Comparing the effectiveness of compassion-focused therapy with mindfulness-based cognitive therapy on sleep problems and depression in women with hypothyroidism

Document Type : Research Paper

Authors

1 PhD. student in Health Psychology, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

2 Associate Professor, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

3 Assistant Professor, Department of Psychology, Amin Institute of Higher Education, Fooladshahr, Isfahan, Iran.

4 Associate Professor of Health Psychology, Clinical Research Development Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

10.22038/mjms.2025.85104.4883

Abstract

Introduction: The present study aimed to compare the effectiveness of compassion-focused therapy and mindfulness-based cognitive therapy on sleep problems and depression in women with hypothyroidism. Materials and Methods: The study was a quasi-experimental study with a pre-test-post-test with a control group. The statistical population was women with hypothyroidism who referred to endocrinology offices and clinics in Isfahan in۲۰۲۳, from which 45 people were selected as a sample using the convenience sampling method and randomly assigned to the compassion-focused therapy experimental group (15 people), the mindfulness-based cognitive therapy experimental group (15 people), and the control group (15 people). Data collection tools included the Pittsburgh Sleep Disorders Questionnaire (1980) and the Beck Depression Inventory (1996). The compassion-focused therapy experimental group underwent Gilbert's (2009) package intervention, and the mindfulness-based cognitive therapy experimental group underwent Crane's (2009) package intervention for eight 90-minute sessions. Multivariate analysis of variance and LSD post hoc test were used to analyze the data. Results: The results showed that there was a significant difference between the effectiveness of the two methods of compassion-focused therapy and mindfulness-based cognitive therapy on sleep problems in patients with hypothyroidism. According to the post hoc test, the effectiveness of mindfulness-based cognitive therapy on improving sleep problems was significantly greater than compassion-focused therapy. However, there was no significant difference between the effectiveness of the two methods of compassion-focused therapy and mindfulness-based cognitive therapy on depression. Conclusion: Mindfulness-based cognitive therapy can be considered a useful therapeutic strategy for improving the mental state of patients with hypothyroidism.

