Mindfulness-Based Cognitive Therapy untuk Menurunkan Kecemasan dalam Masa Quarter Life

Yuan Yovita Setiawan(1), Andrian Pramadi(2),


(1) Universitas Surabaya
(2) Universitas Surabaya

Abstract

Quarter life crisis merupakan sebuah keadaan ketika individu berada di usia dewasa awal dan mengalami banyak ketidakstabilan dalam hidup. Banyak individu yang terdampak quarter life crisis ini, ditunjukkan dari beberapa penelitian baru yang membahas hal ini. Salah satu dampak yang ditimbulkan dari quarter life crisis adalah kecemasan. Kecemasan yang intens membuat individu semakin tidak produktif dan mengganggu pencapaian hasil. Oleh karena itu, penelitian ini bertujuan untuk mengetahui pengaruh Mindfulness-based Cognitive Therapy dalam menurunkan kecemasan individu yang sedang mengalami quarter life crisis. Penelitian ini dilakukan dengan metode kuantitatif single-case experimental design. Partisipan penelitian ini berjumlah 2 orang dengan jenis kelamin perempuan, memiliki usia dalam masa emerging adulthood dan keduanya sedang mengalami quarter life crisis, dibuktikan dengan pengukuran menggunakan Quarter Life Crisis Scale (Agustin, 2012). Pengukuran dalam penelitian ini menggunakan observasi sebagai metode asesmen utama. Data observasi akan dianalisis menggunakan analisis tren. Selain itu, data juga diambil dari skala Beck Anxiety Inventory (BAI) (Toledano-Toledano et al., 2020) untuk pengukuran kecemasan dan Five Facets Mindfulness Questionnaire (FFMQ) (Gu et al., 2016) untuk pengukuran mindfulness, guna melengkapi hasil observasi. Intervensi dilakukan 5 sesi pertemuan selama 5 minggu dan setiap sesinya memiliki durasi 60 menit. Hasil penelitian ini menunjukkan bahwa Mindfulness-based Cognitive Therapy efektif menurunkan kecemasan partisipan penelitian, ditinjau dari analisis tren yang dilakukan. Mindfulness-based Cognitive Therapy memperbaiki penilaian ulang individu terhadap situasi kecemasan dan kemampuan individu untuk menyelesaikan masalah. Penurunan kecemasan yang dialami partisipan diharapkan mampu membentuk persepsi yang baru terhadap quarter life crisis dan meningkatkan optimism.

Quarter life crisis is a phase where emerging adults experience a lot of instability in life. Many individuals are affected by quarter life crisis, marked by the emergence of new studies that discuss this topic. One of the effects of a quarter life crisis is anxiety. High level of anxiety makes individual less productive and interferes with their achievement. Therefore, this study aims to determine the effect of Mindfulness-based Cognitive Therapy in reducing the anxiety of individuals who are experiencing a quarter life crisis. This research was conducted using a quantitative single-case experimental design method. There were two female emerging adulthood participants in this study and both were experiencing a quarter life crisis, as proven by assesment using the Quarter Life Crisis Scale (Agustin, 2012). Measurement in this study uses observation as the main assessment method. Observational data will be analyzed using trend analysis. In addition, data was also taken using Beck Anxiety Inventory (BAI) scale (Toledano-Toledano et al., 2020) for measuring anxiety and Five Facets Mindfulness Questionnaire (FFMQ) (Gu et al., 2016) for measuring mindfulness, to complement the results observation. The intervention was carried out in 5 meeting sessions for 5 weeks and each session had a duration of 60 minutes. The results of this study indicate that Mindfulness-based Cognitive Therapy is effective in reducing the anxiety of research’s participants, based on the trend analysis. Mindfulness-based Cognitive Therapy improves the individual's reappraisal of situations that evoke anxiety and the individual's ability to solve problems. Hopefully, the degression in anxiety experienced by participants will be able to form new perceptions of quarter life crisis and increase optimism.

Keywords

Anxiety; Mindfulness; Mindfulness-based Cognitive Therapy; Quarter Life Crisis

Full Text:

PDF

References

Agarwal, S., Guntuku, S. C., Robinson, O. C., Dunn, A., & Ungar, L. H. (2020). Examining the Phenomenon of Quarter-Life Crisis Through Artificial Intelligence and the Language of Twitter. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.00341

Agustin, I. (2012). Terapi dengan pendekatan solution focused pada individu yang mengalami quarter life crisis. Doctoral Dissertation, 140.

