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:: Volume 13, Issue 2 (Vol13 No2 Summer 2026- 2026) ::
J Child Ment Health 2026, 13(2): 22-40 Back to browse issues page
Comparison of the effectivseness of time perspective therapy and mindfulness on alexithymia in adolescent girls with a history of suicide attempts
Maryam Neisari1 , Leila Moghtader *1 , Samereh Asadi Majareh1
1- Department of Psychology, Ra.C., Islamic Azad University, Rasht, Iran
Abstract:   (839 Views)
Background and Purpose: Adolescent girls are more susceptible to suicidal ideation and behaviors than boys. The present study aimed to compare the efficacy of Time Perspective Therapy (TPT) and Mindfulness in reducing alexithymia among adolescent girls with a history of suicide attempts.
Methods: The research method was quasi-experimental with a pre-test, post-test, and follow-up design. The target population included all adolescent girls with a history of suicide attempts who had active records in counseling centers in Rasht between 2024 and 2025 (N=67). All adolescents were selected by census method and randomly assigned to three groups: TPT (n=22), Mindfulness (n=22), and a control group (n=23). By the end of the intervention sessions, 17 adolescents remained in each group. The research instrument consisted of the latest validated Iranian version of the Toronto Alexithymia Scale (TAS-20; Bagby et al., 1994). For the first experimental group, the TPT was implemented, the second experimental group received mindfulness intervention, while the control group received no training. Both interventions were delivered in eight 90-minute sessions. Data analysis was performed using Mixed ANOVA in SPSS-27.
Results: The findings showed a significant decrease in the mean scores of alexithymia in the TPT and mindfulness groups during the post-test and follow-up phases compared to the control group (F = 16.72, P = 0.001). This reduction remained stable throughout the follow-up period (F = 16.13, P < 0.001). Based on the results of the Bonferroni post hoc test, no statistically significant difference was found between the effectiveness of the two treatments on the dependent variables (p > .05).
Conclusion: The lack of a significant difference between the two treatments indicates that, although TPT and mindfulness intervention operate through different theoretical pathways, both similarly reduce alexithymia in adolescent girls with a history of suicide attempts by decreasing rumination, improving emotion regulation, and enhancing cognitive flexibility. Therefore, clinicians can use either of these two protocols as effective tools for reducing alexithymia based on the client’s needs and the therapeutic context.
Article number: 2
Keywords: Alexithymia, mindfulness therapy, suicide attempt, time perspective therapy
Full-Text [PDF 876 kb]   (343 Downloads)    
Type of Study: Research | Subject: Special
Received: 2026/03/8 | Accepted: 2026/06/6 | Published: 2026/07/10
References
1. Belli G, Trentarossi B, Brambilla G, Romão ME, Tosi D, Barello S, Visonà S.D. Exploring the evidence on work-related suicide: a scoping review of a decade of research (2014-2024). Scandinavian Journal of Public Health, 2026; In Press. [Link] [DOI:10.1177/14034948261428942]
2. Centers for Disease Control and Prevention. WISQARS-Web-Based Injury Statistics Query and Reporting System. 2024. [Link]
3. Ostanin J, Miranda H, Shugar S, Mejia MC, Abdo D, Hennekens CH, Kitsantas P. Suicidal Behaviors Among United States Adolescents: Increasing Clinical and Public Health Challenges. Children. 2025;12(1): 57. [Link] [DOI:10.3390/children12010057]
4. Fond, G., Pauly, V., Brousse, Y., Llorca PM, Cortese S, Rahmati M, et al. Mental Health Care Utilization and Prescription Rates Among Children, Adolescents, and Young Adults in France. JAMA Network Open. 2025;8(1): e2452789-e2452789. [Link] [DOI:10.1001/jamanetworkopen.2024.52789]
5. Faramarzian Z, Delam H, Habibikhah Z, Bazrafshan MR. Demographic characteristics of adolescents with a history of suicide attempt in Larestan city between 2012 and 2018. Payesh. 2019;18(5):475-83. [Persian] [Link]
6. Shahsavar Y, & Choudhury A. Behavioral and social predictors of suicidal ideation and attempts among adolescents and young adults. PLOS Mental Health. 2025; 2(1):e0000221. [Link] [DOI:10.1371/journal.pmen.0000221]
7. Praharaj SK, Zhang X, Arahanthabailu P, Kamath AG, Vishwanath R, Abio A, Soans S, Sesha S, Lahiri V, Buskutty A, Shiva Prasad CK. Changes in suicide attempt, suicidal ideation, and self-harm among Indian adolescents: comparison of cross-sectional surveys before (2016) and after (2023) COVID-19 pandemic. Child and Adolescent Psychiatry and Mental Health. 2026; In Press. [link] [DOI:10.1186/s13034-026-01041-4]
8. Luminet O, Nielson KA. Alexithymia: Towards an experimental, processual affective science with effective interventions. Annual Review of Psychology. 2024; 76. [Link] [DOI:10.1146/annurev-psych-021424-030718]
9. Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. Journal of psychosomatic research. 1994;38(1):23-32. [Link] [DOI:10.1016/0022-3999(94)90005-1]
