MiCBT Research (Selected Studies)

Research and Publications on Mindfulness-integrated CBT.

Effect of cognitive behavior therapy integrated with mindfulness on perceived pain and pain self-efficacy in patients with breast cancer

Thursday, June 27, 2019

Mozafari-Motlagh MR, Nejat H, Tozandehjani H, Samari AA. 

 J Nurs Midwifery Sci [serial online] 2019 [cited 2019 Jun 26];6:51-6. Available from: http://www.jnmsjournal.org/text.asp?2019/6/2/51/259501


Context: Cancer pain in a complicated situation for patients with breast cancer. Researchers suggested to use complementary and alternative method in order to reduction pain and side effects in these patients.

Aims: This study was aimed to investigate the effectiveness of mindfulness integrated with cognitive behavioral therapy (MiCBT) on perceived pain and pain self-efficacy in patients with breast cancer.

Settings and Design: In this clinical trial study, a semi-experimental method was used. Patients with breast cancer were recurred from cancer clinic of a hospital of Mashhad University of Medical Sciences.

Material and Methods: Twenty-four patients with breast cancer selected through purposive sampling method and randomly assigned with permutation blocks in two groups of intervention (n = 12) and control (n = 12). The groups were assessed by demographic questionnaire, Perceived Pain Scale, and Pain Self-efficacy Scale before, immediate, and 1 month after the intervention. Participants in the interventional group received MiCBT for 8 weeks. 

Statistical Analysis Used: Data were analyzed using descriptive methods and multivariate analysis of covariance.

Results: The results showed that the interventional group had a significant decrease in perceived pain (P > 0.05). The pain self-efficacy of patients significantly increased in comparison to the control group in posttest and follow-up stage (P < 0.05).

Conclusion: According to the results, it can be concluded that using integrated therapy with mindfulness has been effective in reducing pain and enhancing pain self-efficacy in breast cancer patients. Therefore, it can be an adequate complementary therapy for patients with breast cancer.

The relative efficacy of mindfulness versus distraction: The moderating role of attentional bias

Tuesday, December 04, 2018

Shires A 1,2, Sharpe L 1, Newton John TRO 2. 

1 School of Psychology, University of Sydney, Sydney, New South Wales, Australia
2 Clinical Psychology Department, Graduate School of Health, University of Technology Sydney, New South Wales, Australia


This study investigated whether the ability to disengage quickly from pain‐related stimuli moderated the relative efficacy of a mindfulness‐based intervention versus distraction in response to an experimental pain task. 

Methods: Participants (n = 100) completed a dot probe task with eye tracking and were then randomized (2:2:1) to receive a mindfulness‐based interoceptive exposure task (MIET), distraction instructions or no instructions (control group) before engaging in the cold pressor test. 

Results: Participants who were allocated to the MIET condition reported a significantly higher pain threshold and distress than the distraction group, although not significantly higher than the control group. Those in the MIET group had improved tolerance compared to both the distraction and control groups. Difficulty disengaging from pain‐related stimuli, as measured by the duration of the first fixation on sensory words, was found to moderate the relative efficacy of mindfulness versus distraction in terms of pain threshold and distress, but not tolerance. Those with difficulty disengaging from sensory pain words benefited less from the MIET. Duration of first fixation on sensory and affective pain words were highly correlated, and duration of first fixation on affective pain words also moderated the relative efficacy of MIET and distraction on threshold, but not distress.

Conclusions: These results show that a single brief session of a mindfulness task was sufficient to change an acute pain experience in comparison with a distraction task, and that those who disengaged quickly from pain words benefited most. 

Significance: This study demonstrated the efficacy of a novel, exposure‐based mindfulness technique for pain tolerance and showed that those who disengaged easily from pain stimuli benefited most. This brief task could be clinically useful, particularly for those who are not overly focused on their pain symptoms.