Arnett, J. J., Žukauskienė, R., & Sugimura, K. (2014). The new life stage of emerging adulthood at ages 18–29 years: Implications for mental health. The Lancet Psychiatry, 1(7), 569-576. https://doi.org/10.1016/S2215-0366(14)00080-7

Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, D., & Williams, J. M. G. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342. https://doi.org/10.1177/1073191107313003

Bamber, M. D., & Kraenzle Schneider, J. (2016). Mindfulness-based meditation to decrease stress and anxiety in college students: A narrative synthesis of the research. Educational Research Review, 18, 1–32. https://doi.org/10.1016/j.edurev.2015.12.004

Bardhoshi, G., Duncan, K., & Erford, B. T. (2016). Psychometric Meta-Analysis of the English Version of the Beck Anxiety Inventory. Journal of Counseling and Development, 94(3), 356–373. https://doi.org/10.1002/jcad.12090

Barog, Z. S., Younesi, S. J., Sedaghati, A. H., & Sedaghati, Z. (2015). Efficacy of mindfulness-based cognitive therapy on quality of life

Bell, T. P. (2015). Meditative practice cultivates mindfulness and reduces anxiety, depression, blood pressure, and heart rate in a diverse sample. Journal of Cognitive Psychotherapy, 29(4), 343

Bennett, M. P., Knight, R., Patel, S., So, T., Dunning, D., Barnhofer, T., Smith, P., Kuyken, W., Ford, T., & Dalgleish, T. (2021). Decentering as a core component in the psychological treatment and prevention of youth anxiety and depression: a narrative review and insight report. Translational Psychiatry, 11(1). https://doi.org/10.1038/s41398-021-01397-5

Bolton Oetzel, K., & Scherer, D. G. (2003). Therapeutic engagement with adolescents in psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 40(3), 215.

Borquist-Conlon, D. S., Maynard, B. R., Brendel, K. E., & Farina, A. S. J. (2019). Mindfulness-Based Interventions for Youth With Anxiety: A Systematic Review and Meta-Analysis. Research on Social Work Practice, 29(2), 195–205. https://doi.org/10.1177/1049731516684961

Chandna, S., Sharma, P., & Moosath, H. (2022). The Mindful Self: Exploring Mindfulness in Relation with Self-esteem and Self-efficacy in Indian Population. Psychological Studies, 67(2), 261–272. https://doi.org/10.1007/s12646-021-00636-5

Clark, D. A., & Beck, A. T. (2011). Cognitive therapy of anxiety disorders: Science and practice. Guilford Press.

Cotton, S., Luberto, C. M., Sears, R. W., Strawn, J. R., Stahl, L., Wasson, R. S., Blom, T. J., & Delbello, M. P. (2016). Mindfulness-based cognitive therapy for youth with anxiety disorders at risk for bipolar disorder: a pilot trial. Early Intervention in Psychiatry, 10(5), 426–434. https://doi.org/10.1111/eip.12216

Davis, D. M., & Hayes, J. A. (2012, July). What are the benefits of mindfulness? Monitor on Psychology, 43(7). http://www.apa.org/monitor/ 2012/07-08/ce-corner

Dickerson, V. C. (2004). Young women struggling for an identity. Family Process, 43(3), 337–348. https://doi.org/10.1111/j.1545-5300.2004.00026.x

Fuertes, J. N., & Williams, E. N. (2017). Client-focused psychotherapy research. Journal of Counseling Psychology, 64(4), 369–375. https://doi.org/10.1037/cou0000214

Deng, Y., Zhang, B., Zheng, X., Liu, Y., Wang, X., & Zhou, C. (2019). The role of mindfulness and self-control in the relationship between mind-wandering and metacognition. Personality and Individual Differences, 141, 51-56.

Erazo, E. C. (2017). Stress Reappraisal and Mindfulness Buffer Psychobiological Responses to Social Threat (Doctoral dissertation).

Garland, E., Gaylord, S., & Park, J. (2009). The role of mindfulness in positive reappraisal. Explore, 5(1), 37-44.