Keywords

Main Subjects

References

  1. Fan, T., Lou, X., Li,X., Shen,Y., & Zhoe,J.(2024).The Association between Depression, Anxiety, and Thyroid Disease: A UK Biobank Prospective Cohort Study.
  2. Danicic, J.M., Inder, W.J., & Kotowicz, M.A. (2021). Impact of subclinical hypothyroidism on health-related quality of life: a narrative review. Intern Med J. 2021;51(9):1380-1387.
  3. Dehnavi, H., Sadeghi, M., and Sepahwandi, M.A. (2019). The effectiveness of an integrated reality therapy-emotion-focused approach on sleep quality and sexual self-efficacy in women with hypothyroidism. Sadra Journal of Medical Sciences, 8(2): 91-102.
  4. Roa Dueñas, O. H., Hofman, A., Luik, A. I., Medici, M., Peeters, R. P., & Chaker, L. (2024). The cross-sectional and longitudinal association between thyroid function and depression: a population-based study, The Journal of Clinical Endocrinology & Metabolism. (2024) 109, no. 5, e1389–e1399, https://doi.org/10.1210/clinem/dgad620.
  5. Baattaiah, B. A. (2023). The relationship between fatigue, sleep quality, resilience, and the risk of postpartum depression: An emphasis on maternal mental health. BMC Psychol. 11, 10.
  6. Song, L., Lei, J., Jiang, K., Lei, Y., Tang, Y., & Zhu, J. (2019). The Association Between Subclinical Hypothyroidism and Sleep Quality: A Population-Based Study. Risk Manag Health Policy. 2019; 12:369–74. 
  7. Lenzo, V. (2022). The relationship between resilience and sleep quality during the second wave of the COVID-19 pandemic: A longitudinal study. Nat. Sci. Sleep 6, 41–51(2022).
  8. Lin, Y. E., Lin, C. T., Hu, M. L., Tzeng, S. & Chien, L. Y. (2023). The relationships among perceived stress, resilience, sleep quality and first-month retention of newly employed nurses: A cross-sectional survey. Nurs. Open 10, 4004–4012
  9. Kus, A., Kjaergaard, A.D., Marouli, E., Del Greco, M.F., Sterenborg, R., & Chaker, L. (2021). Thyroid function and mood disorders: A Mendelian randomization study. Thyroid.  2021; 31:1171–81.
  10. Talaei, A., Rafiei, N., Rafiei, F., Chehraei, A. The relationship between TSH and depression in patients with hypothyroidism. Journal of Shahrekord University of Medical Sciences. 2018;20(1):70-78.
  11. Kumar, R., LeMahieu, A. M., Stan, M. N., Seshadri, A., Ozerdem, A., Pazdernik, V. K., Haynes T. L., DaughertyD. H., Sundaresh V., Veldic M., Croarkin P. E., Frye, M. A., & Singh, B. (2023). The association between thyroid stimulating hormone and depression: a historical cohort study, Mayo Clinic Proceedings. (2023) 98, no. 7, 1009–1020.
  12. Beck, AT. (1990). Cognitive therapy for depression. In Barlow DH, editor. Clinical handbook of psychological disorders. New York: Guilford Press, 250-
  13. Hedley, D., Uljarević, M., Bury, S. M., Haschek, A., Richdale, A. L., Trollor, J. N., & Stokes, M. A. (2024). Examination of the potential moderate role of psychological wellbeing in the relationship between depression and thoughts of self-harm in autistic adolescents and adults: A two-year longitudinal study. Journal of autism and developmental disorders, 1-13.
  14. Tuncay, S., & Sarman, A. (2024). Determination of the relationship between depression and suicide in young adolescents. Journal of child and adolescent psychiatric nursing, 37(3), e12473.
  15. Barooti, M., Chinaveh, M., & Saedi, S. (2024). Comparison of the Effectiveness of Cognitive Behavioral Therapy and Schema Therapy on Cognitive Emotion Regulation in Patients with Major Depressive Disorder. Journal of Adolescent and Youth Psychological Studies (JAYPS), 5(3), 44-54.
  16. Jovaišaitė, B. (2024). The Link between Mindfulness and Psychological Resilience Among Adult Populations (Doctoral dissertation).
  17. Bagewadi, B. M., Patil, N., & Desai, S. (2024). The Impact of a Mindfulness-based Intervention on Stress and Self-compassion among Nurses: A Quasi-experimental Study. Journal of Datta Meghe Institute of Medical Sciences University, 19(3), 540-546.
  18. Gilbert, P. (2015). Compassion focused on therapy. The Beginner's Guide to Counselling & Psychotherapy, 2015; 127.
  19. Petrocchi, N., Ottaviani, C., Cheli, S., Matos, M., Baldi, B., Basran, J. K., & Gilbert, P. (2024). The impact of compassion-focused therapy on positive and negative mental health outcomes: Results of a series of meta-analyses. Clinical Psychology: Science and Practice, 31(2), 230.
  20. Austin, J., Drossaert, C.H.C., Schroevers, M.J., Sanderman, R., Kirby, J.N., & Bohlmeijer, E.T. (2021). Compassion-based interventions for people with long-term physical conditions: A mixed methods systematic review. Psychol Health. 2021; 36: 16-42.
  21. Babos, C. I., Zucchi, G., Filimberti, A. E., Leucuta, D. C., & Dumitrascu, D. L. (2024). Meditation and Compassion Therapy in Psychiatric Disorders: A Pilot Study. Cureus, 16(7), e65678.
  22. Boyce, L.A.; S.J. Zaccaro & Wisecarver., M.Z. (2010). "Propensity for Self-Development of Leadership Attributes: Understanding, Predicting, and Supporting Performance of Leader Self-Development Performance", Leadership Quarterly, 21: 159-178.
  23. Akbarpour, Morteza., Sharifian Ghazi Jahani, Maryam., Ismkhani Akbarinejad, Hadi. (1400) Comparing the effectiveness of mindfulness-based cognitive therapy with compassion-focused therapy on resilience and psychological well-being of people with multiple sclerosis. Shefaye Khatam, Volume 9, Issue 4, 61-72.
  24. Mousavi, Mahdbeh Sadat, Bakhshipour, Abu Afzal, Mahdian, Hossein. (1401) Comparing the effectiveness of "acceptance and commitment therapy" and "compassion-focused therapy" and "acceptance and commitment therapy enriched with compassion" on communication patterns of married women with depression and marital conflicts. Quarterly Journal of Health Promotion Management, 12(1):95-112.
  25. Wu, X. (2021). The effectiveness of Compassion-Focused Group therapy on Perceived Stress in the Covid-19 Epidemic among the Academic International Journal of Early Childhood Special Education (INT-JECSE), 30(2), 633. https://doi.org/10.24205/03276716.2020.4066
  26. Neff, K. D. (2023). Self-compassion: Theory, method, research, and intervention. Annual Review of Psychology, 74, 193-218.
Medical Journal of Mashhad university of Medical Sciences
Volume 68, Issue 2
January and February 2025
Pages 270-280

Files

Share

How to cite

Statistics