Effectiveness of Mindfulness-Based Cognitive Therapy and Schema Therapy on Emotion-Focused Coping Strategies and Craving in Individuals with Stimulant Substance Use Disorder

Aims: The high relapse rate among individuals with stimulant use disorder necessitates effective psychological interventions to manage core challenges like craving and maladaptive coping strategies. this study aimed to compare the effectiveness of mindfulness-based cognitive therapy and schema therapy on emotion-focused coping strategies and craving in this population. Materials & Methods: This clinical trial utilized an extensive pre-test, post-test, and follow-up design. The statistical population included all individuals with stimulant use disorder at residential centers in Ahvaz in ۲۰۲۴. A convenience sample of ۴۵ individuals was selected and randomly assigned to two experimental groups (n=۱۵ for mindfulness-based cognitive therapy schema therapy, n=۱۵ for) and a control group (n=۱۵) that received no treatment. Data were collected using the Lazarus and Coping Strategies Questionnaire and the Instantaneous Substance Craving Questionnaire. Both experimental groups participated in eight ۹۰-minute sessions. Data were analyzed using repeated measures analysis of variance in SPSS software. Findings: Both mindfulness-based cognitive therapy and schema therapy were effective in significantly reducing emotion-focused coping strategies and craving in the experimental groups, with these effects sustained at follow-up (P<۰.۰۰۱). While both approaches were equally effective on emotion-focused coping strategies, schema therapy demonstrated a relative superiority in reducing craving compared to mindfulness-based cognitive therapy. Conclusion: Both mindfulness-based cognitive therapy and schema therapy are effective interventions for reducing emotion-focused coping strategies and craving in individuals with stimulant use disorder.

کلیدواژه ها:

Mindfulness-based cognitive therapy ، Schema therapy ، Coping strategies ، Craving ، Stimulant use disorder