فصلنامه روان‌شناسی کاربردی

فصلنامه روان‌شناسی کاربردی

اثربخشی ذهن‌آگاهی نوجوان‌محور برهم‌نشخواری و افسردگی دختران نوجوان دارای علائم افسردگی

نوع مقاله : مقاله پژوهشی

نویسندگان
سعید آریاپوران 1
نرگس گودرزی 2
جواد کریمی 3
1 دانشیار گروه روان‌شناسی، دانشکده ادبیات و علوم انسانی، دانشگاه ملایر، ملایر، ایران.
2 کارشناسی ارشد روان‌شناسی، دانشکده ادبیات و علوم انسانی، دانشگاه ملایر، ملایر، ایران
3 دانشیار گروه روان‌شناسی، دانشکده ادبیات و علوم انسانی، دانشگاه ملایر، ملایر، ایران
10.48308/apsy.2025.239972.1834
چکیده
هدف: دورۀ نوجوانی، دوره‌ای حساس از رشد است که می‌تواند بر احتمال، شدت و سیر مشکلات سلامت روان تأثیر بگذارد. نوجوانان هم‌نشخواری و علائم افسردگی را تجربه می‌کنند و مداخلات درمانی در این زمینه لازم است. هدف پژوهش حاضر بررسی اثربخشی ذهن‌آگاهی نوجوان‌محور بر هم‌نشخواری و افسردگی دختران نوجوان دارای علائم افسردگی بود.
 
روش: روش پژوهش نیمه‌آزمایشی (طرح پیش‌آزمون، پس‌آزمون و پیگیری) با گروه کنترل بود. جامعۀ آماری این پژوهش دختران نوجوان دارای علائم افسردگی در شهرستان بروجرد بودند. ازمیان آنان 26 نفر به روش تصادفی در دو گروه آزمایش و کنترل جایگزین شدند. برای گروه آزمایش درمان ذهن‌آگاهی نوجوان‌محور اجرا شد و گروه کنترل در زمان اجرای پژوهش هیچ‌گونه مداخله‌ای را دریافت نکردند. برای گردآوری داده‌ها از مقیاس‌های هم‌نشخواری و افسردگی بک (13 سؤالی) استفاده شد. برای تحلیل داده‌ها از تحلیل واریانس با اندازه‌گیری مکرر استفاده شد.
 
یافته‌ها: یافته‌ها نشان داد که درمان ذهن‌آگاهی نوجوان‌محور بر هم‌نشخواری (19/0=اندازۀ اثر؛ 67/5=F؛ 03/0>p) و افسردگی (42/0=اندازۀ اثر؛ 57/17=F؛ 001/0>p) نوجوانان دختر دارای علائم افسردگی اثربخش بوده است و این اثربخشی نیز در دورۀ پیگیری ماندگار بوده است (05/0>p).
 
نتیجه‌گیری: براساس نتایج، درمان ذهن‌آگاهی نوجوان‌محور بر کاهش هم‌نشخواری و افسردگی دختران نوجوان دارای علائم افسردگی اثربخش بود. بنابراین، استفاده از درمان ذهن‌آگاهی نوجوان‌محور برای کاهش هم‌نشخواری و افسردگی نوجوانان دختر دارای علائم افسردگی پیشنهاد می‌شود.
کلیدواژه‌ها
افسردگی
ذهن‌آگاهی نوجوان‌محور
هم‌نشخواری
موضوعات

عنوان مقاله English

The Effectiveness of Adolescent-Centered Mindfulness on Co-rumination and Depression in Adolescent Girls with Depressive Symptoms

نویسندگان English

Saeed Ariapooran 1
Narges Goodarzi 2
Javad Karimi 3
1 Associate Professor, Department of Psychology, Faculty of Humanistic and Literature Sciences, Malayer University, Malayer, Iran.
2 M.A in Psychology, Faculty of Huminitic and Literature Sciences, Malayer University, Malayer, Iran.
3 Associate Professor, Department of Psychology, Literature and Humanistic Sciences, Malayer University, Malayer, Iran
چکیده English

Aim: This study examined the effectiveness of adolescent-centered mindfulness in reducing co-rumination and depressive symptoms in adolescent girls.
 
Method: A quasi-experimental design with pretest, posttest, and follow-up was used. Twenty-six adolescent girls with depressive symptoms in Borujerd were randomly assigned to experimental and control groups. The experimental group received eight sessions of adolescent-centered mindfulness. Measures included co-rumination and the 13-item Beck Depression Inventory. Repeated-measures ANOVA was conducted.
 
Results: Mindfulness intervention significantly reduced co-rumination (F = 5.67, p < 0.03) and depression (F = 17.57, p < 0.001), with effects maintained at follow-up (p < 0.05).
 