European Journal of Pain. 2018;00:1–12. https://doi.org/10.1002/ ejp.1340

Effects of MiCBT on post-traumatic stress disorder and major depression in women following a motor vehicle accident

Wednesday, May 23, 2018

Mina Nazari Kamal, Rehele Samouie, Nafiseh Ghaebi 

The aim of this study was to investigate the effectiveness of MiCBT in reducing symptoms of post-traumatic stress disorder and major depression in women who survived a traumatic accident in Tehran. PTSD and depression questionnaires were used. Three months after their accident, 30 survivors of road accidents with PTSD and major depression in Tehran were randomly assigned to an experimental/MiCBT group (n = 15) and a control group (n = 15). Eight weekly individual therapy sessions were held, following which analysis of covariance was used to analyze the data. The results show a significantly greater reduction in symptoms of PTSD and major depression from pre- to post-treatment in the MiCBT group than in the control group. The beneficial effects of MiCBT were maintained at 3-month follow-up. The results suggest that this approach may have lasting benefits for individuals with traumatic and depressive symptoms. 

Manuscript in preparation

Mindfulness-Integrated CBT (MiCBT) for Reducing Distress in Parents of Children with Intellectual Disability (ID): a Case Series

Tuesday, May 15, 2018

Raphaella Osborn1 Mary Girgis1 Stephanie Morse1 Jovana Sladakovic1 Ian Kneebone1 Alice Shires1 Seeta Durvasula2 Lynette Roberts1

1 Graduate School of Health University of Technology Sydney Ultimo Australia
2 University of Sydney Sydney Australia


Caring for a child with an intellectual disability (ID) is associated with significant psychological distress. Interventions include cognitive behavioural therapy (CBT) and Mindfulness-based Stress Reduction (MBSR). Mindfulness-integrated CBT (MiCBT) may offer a balance between CBT’s change focus and MBSR’s acceptance focus for these parents. Five participants were recruited and provided one to one MiCBT tailored to parental carers of children with ID. Four participants completed the Depression Anxiety Stress Scales 21 (DASS-21) pre-treatment and post-treatment. Reliable change analysis was used to identify clinically reliable change. One participant dropped out after four sessions, four completed eight of the available eight sessions. Two participants reported reductions in depressive and stress symptoms, and one of these, additionally reported a reduction in anxiety symptoms. All four participants who completed treatment rated the treatment as acceptable. MiCBT shows promise as an intervention to assist parental carers of children with ID.

DOI: https://doi.org/10.1007/s10882-018-9602-4
Published in Journal of Developmental & Physical Disabilities, May 2018
Publisher Name: Springer US
Print ISSN: 1056-263X
Online ISSN: 1573-3580

The Purpose, Mechanisms, and Benefits of Cultivating Ethics in Mindfulness-Integrated Cognitive Behavior Therapy

Monday, October 30, 2017

The inclusion of ethics in mindfulness-based interventions (MBIs) has become a hot topic in recent years, contributing to a differentiation between what has recently been called first- and second-generation MBIs. This chapter first discusses the origins and purpose of ethics in Theravada Buddhism and the traditional understanding that developing mindfulness also aids in monitoring and preventing harmful intentions and actions, while cultivating beneficial ones, to decrease suffering. It will then describe the role and benefits of cultivating ethics in Mindfulness-integrated Cognitive Behavior Therapy (MiCBT), a four-stage transdiagnostic approach that combines Burmese Vipassana meditation and core principles of traditional CBT. There are three principal reasons for which MiCBT dedicates a whole therapeutic stage to the development of empathy grounded in loving-kindness meditation and ethical living: (1) the cultivation of compassion, (2) the prevention of relapse into common mental health disorders, and (3) the cultivation of joy and well-being. The chapter also offers some insight into the reasons for which more advanced mindfulness states inevitably lead to the observation that ethics and compassion are interdependent, and reflects on some of the implications that this may have for MBI programs.


Cayoun B. A. (2017). The purpose, mechanisms, and benefits of cultivating ethics in Mindfulness-Integrated Cognitive Behavior Therapy. In Monteiro L., Compson J., Musten F. (Eds) Practitioner's Guide to Ethics and Mindfulness-Based Interventions. Mindfulness in Behavioral Health. Springer, Cham.

Online ISBN: 978-3-319-64924-5
Print ISBN: 978-3-319-64923-8

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