Gu, J., Strauss, C., Crane, C., Barnhofer, T., Karl, A., Cavanagh, K., & Kuyken, W. (2016). Supplemental Material for Examining the Factor Structure of the 39-Item and 15-Item Versions of the Five Facet Mindfulness Questionnaire Before and After Mindfulness-Based Cognitive Therapy for People With Recurrent Depression. Psychological Assessment, 28(7), 791–802. https://doi.org/10.1037/pas0000263.supp

Helmes, E., & Ward, B. G. (2017). Mindfulness-based cognitive therapy for anxiety symptoms in older adults in residential care. Aging and Mental Health, 21(3), 272–278. https://doi.org/10.1080/13607863.2015.1111862

Hofmann, S. G., & Gómez, A. F. (2017). Mindfulness-Based Interventions for Anxiety and Depression. Psychiatric Clinics of North America, 40(4), 739–749. https://doi.org/10.1016/j.psc.2017.08.008

Holdsworth, E., Bowen, E., Brown, S., & Howat, D. (2014). Client engagement in psychotherapeutic treatment and associations with client characteristics, therapist characteristics, and treatment factors. Clinical Psychology Review, 34(5), 428–450. https://doi.org/10.1016/j.cpr.2014.06.004

Hossein, K., Foroozan, J., & Neda, H. (2011). Mindfulness-based Cognitive Therapy (MBCT) Reduces Depression and Anxiety Induced by Real Stressful Setting in Non-clinical Population. International Journal of Psychology and Psychological Therapy, 11(2), 285–296. http://www.redalyc.org/articulo.oa?id=56019292005

Howarth, A., Smith, J. G., Perkins-Porras, L., & Ussher, M. (2019). Effects of Brief Mindfulness-Based Interventions on Health-Related Outcomes: a Systfematic Review. Mindfulness, 10(10), 1957–1968. https://doi.org/10.1007/s12671-019-01163-1

Jaiswal, S., Muggleton, N. G., Juan, C. H., & Liang, W. K. (2019). Indices of association between anxiety and mindfulness: A guide for future mindfulness studies. Personality Neuroscience, 2. https://doi.org/10.1017/pen.2019.12

Kropp, A., & Sedlmeier, P. (2019). What Makes Mindfulness-Based Interventions Effective? An Examination of Common Components. Mindfulness, 10(10), 2060–2072. https://doi.org/10.1007/s12671-019-01167-x

Lavrakas, P. J. (2008). Encyclopedia of survey research methods (Vols. 1-0). Thousand Oaks, CA :

Sage Publications, Inc. doi: 10.4135/9781412963947

Marker, I., Salvaris, C. A., Thompson, E. M., Tolliday, T., & Norton, P. J. (2019). Client motivation and engagement in transdiagnostic group cognitive behavioral therapy for anxiety disorders: Predictors and outcomes. Cognitive Therapy and Research, 43(5), 819-833.

Nash, R. J., & Murray, M. C. (2010). Helping College Students Find Purpose.

Omidi, A., Mohammadkhani, P., Mohammadi, A., & Zargar, F. (2013). Comparing mindfulness based cognitive therapy and traditional cognitive behavior therapy with treatments as usual on reduction of major depressive disorder symptoms. Iranian Red Crescent Medical Journal, 15(2), 142–146. https://doi.org/10.5812/ircmj.8018

Panahi, F., & Faramarzi, M. (2016). The Effects of Mindfulness-Based Cognitive Therapy on Depression and Anxiety in Women with Premenstrual Syndrome. Depression Research and Treatment, 2016. https://doi.org/10.1155/2016/9816481

Pepping, C. A., O’Donovan, A., & Davis, P. J. (2013). The positive effects of mindfulness on self-esteem. Journal of Positive Psychology, 8(5), 376–386. https://doi.org/10.1080/17439760.2013.807353

Pogrebtsova, E., Craig, J., Chris, A., O’Shea, D., & González-Morales, M. G. (2018). Exploring daily affective changes in university students with a mindful positive reappraisal intervention: A daily diary randomized controlled trial. Stress and Health, 34(1), 46–58. https://doi.org/10.1002/smi.2759

Randal, C., Pratt, D., & Bucci, S. (2015). Mindfulness and Self-esteem: A Systematic Review. Mindfulness, 6(6), 1366–1378. https://doi.org/10.1007/s12671-015-0407-6

Ricou, M., Marina, S., Vieira, P. M., Duarte, I., Sampaio, I., Regalado, J., & Canário, C. (2019). Psychological intervention at a primary health care center: Predictors of success. BMC Family Practice, 20(1), 1–8. https://doi.org/10.1186/s12875-019-1005-9

Robbins, A.. & Wilner, A. (2001). Quarterlife Crisis : The Unique Challenges of Life in Your Twenties. New York: Penguin Putnam, Inc.