Conclusion: Adolescent-centered mindfulness is an effective intervention for reducing co-rumination and depressive symptoms in adolescent girls.

کلیدواژه‌ها English

Co-Rumination
Depression
Adolescent-Centered Mindfulness
Aghebati, A., Joekar, S., Alimoradi, H., & Ataie, S. (2020). Psychometric properties of the Persian version of co-rumination questionnaire. Iranian Journal of Psychiatry and Behavioral Sciences, 14(2), e68464. https://doi.org/10.5812/ijpbs.68464
 American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787
Ashok, L., Manjula, M., JJ, T. A., Mathias, E. G., & Krishnan, P. (2025). Mindfulness-based interventions for enhancing adolescent mental health and well-being: A scoping review. Clinical Epidemiology and Global Health, 101961. https://doi.org/10.1016/j.cegh.2025.101961
 Babiy, Z., Frey, B. N., Bieling, P. J., McCabe, R. E., & Green, S. M. (2025). Mindfulness-Based Interventions and Neuroplasticity: A Review of Network Connectivity in Healthy and Clinical Samples. Mindfulness, 1 16, 783–796 (2025). https://doi.org/10.1007/s12671-025-02549-0
Badawi, J. C., & Ingram, R. E. (2025). Co-rumination and depression: A systematic review and future directions. Journal of Social and Clinical Psychology, 44(1), 1-31. https://doi.org/10.1521/jscp.2025.44.1.002
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27-45.
https://doi.org/10.1177/1073191105283504
Bahrami, A., Salarbashi, D., Mohammad-Zadeh, M., Tayefi, M., Mirmoosavi, S. J., Ferns, G. A., ... & Ghayour-Mobarhan, M. (2021). Depression and aggression scores, reported sleep disorders status and their associated factors among adolescent girls in Northern Iran. Current Psychology, 40, 5064-5075. https://doi.org/10.1007/s12144-019-00429-0
Bakhtiari, M., Habibi Asgarabad, M., Dehghani, F., Alhosseini, K. A., & Semple, R. J. (2025). Effectiveness and satisfaction of mindfulness-based cognitive therapy for children on anxiety, depression, and internet addiction in adolescents: Study protocol for a randomized control trial. PloS one, 20(4), e0317824. https://doi.org/10.1371/journal.pone.0317824
Bishop, J. R., Lee, A. M., Mills, L. J., Thuras, P. D., Eum, S., Clancy, D., ... & Lim, K. O. (2021). Corrigendum: methylation of FKBP5 and SLC6A4 in relation to treatment response to mindfulness-based stress reduction for posttraumatic stress disorder. Frontiers in Psychiatry, 12, 642245. https://doi.org/10.3389/fpsyt.2021.642245
Broderick, P.C., Metz, S.M. (2016). Working on the Inside: Mindfulness for Adolescents. In: Schonert-Reichl, K., Roeser, R. (eds) Handbook of Mindfulness in Education. Mindfulness in Behavioral Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-3506-2_22
Burdick, D. (2017). Mindfulness for teens with ADHD: A skill-building workbook to help you focus and succeed. New Harbinger Publications. https://www.amazon.com/Mindfulness-Teens-ADHD-Skill-Building-Workbook/dp/162625625X
Ćavar, F., Mihić, J., & Milas, G. (2025). Exploring the Effects of Mindfulness on Adolescent Depression—Findings from a Longitudinal Study. Healthcare, 13(8), 906. https://doi.org/10.3390/healthcare13080906
Dadfar, M., & Kalibatseva, Z. (2016). Psychometric properties of the persian version of the short beck depression inventory with Iranian psychiatric outpatients. Scientifica, 2016, 8196463. https://doi.org/10.1155/2016/8196463
Demkowicz, O., Jefferson, R., Nanda, P., Foulkes, L., Lam, J., Pryjmachuk, S., ... & Nnamani, G. (2025). Adolescent girls’ explanations of high rates of low mood and anxiety in their population: a co-produced qualitative study. BMC Women's Health, 25, 49. https://doi.org/10.1186/s12905-024-03517-x
Dong, K., Qi, H., & Zhao, G. (2025). The Relationship between Co-rumination and Depressive Symptoms: A Systematic Review and Meta-Analysis. Journal of Youth and Adolescence, 1-19. https://doi.org/10.1007/s10964-025-02140-9
Feng, R., Mishra, V., Hao, X., & Verhaeghen, P. (2025). The association between mindfulness, psychological flexibility, and rumination in predicting mental health and well-being among university students using machine learning and structural equation modeling. Machine Learning with Applications, 19, 100614. https://doi.org/10.1016/j.mlwa.2024.100614
