.
Aims: The present study aimed to compare the effectiveness of schema therapy and mindfulness therapy on maladaptive cognitive emotion regulation strategies in patients with rheumatoid arthritis.
Methods: This study was conducted using a quasi-experimental design with a pretest–posttest control group and a two-month follow-up period. The statistical population consisted of patients with rheumatoid arthritis attending the rheumatology clinic of Razi Hospital during 2024. A total of 45 eligible participants were selected through convenience sampling and randomly assigned to three groups: schema therapy, mindfulness therapy, and a control group. Farrell and Shaw’s (2012) schema therapy protocol was administered in 10 group sessions, while Segal et al.’s (2012) mindfulness therapy protocol was delivered in 8 group sessions; the control group remained on a waiting list. Data were collected using the Garnefski Cognitive Emotion Regulation Questionnaire (2001) and analyzed through mixed analysis of variance.
Results: The findings indicated that both interventions, compared to the control group, significantly and persistently reduced maladaptive cognitive emotion regulation strategies, and these effects remained stable at the follow-up stage (p<0.01). Furthermore, no significant difference was found between the effectiveness of the two interventions at posttest and follow-up assessments (p > 0.05).
Conclusion: Based on the findings, schema therapy and mindfulness therapy can be considered effective complementary psychological interventions for improving emotional regulation in patients with rheumatoid arthritis.
Aims: The present study aimed to compare the effectiveness of schema therapy and mindfulness therapy on maladaptive cognitive emotion regulation strategies in patients with rheumatoid arthritis.
Methods: This study was conducted using a quasi-experimental design with a pretest–posttest control group and a two-month follow-up period. The statistical population consisted of patients with rheumatoid arthritis attending the rheumatology clinic of Razi Hospital during 2024. A total of 45 eligible participants were selected through convenience sampling and randomly assigned to three groups: schema therapy, mindfulness therapy, and a control group. Farrell and Shaw’s (2012) schema therapy protocol was administered in 10 group sessions, while Segal et al.’s (2012) mindfulness therapy protocol was delivered in 8 group sessions; the control group remained on a waiting list. Data were collected using the Garnefski Cognitive Emotion Regulation Questionnaire (2001) and analyzed through mixed analysis of variance.
Results: The findings indicated that both interventions, compared to the control group, significantly and persistently reduced maladaptive cognitive emotion regulation strategies, and these effects remained stable at the follow-up stage (p<0.01). Furthermore, no significant difference was found between the effectiveness of the two interventions at posttest and follow-up assessments (p > 0.05).
Conclusion: Based on the findings, schema therapy and mindfulness therapy can be considered effective complementary psychological interventions for improving emotional regulation in patients with rheumatoid arthritis.
Article number: 15
Keywords: rheumatoid arthritis, cognitive emotion regulation, schema therapy, mindfulness, psychological intervention.
Type of Study: Research |
Subject:
Special
Received: 2026/05/21 | Accepted: 2026/10/10 | Published: 2026/10/23
Received: 2026/05/21 | Accepted: 2026/10/10 | Published: 2026/10/23
References
1. امام زمانی، زهرا؛ رحیمیان بوگر، اسحق؛ مشهدی، علی. (1402). اثربخشی طرحواره درمانی بافتاری بر تنظیم هیجان و نشانه‌های جسمانی دردناک افراد مبتلا به اختلال اضطراب اجتماعی: مطالعه تک‌آزمودنی. مجله روانشناسی و روانپزشکی شناخت. ۱۰ (۳):۱-۱۶ https://doi.org/10.52547/shenakht.10.3.1
2. انصاری شهیدی؛ مجتبی، فرخی، حبیبه؛ رضایی جمالویی، حسن؛ ابراهیمی، امرالله؛ عرب خردمند، جلیل. (1399). بررسی اثر بخشی طرحواره درمانی بر پذیرش درد، خود کارآمدی درد، شدت درد وتنظیم هیجانی در بیماران تحت جراحی ستون فقرات، فصلنامه بیهوشی و درد، 11(4)، 19-29. http://magiran.com/p2217095