Robinson, O. C. (2019). A Longitudinal Mixed-Methods Case Study of Quarter-Life Crisis During the Post-university Transition: Locked-Out and Locked-In Forms in Combination. Emerging Adulthood, 7(3), 167–179. https://doi.org/10.1177/2167696818764144

Robinson, O. C., Wright, G. R. T., & Smith, J. A. (2013). The Holistic Phase Model of Early Adult Crisis. Journal of Adult Development, 20(1), 27–37. https://doi.org/10.1007/s10804-013-9153-y

Segal, Z. V., Teasdale, J. D., & Williams, J. M. G. (2013). Midfullnes based cognitive therapy. https://doi.org/10.1891/0889-8391.28.2.147

Seniati, L., Yuwanto, L., & Setiadi, B. N. (2015). Psikologi Eksperimen. Jakarta : PT Indeks.

Soumya, R. R., & Sathiyaseelan, A. (2021). Mindfulness: An emotional aid to the glass ceiling experiences. Cogent Psychology, 8(1). https://doi.org/10.1080/23311908.2021.1907911

Surawy, C., McManus, F., Muse, K., & Williams, J. M. G. (2015). Mindfulness-Based Cognitive Therapy (MBCT) for Health Anxiety (Hypochondriasis): Rationale, Implementation and Case Illustration. Mindfulness, 6(2), 382–392. https://doi.org/10.1007/s12671-013-0271-1

Swift, P., Cyhlarova, E., Goldie, I., & O’Sullivan, C. (2014). Living with Anxiety: Understanding the role and impact of anxiety in our lives. Mental Health Foundation, 1–48. https://www.mentalhealth.org.nz/assets/A-Z/Downloads/Living-with-anxiety-report-MHF-UK-2014.pdf%0Ahttps://www.mentalhealth.org.uk/sites/default/files/living-with-anxiety-report.pdf

Thorspecken, J. M. (2005). Quarterlife crisis: The unaddressed phenomenon. George M. Kapalka, PhD, ABPP, 120.

Toledano-Toledano, F., de la Rubia, J. M., Domínguez-Guedea, M. T., Nabors, L. A., Barcelata-Eguiarte, B. E., Rocha-Pérez, E., Luna, D., Leyva-López, A., & Rivera-Rivera, L. (2020). Validity and reliability of the beck anxiety inventory (BAI) for family caregivers of children with cancer. International Journal of Environmental Research and Public Health, 17(21), 1–24. https://doi.org/10.3390/ijerph17217765

Vasquez, J. P. R. (2015). Development and Validation of Quarterlife Crisis Scale for Filipinos. The Asian Conference on Psychology & the Behavioral Sciences Development, April 2015, 447–459. http://aunilo.uum.edu.my/

Weis, R., Ray, S. D., & Cohen, T. A. (2021). Mindfulness as a way to cope with COVID-19-related stress and anxiety. Counselling and Psychotherapy Research, 21(1), 8–18. https://doi.org/10.1002/capr.12375

Wiedemann, K. (2015). Anxiety and Anxiety Disorders. In International Encyclopedia of the Social & Behavioral Sciences: Second Edition (Second Edi, Vol. 1, Issue 1929). Elsevier. https://doi.org/10.1016/B978-0-08-097086-8.27006-2

Wong, L. P., Hung, C. C., Alias, H., & Lee, T. S. H. (2020). Anxiety symptoms and preventive measures during the COVID-19 outbreak in Taiwan. BMC Psychiatry, 20(1), 1–9. https://doi.org/10.1186/s12888-020-02786-8

Wong, S. Y. S., Yip, B. H. K., Mak, W. W. S., Mercer, S., Cheung, E. Y. L., Ling, C. Y. M., Lui, W. W. S., Tang, W. K., Lo, H. H. M., Wu, J. C. Y., Lee, T. M. C., Gao, T., Griffiths, S. M., Chan, P. H. S., & Ma, H. S. W. (2016). Mindfulness-based cognitive therapy v. group psychoeducation for people with generalised anxiety disorder: Randomised controlled trial. British Journal of Psychiatry, 209(1), 68–75. https://doi.org/10.1192/bjp.bp.115.166124

Yuwanto, L. (2012). Pengantar Metode Penelitian Eksperimen. Jakarta : CV Dwiputra Pustaka Jaya.

Zeidan, F., Martucci, K. T., Kraft, R. A., McHaffie, J. G., & Coghill, R. C. (2014). Neural correlates of mindfulness meditation-related anxiety relief. Social cognitive and affective neuroscience, 9(6), 751-759.

Zemestani, M., & Nikoo, Z. F. (2019). Effectiveness of mindfulness-based cognitive therapy for comorbid depression and anxiety in pregnancy: a randomized controlled trial. Archives of Women's Mental Health, 1-8.

Refbacks

  • There are currently no refbacks.




Creative Commons License
This work is licensed under a  Creative Commons Attribution 4.0 International License.