Fitzgerald, A., Mahon, C., Shevlin, M., Dooley, B., & Reilly, A. O. (2025). Exploring changing trends in depression and anxiety among adolescents from 2012 to 2019: Insights from My World repeated cross‐sectional surveys. Early Intervention in Psychiatry, 19(1), e13562. https://doi.org/10.1111/eip.13562
Hetrick, S. E., Robinson, J., Burge, E., Blandon, R., Mobilio, B., Rice, S. M., Simmons, M. B., Alvarez-Jimenez, M., Goodrich, S., & Davey, C. G. (2018). Youth codesign of a Mobile phone app to facilitate self-monitoring and Management of Mood Symptoms in Young people with major depression, suicidal ideation, and self-harm. JMIR Mental Health, 5(1), e9. https://doi.org/10.2196/mental.9041
Hilt, L. M., Swords, C. M., & Webb, C. A. (2025). Randomized controlled trial of a mindfulness mobile application for ruminative adolescents. Journal of Clinical Child & Adolescent Psychology, 54(1), 99-112. https://doi.org/10.1080/15374416.2022.2158840 
Jiang, S., Sun, Y., Yu, L., Hu, X., & Li, J. (2025). Effects of mindfulness-based interventions on cognitive impairment in patients with cancer: A systematic review and meta-analysis. International Journal of Clinical and Health Psychology, 25(2), 100576. https://doi.org/10.1016/j.ijchp.2025.100576
Kovács, L. N., Kocsel, N., Tóth, Z., Smahajcsik-Szabó, T., Karsai, S., & Kökönyei, G. (2025). The daily relations of co-rumination and perseverative cognition. Scientific Reports, 15(1), 3021. https://doi.org/10.1038/s41598-025-87335-7
Mackenzie, E., McMaugh, A., Van Bergen, P., & Parada, R. H. (2023). Online support seeking, co-rumination, and mental health in adolescent girls. Frontiers in Psychiatry, 14, 1040636. https://doi.org/10.3389/fpsyt.2023.1040636
Mettler, J., Zito, S., Bastien, L., Bloom, E., & Heath, N. L. (2024). How we teach mindfulness matters: Adolescent development and the importance of informal mindfulness. Journal of School Psychology, 105, 101323. https://doi.org/10.1016/j.jsp.2024.101323
Milas, G., Ribar, M., & Ćavar, F. (2025). Why are adolescent girls more prone to stress‐induced depression? Testing moderation, mediation, and reciprocal causality in a three‐wave longitudinal study. Journal of research on adolescence, 35(1), e70015. https://doi.org/10.1111/jora.70015
Moeini, B., Bashirian, S., Soltanian, A. R., Ghaleiha, A., & Taheri, M. (2019). Prevalence of depression and its associated sociodemographic factors among Iranian female adolescents in secondary schools. BMC psychology, 7, 1-11. https://doi.org/10.1186/s40359-019-0298-8
Nagpal, M., Lin, T. J., Park, H., Anderman, E., Bihari, T., Madrid, L., ... & Subramaniam, B. (2025). Technology‐enhanced mindfulness‐based collaborative social reasoning to improve adolescents' social–emotional competencies. Journal of research on adolescence, 35(1), e12971. https://doi.org/10.1111/jora.12971
Piraman, M. J., Tavakoli, M., & Torkan, H. (2016). Rumination and co-rumination: Factors predicting depression. International Journal of Educational and Psychological Researches, 2(2), 99-104.  https://doi.org/10.4103/2395-2296.178865
Pratscher, S. D., Rose, A. J., Markovitz, L., & Bettencourt, A. (2018). Interpersonal mindfulness: Investigating mindfulness in interpersonal interactions, co-rumination, and friendship quality. Mindfulness, 9, 1206-1215. https://doi.org/10.1007/s12671-017-0859-y
Salahi Esfahani, N., & Izadi, R. (2024). Comparing the effectiveness of Adolescent-Centered Mindfulness Therapy and Emotion Regulation Training Strategies on Risky Behaviors, Mind Wandering, and Depression in Adolescents. Sadra Medical Journal, 12(1), 25-40. https://doi.org/10.30476/smsj.2024.96095.1356
Sharifpour, S., Manshaee, Q. and Sajjadian, I. (2019). The Effect of adolescent-centered mindfulness training on Depression, Anxiety and Stress among adolescents with cancer at the chemotherapy stage. Jundishapur Scientific Medical Journal, 17(5), 545-557. https://doi.org/10.22118/jsmj.2019.159745.1534
