The Effectiveness of Mindfulness-Based Cognitive Therapy on Feelings of Guilt, Rumination, and Fear of Compassion in Patients with Obsessive-Compulsive Disorder

Articles in Press

Document Type : Original Article

Authors

1 Ph.D. in Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran

2 Department of Clinical Psychology, Faculty of Humanities, Islamic Azad University, Ardabil Branch, Ardabil, Iran

10.22098/jrp.2026.18894.1347

Abstract

The present study aimed to investigate the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in reducing feelings of guilt, rumination, and fear of compassion among patients with Obsessive-Compulsive Disorder (OCD). The study employed a quasi-experimental design with a pre-test–post-test structure and a control group. The research population consisted of 65 patients referred to psychological clinics and medical centers in Ardabil City in 2025, from whom 36 individuals were selected through purposive sampling. Participants were then randomly assigned to either the experimental group (n = 18) or the control group (n = 18). Data were collected using the Obsessive-Compulsive Disorder Questionnaire (OCDQ), the Guilt Inventory (GI), the Ruminative Responses Scale (RRS), and the Fear of Compassion Scale (FCS). Participants in the experimental group attended eight 90-minute sessions of MBCT. Data were analyzed using multivariate analysis of covariance. The results indicated that MBCT significantly reduced feelings of guilt, rumination, and fear of compassion among patients with OCD (P<0.001). These findings suggest that MBCT may represent an effective psychological intervention for alleviating maladaptive cognitive and emotional processes associated with OCD, thereby supporting its application as a complementary therapeutic approach in the treatment of this disorder.

Keywords

Journal of Research in Psychopathology

Articles in Press, Accepted Manuscript
Available Online from 16 July 2026

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