3. باقری اول طاهری، سمیه؛ سلیمانی، اسماعیل؛ زینالی، شیرین. (۱۴۰۵). اثربخشی آموزش گروهی درمان مبتنی بر پذیرش و تعهد (ACT) بر سلامت معنوی - اجتماعی و تنظیم هیجان زنان بزهکار. مجله علوم روانشناختی، ۲۵ (۱۵۹): ۱۸-۱ http://dx.doi.org/10.61186/jps.25.159.10
4. حسنی، جعفر. (1389). خصوصیات روان سنجی پرسشنامه نظم جویی شناختی هیجان. روان شناسی بالینی، 2(3 (پیاپی 7))، 73-83. https://sid.ir/paper/152721/fa
5. حسینلو، مژگان؛ جدیدی، هوشنگ؛ جلیلی شیشوان، علی. (۱۴۰۵). الگوی ساختاری اعتیاد به شبکه های اجتماعی براساس پریشانی روانشناختی و نارسایی هیجانی با نقش واسطه‌ای دشواری در تنظیم هیجان در دانشجویان. مجله علوم روانشناختی. ۲۵ (۱۵۹):۲۱-۱ http://dx.doi.org/10.61186/jps.25.159.19
6. عباسیان حدادان، مریم. (1403). اثربخشی طرحواره درمانی بر پریشانی روانی و تنظیم هیجانی افراد مبتلا به اختلال شخصیت مرزی، پویایی روان شناختی در اخلال های خلقی، 3(1). https://doi.org/10.61838/kman.pdmd.3.1.13
7. کیانی پور، زهرا؛ موسوی پور، سعید؛ شیخان، ریحانه. (۱۴۰۵). اثربخشی آموزش گروهی مبتنی بر درمان فراتشخیصی یکپارچه‌نگر بر تنظیم هیجان و خودزنی غیرانتحاری نوجوانان دختر. مجله علوم روانشناختی ۲۵ (۱۵۹):۱۷-۱ http://dx.doi.org/10.61186/jps.25.159.15
8. نیکوزاده، عزت الله؛ کردمیرزا پیرحیاتی، نازنین؛ آگاه هریس، مژگان؛ نجیمی، آویسا. (1402). اثر طرحواره درمانی گروهی بر طرحواره های ناسازگار اولیه و فرسودگی شغلی طرحواره درمانگران، نشریه روان شناسی کار، 2(1)، 65-74. https://www.magiran.com/p2643047
9. Abbasian, H. M. (2024). The effectiveness of schema therapy on psychological distress and emotional regulation in individuals with borderline personality disorder. Journal of Psychological Dynamics in Mood Disorders, 3(1), 160–174. (In Persian). https://doi.org/10.61838/kman.pdmd.3.1.13
10. Alkasir, E., Masjedi-Arani, A., Dehkordi, F. J., Kianimoghadam, A. S., 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(1), 99. https://doi.org/10.4103/jehp.jehp_1675_23
11. Ansarishahidi, M., Farokhi, H., Jamolloi, H., Ebarhimi, J. A. (2021). The effect of schema therapy on pain acceptance, pain self-efficacy, pain intensity, emotion regulation in spinal column surgery patients. Journal of Anesthesiology and Pain, 11(4), 19–29. (In Persian). http://magiran.com/p2217095
12. Ariana Kia, E., Rahimi, C., & Mohammadi, N. (2024). Comparing online group therapy based on emotional schema therapy with transdiagnostic therapy in improving distress tolerance and cognitive emotion regulation among university students with adjustment disorders due to romantic break-ups. Counselling and Psychotherapy Research, 24(1), 372–383. https://doi.org/10.1002/capr.12699
13. Atta, M. H. R., El-Gueneidy, M. M., & Lachine, O. A. R. (2024). The influence of an emotion regulation intervention on challenges in emotion regulation and cognitive strategies in patients with depression. BMC Psychology, 12(1), 496. https://doi.org/10.1186/s40359-024-01927-4
14. Bagheri Avval Taheri, S., Soleimani, E., Zeinali, S. (2026). The effectiveness of acceptance and commitment therapy (ACT) group training on spiritual-social health and emotion regulation of delinquent women. Journal of Psychological Science. 25(159), 1-18. (In Persian). http://dx.doi.org/10.61186/jps.25.159.10
15. Cengiz, F., & Günaydin, N. (2024). How do cognition and emotion regulation strategies and intolerance of uncertainty predict the severity of fatigue and daily life activities of rheumatoid arthritis patients? Journal of Rational-Emotive & Cognitive-Behavior Therapy, 42(1), 17–34. https://doi.org/10.1007/s10942-023-00533-9
16. Emamzamani, Z., Rahimian Boogar, I., & Mashhadi, A. (2023). Effectiveness of contextual schema therapy for emotion regulation and painful physical symptoms in individuals with social anxiety disorder: Single subject study. Shenakht Journal of Psychology and Psychiatry, 10(3), 1–16. (In Persian). https://doi.org/10.52547/shenakht.10.3.1
17. Espeleta, H. C., Sharkey, C. M., Bakula, D. M., Gamwell, K. L., Archer, C., Perez, M. N., & Mullins, L. L. (2020). Adverse childhood experiences and chronic medical conditions: Emotion dysregulation as a mediator of adjustment. Journal of Clinical Psychology in Medical Settings, 27(3), 572–581. https://doi.org/10.1007/s10880-019-09662-3
18. Gao, W., Yan, X., & Yuan, J. (2022). Neural correlations between cognitive deficits and emotion regulation strategies: Understanding emotion dysregulation in depression from the perspective of cognitive control and cognitive biases. Psychoradiology, 2(3), 86–99. https://doi.org/10.1093/psyrad/kkac009
19. Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences, 30(8), 1311–1327. https://doi.org/10.1016/S0191-8869(00)00113-6
20. Guarino, D., Martino, G., Juli, G., & Di Giuseppe, M. (2025). Personality and emotion regulation in chronic illness. Psychiatria Danubina, 37(Suppl. 1), 39–45. https://pubmed.ncbi.nlm.nih.gov/40982857/
21. Hassani, J. (2010). Psychometric properties of the Persian version of the Cognitive Emotion Regulation Questionnaire (CERQ). Clinical Psychology Journal, 2(3), 73–84. (In Persian). https://sid.ir/paper/152721/fa
22. Hoseinlou, M., Jadidi, H., Jalili Shishavan, A. (2026). Structural Model of Social Media Addiction based on Psychological Distress and Alexithymia, with the Mediating Role of Difficulties in Cognitive Emotion Regulation among University Students. Journal of Psychological Science. 25(159), 1-21. (In Persian). http://dx.doi.org/10.61186/jps.25.159.19
23. Kianipour, Z., moosavipour, S., Sheykhan, R. (2026). The effectiveness of group training based on unified transdiagnostic treatment on emotion regulation and non-suicidal self-harm in adolescent girls. Journal of Psychological Science. 25(159), 1-17. (In Persian). http://dx.doi.org/10.61186/jps.25.159.15
24. Komarati, M., Zangeneh Motlagh, F., & Pirani, Z. (2021). A comparative study on the effectiveness of acceptance and commitment therapy and mindfulness therapy on cognitive emotion regulation of female adolescents with self-harming behaviors. Rooyesh, 10(10), 183–196. http://frooyesh.ir/article-1-2937-fa.html
25. Kozubal, M., Szuster, A., & Wielgopolan, A. (2023). Emotional regulation strategies in daily life: The intensity of emotions and regulation choice. Frontiers in Psychology, 14, 1218694. https://doi.org/10.3389/fpsyg.2023.1218694
26. Nagy, Z., Szigedi, E., Takács, S., & Császár-Nagy, N. (2023). The effectiveness of psychological interventions for rheumatoid arthritis (RA): A systematic review and meta-analysis. Life, 13(3), 849. https://doi.org/10.3390/life13030849
27. Nye, A., Delgadillo, J., & Barkham, M. (2023). Efficacy of personalized psychological interventions: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 91(7), 389–403. https://doi.org/10.1037/ccp0000812
28. Salazar Kaempf, M., Adam, L., Rohr, M. K., Exner, C., & Wieck, C. (2023). A meta-analysis of the relationship between emotion regulation and social affect and cognition. Clinical Psychological Science, 11(6), 1159–1189. https://doi.org/10.1177/21677026231168069
29. Sari, F., Bazancir Apaydın, Z., Apaydın, H., & Pamukcu, M. (2025). Evaluating the role of disease duration in fatigue and quality of life among rheumatoid arthritis patients. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 16(1), 29–37. https://doi.org/10.22312/sdusbed.1490885
30. Septiani, H., Rahman, A. N. F., Harmita, D., Luthfi, M., & Seprian, D. (2025). Mindfulness-based cognitive therapy (MT) enhancing emotion regulation in adults: A scoping review. Journal of Community Development and Disaster Management, 7(2), 593–602. https://doi.org/10.70122/jcddm.v7i2.532
31. Sobhani, Z., Hosseini, S. V., Honarparvaran, N., Khazraei, H., Amini, M., & Hedayati, A. (2023). The effectiveness of an online video-based group schema therapy in improvement of the cognitive emotion regulation strategies in women who have undergone bariatric surgery. BMC Surgery, 23(1), 98. https://doi.org/10.1186/s12893-023-01983-z
32. Segal, Z., Williams, M., & Teasdale, J. (2012). Mindfulness-based cognitive therapy for depression. Guilford press.
33. World Health Organization. (2024). Psychological interventions implementation manual: Integrating evidence-based psychological interventions into existing services. World Health Organization. https://www.who.int/publications/i/item/9789240087149
34. Zhu, P., Liu, X., Shang, X., Chen, Y., Chen,C., & Wu, Q. (2023). Mindfulness-based stress reduction for quality of life, psychological distress, and cognitive emotion regulation strategies in patients with breast cancer under early chemotherapy: A randomized controlled trial. Holistic Nursing Practice, 37(3), 131–142. https://doi.org/10.1097/HNP.0000000000000581
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