Solmi, M., Radua, J., Olivola, M., Croce, E., Soardo, L., Salazar de Pablo, G., Il Shin, J., Kirkbride, J. B., Jones, P., Kim, J. H., Kim, J. Y., Carvalho, A. F., Seeman, M. V., Correll, C. U., & Fusar-Poli, P. (2022). Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies. Molecular Psychiatry, 27(1), 281–295. https://doi.org/10.1038/s41380-021-01161-7
Stevic, A., Koban, K., & Matthes, J. (2025). Tell me more: Longitudinal relationships between online self-disclosure, co-rumination, and psychological well-being. Computers in Human Behavior, 165, 108540. https://doi.org/10.1016/j.chb.2024.108540
van der Mey‐Baijens, S., Vuijk, P., Bul, K., van Lier, P. A., Sijbrandij, M., Maras, A., & Buil, M. (2025). Co‐Rumination as a Moderator Between Best‐Friend Support and Adolescent Psychological Distress.  Journal of Adolescence, 97(5),1161-1172.  https://doi.org/10.1002/jad.12483
Virós-Martín, C., Jiménez-Morales, M., Montaña-Blasco, M., Bretones Peregrina, E., Empain, J., Establés, M.J., Freire, A., GómezPuertas, L., Jordana Ovejero, O., Lopera-Mármol, M, Martin-Vicario, L., Mohammadi, L., Moyano Mangas, S., Parrilla Guix, R., Sánchez-Reina, J.R., Sanz-Marcos, P., & Solé-Blanch, J. (2025). Adolescence and mental health: from their representation in the media to the prevention of stigma in classrooms. Quaderns del CAC, 51, 5-16. https://doi.org/10.60940/qcac51id431937
Volanen, S. M., Lassander, M., Hankonen, N., Santalahti, P., Hintsanen, M., Simonsen, N., ... & Suominen, S. (2020). Healthy learning mind–Effectiveness of a mindfulness program on mental health compared to a relaxation program and teaching as usual in schools: A cluster-randomized controlled trial. Journal of Affective Disorders, 260, 660-669. https://doi.org/10.1016/j.jad.2019.08.087
Vuijk, P., Bul, K., Buil, M., Rauws, M., Curie, K., Amesz, C., ... & Riper, H. (2024). Effectiveness of a blended school-based mindfulness program for the prevention of co-rumination and internalizing problems in Dutch secondary school girls: a cluster randomized controlled trial. Trials, 25(1), 40. https://doi.org/10.1186/s13063-023-07885-x
Wang, Z., Zheng, J., & Wang, X. (2025). The Longitudinal Relationship Between Co-Rumination and Emotional Problems in Early Chinese Adolescents: The Moderating Role of Self-Compassion. Psychological Reports, In press. https://doi.org/10.1177/00332941251316439
Wasylkowska, M. A., Kobylińska, D., Mituniewicz, J., & Holas, P. (2025). Assessing Mindfulness in Adolescents: A Polish Validation of the Child and Adolescent Mindfulness Measurement (CAMM). Mindfulness, 1-12. https://doi.org/10.1007/s12671-025-02568-x
Yin, L. (2025). Effects of mindfulness-based stress reduction training on the negative emotions and social functioning of patients with laryngeal cancer. Clinical and Translational Oncology, 27(4), 1760-1766. https://doi.org/10.1007/s12094-024-03622-1
Yu, J., Rawtaer, I., Feng, L., Fam, J., Kumar, A. P., Cheah, I. K. M., ... & Mahendran, R. (2021). Mindfulness intervention for mild cognitive impairment led to attention-related improvements and neuroplastic changes: Results from a 9-month randomized control trial. Journal of Psychiatric Research, 135, 203-211. https://doi.org/10.1016/j.jpsychires.2021.01.032
Zaid, S. M., Hutagalung, F. D., Abd Hamid, H. S. B., & Taresh, S. M. (2025). The power of emotion regulation: how managing sadness influences depression and anxiety? BMC psychology, 13(1), 1-12. https://doi.org/10.1186/s40359-025-02354-3
Zhang, Y., Li, Z., Feng, Q., Xu, Y., Yu, R., Chen, J., ... & Yang, Y. (2025). Global, regional and national burdens of major depression disorders and its attributable risk factors in adolescents and young adults aged 10–24 years from 1990 to 2021. BMC psychiatry, 25(1), 399. https://doi.org/10.1186/s12888-025-06772-w
Zhu, X., An, N., Tang, Z., Huang, J., Ren, Q., & Wu, Y. (2025). Influencing factors and changing trends of depressive symptoms among middle and junior high school students in Eastern China from 2019 to 2023: a cross-sectional study. BMC Public Health, 25(1), 17. https://doi.org/10.1186/s12889-024-21252-8
فصلنامه روان‌شناسی کاربردی
دوره 19، شماره 3 - شماره پیاپی 75
تابستان 1404
صفحه 209-231