The Comparative Efficacy of Unified Transdiagnostic Protocol (UP) and Mindfulness-Based Stress Reduction Protocol (MBSR) on Emotion Regulation and Uncertainty Intolerance in Infertile Women Receiving IVF

Overview

Journal J Clin Psychol Med Settings

Publisher Springer

Specialty Psychology

Date 2022 Oct 30

PMID 36309929

Authors

Abbas Masjedi Arani

Sedighe Hosseini

Shahab Lotfinia

Leila Salek Ebrahimi

Seyedeh Elnaz Mousavi

Reza Mohammadzadeghan

Seyed Morteza Hosseini

Affiliations

Soon will be listed here.

Abstract

Some emotional and social aspects of infertility affect the response of the infertile women to the treatment. The purpose of this study was to compare the efficacy of unified transdiagnostic protocol (UP) and mindfulness-based stress reduction protocol (MBSR) on emotion regulation and uncertainty intolerance in infertile women receiving IVF. Forty-five infertile women with symptoms of anxiety and depression were included in the study. They were randomly assigned in two intervention groups and one control group. The UP was performed for 10 sessions and MBSR was performed for eight sessions. All participants completed emotion regulation and uncertainty intolerance questionnaires at pre-test, post-test, and follow-up stages. Both interventions had a significant effect on increasing patients' emotion regulation (p ≤ 0.05), but only unified transdiagnostic protocol had a significant effect on intolerance of uncertainty (p ≤ 0.05). Findings show that UP and MBSR have increased emotion regulation. Also UP could reduce the rate of uncertainty intolerance.

References

Birrell J, Meares K, Wilkinson A, Freeston M . Toward a definition of intolerance of uncertainty: a review of factor analytical studies of the Intolerance of Uncertainty Scale. Clin Psychol Rev. 2011; 31(7):1198-208. DOI: 10.1016/j.cpr.2011.07.009. View

Boivin J . A review of psychosocial interventions in infertility. Soc Sci Med. 2003; 57(12):2325-41. DOI: 10.1016/s0277-9536(03)00138-2. View

Bomyea J, Ramsawh H, Ball T, Taylor C, Paulus M, Lang A . Intolerance of uncertainty as a mediator of reductions in worry in a cognitive behavioral treatment program for generalized anxiety disorder. J Anxiety Disord. 2015; 33:90-4. PMC: 4480197. DOI: 10.1016/j.janxdis.2015.05.004. View

Boswell J, Farchione T, Sauer-Zavala S, Murray H, Fortune M, Barlow D . Anxiety sensitivity and interoceptive exposure: a transdiagnostic construct and change strategy. Behav Ther. 2013; 44(3):417-31. PMC: 3727659. DOI: 10.1016/j.beth.2013.03.006. View

Boswell J, Thompson-Hollands J, Farchione T, Barlow D . Intolerance of uncertainty: a common factor in the treatment of emotional disorders. J Clin Psychol. 2013; 69(6):630-45. PMC: 3712497. DOI: 10.1002/jclp.21965. View

Brown T, Barlow D . A proposal for a dimensional classification system based on the shared features of the DSM-IV anxiety and mood disorders: implications for assessment and treatment. Psychol Assess. 2009; 21(3):256-71. PMC: 2845450. DOI: 10.1037/a0016608. View

McEvoy P, Carleton R . The wonder and angst of exploring the unknown: Introduction to the special issue on intolerance of uncertainty. J Anxiety Disord. 2016; 41:1-4. DOI: 10.1016/j.janxdis.2016.06.004. View

Carlucci L, Saggino A, Balsamo M . On the efficacy of the unified protocol for transdiagnostic treatment of emotional disorders: A systematic review and meta-analysis. Clin Psychol Rev. 2021; 87:101999. DOI: 10.1016/j.cpr.2021.101999. View

Domar A, Clapp D, Slawsby E, Dusek J, Kessel B, Freizinger M . Impact of group psychological interventions on pregnancy rates in infertile women. Fertil Steril. 2000; 73(4):805-11. DOI: 10.1016/s0015-0282(99)00493-8. View

10.

Dugas M, Brillon P, Savard P, Turcotte J, Gaudet A, Ladouceur R . A randomized clinical trial of cognitive-behavioral therapy and applied relaxation for adults with generalized anxiety disorder. Behav Ther. 2010; 41(1):46-58. PMC: 2896392. DOI: 10.1016/j.beth.2008.12.004. View

11.

Ehring T, Tuschen-Caffier B, Schnulle J, Fischer S, Gross J . Emotion regulation and vulnerability to depression: spontaneous versus instructed use of emotion suppression and reappraisal. Emotion. 2010; 10(4):563-72. DOI: 10.1037/a0019010. View

12.

Ellard K, Fairholme C, Boisseau C, Farchione T, Barlow D . Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: Protocol Development and Initial Outcome Data. Cogn Behav Pract. 2021; 17(1):88-101. PMC: 7986982. DOI: 10.1016/j.cbpra.2009.06.002. View

13.

Eustis E, Hayes-Skelton S, Roemer L, Orsillo S . Reductions in experiential avoidance as a mediator of change in symptom outcome and quality of life in acceptance-based behavior therapy and applied relaxation for generalized anxiety disorder. Behav Res Ther. 2016; 87:188-195. PMC: 5127767. DOI: 10.1016/j.brat.2016.09.012. View

14.

Faramarzi M, Yazdani S, Barat S . A RCT of psychotherapy in women with nausea and vomiting of pregnancy. Hum Reprod. 2015; 30(12):2764-73. DOI: 10.1093/humrep/dev248. View

15.

Gentes E, Ruscio A . A meta-analysis of the relation of intolerance of uncertainty to symptoms of generalized anxiety disorder, major depressive disorder, and obsessive-compulsive disorder. Clin Psychol Rev. 2011; 31(6):923-33. DOI: 10.1016/j.cpr.2011.05.001. View

16.

Goldin P, Gross J . Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion. 2010; 10(1):83-91. PMC: 4203918. DOI: 10.1037/a0018441. View

17.

Goldin P, Morrison A, Jazaieri H, Brozovich F, Heimberg R, Gross J . Group CBT versus MBSR for social anxiety disorder: A randomized controlled trial. J Consult Clin Psychol. 2016; 84(5):427-37. PMC: 4837056. DOI: 10.1037/ccp0000092. View

18.

Keng S, Smoski M, Robins C . Effects of mindfulness on psychological health: a review of empirical studies. Clin Psychol Rev. 2011; 31(6):1041-56. PMC: 3679190. DOI: 10.1016/j.cpr.2011.04.006. View

19.

Khakpoor S, Saed O, Armani Kian A . Emotion regulation as the mediator of reductions in anxiety and depression in the Unified Protocol (UP) for transdiagnostic treatment of emotional disorders: double-blind randomized clinical trial. Trends Psychiatry Psychother. 2019; 41(3):227-236. DOI: 10.1590/2237-6089-2018-0074. View

20.

Kim M, Kim S, Chang S, Yoo J, Kim H, Cho J . Effect of a mind-body therapeutic program for infertile women repeating in vitro fertilization treatment on uncertainty, anxiety, and implantation rate. Asian Nurs Res (Korean Soc Nurs Sci). 2014; 8(1):49-56. DOI: 10.1016/j.anr.2014.02.002. View