10. Abou Nader L, Chammas G, Chammas M, Fekih-Romdhane F, Hallit S, Obeid S. The mediating effect of alexithymia between Avoidant/Restrictive Food Intake Disorder (ARFID) and suicidal ideation among a sample of Lebanese adults. PLoS One. 2026 ;21(1): e0340095. [Link] [DOI:10.1371/journal.pone.0340095]
11. Janani R, Prashanth NR. Frequency of Alexithymia and its Correlates among Patients with Attempted Suicide: A Cross-sectional Study. Journal of Psychiatry Spectrum. 2026;5(2):124-7. [Link] [DOI:10.4103/jopsys.jopsys_96_25]
12. Shi Y, Zhang Q, Wang S, Zhang L, Liu Z, Wang J, Luo X, Wen X, Liu H. A network analysis of alexithymia, empathy, and suicidal ideation in Chinese adolescents with major depressive disorders. Frontiers in Psychiatry. 2025;16: 1543651. [Link] [DOI:10.3389/fpsyt.2025.1543651]
13. Sword RM, Sword RK, Brunskill SR, Zimbardo PG. Time perspective therapy: A new time-based metaphor therapy for PTSD. Journal of Loss and Trauma, 2014;19(3):197-201.[Link] [DOI:10.1080/15325024.2013.763632]
14. Wang L, Xian X, Hu J, Liu M, Cao Y, Dai, et al. The relationship between future time perspective and suicide ideation in college students: Multiple mediating effects of anxiety and depression. Heliyon. 2024;10(17): e36564. [Link] [DOI:10.1016/j.heliyon.2024.e36564]
15. Li J, Wang YJ, Liu XL, Zhang Y, Zhu XN, Zhao D, Yuan TF, Zhou DS. Characteristics of time perception in adolescents with non‐suicidal self‐injury and psychiatric disorders comorbidity. Psychiatry and Clinical Neurosciences. 2025;79(7):398-405. [Link] [DOI:10.1111/pcn.13825]
16. Ishii R. Predicting adolescents' suicidal desire using Balanced Random Forest. Japanese Journal of Psychology. 2023;94(2):149-59. [Link] [DOI:10.4992/jjpsy.94.22005]
17. Esmaeili V, Ariapooran S, Amiri H. Effectiveness of emotion regulation and time perspective treatments on anxiety and emotion dysregulation of adolescents during the COVID-19 period. Psychological Studies. 2022a;18(3):63-77. [Persian] [Link]
18. Esmaeili V, Ariapooran S, Amiri H. Effectiveness of emotion regulation training and time perspective on depression and co-rumination of adolescent students during the COVID-19 period. Research Teaching. 2023b;10(4):61-81. [Persian] [Link]
19. 19 Ariapooran S, Salehi Balouchi S. Effectiveness of Time Perspective Therapy on Adolescent Suicidal Ideation in the Outbreak of Covid-19. Preventive Counseling. 2022; 3(4):83-93. [Link]
20. Nazarifardoei Z, Forouzandeh E, Bani-Taba M. Effectiveness of time-perspective therapy on cognitive abilities, emotion regulation, and alexithymia in depressed female adolescents. J Torbat Heydariyeh Univ Med Sci. 2021;9(3):68-79. [Persian] [Link]
21. Shonkoff JP, Garner, A. S., Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, and Section on Developmental and Behavioral Pediatrics, Siegel BS, Dobbins MI, Earls, et al. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012;129(1): e232-e46. [Link] [DOI:10.1542/peds.2011-2663]
22. Perry-Parrish C, Copeland-Linder N, Webb L, Sibinga EM. Mindfulness-based approaches for children and youth. Current problems in pediatric and adolescent health care. 2016; 46(6):172-8. [Link] [DOI:10.1016/j.cppeds.2015.12.006]
23. Yahyavi-Allah-Kayi M, Khoshkonesh A, Asghari-Nezhad-Farid AA. Effectiveness of mindfulness techniques training on alexithymia and social anxiety based on brain-behavioral systems. Journal of Psychological Sciences. 2022;21(120):2487-99. [Persian] [Link] [DOI:10.52547/JPS.21.120.2487]
24. Easdale‐Cheele T, Nash G, Filobokova V, Westbury C, Bellato A. The effects of mindfulness‐based interventions on emotion regulation/dysregulation in people with mental health conditions: A systematic review and meta‐analysis. JCPP Advances, 2026; e70103. [Link] [DOI:10.1002/jcv2.70103]
25. Kou H, Luo W, Wang Y, Wu J, Li X, Wu Y, et al. The sustained effect of 5-week EmotionCore mindfulness training on emotion regulation and emotional intelligence: Heterogeneous benefits for depression and anxiety across subgroups. Frontiers in Psychiatry. 2025;16: 1622626. [Link] [DOI:10.3389/fpsyt.2025.1622626]
26. Quinto RM, Russo F, Scafuto F, Innamorati M, Montecucco FN, Ghiroldi S. Effects of a Body-Based Mindfulness Program on Alexithymia, Dispositional Mindfulness, and Distress Symptoms: A Pilot Clinical Trial. Behavioral Sciences. 2025;15(1): 55. [Link] [DOI:10.3390/bs15010055]
27. Alzahrani MA, Almohammadi IA. The effectiveness of mindfulness-based interventions in reducing anxiety and depression among students: a systematic review and meta-analysis. Clinical Psychologist. 2026, 1-20. [Link] [DOI:10.1080/13284207.2026.2621341]
28. Fan XF, Peng JY, Zhang L, Hu YL, Li Y, Shi Y, et al. The impact of mindfulness therapy combined with mentalization-based family therapy on suicidal ideation in adolescents with depressive disorder: randomized intervention study. Annals of General Psychiatry. 2024; 23(1):16. [Link] [DOI:10.1186/s12991-024-00503-3]
29. Wu R, Zhong SY, Wang GH, Wu MY, Xu F, Zhu H, et al (2023). The effect of brief mindfulness meditation on suicidal ideation, stress and sleep quality. Archives of suicide research. 2023;27(2):215-30. [Link] [DOI:10.1080/13811118.2021.1982800]
30. Besharat, M. Psychometric Characteristics of Persian Version of the Toronto Alexithymia Scale-20 in Clinical and Non-Clinical Samples. Iranian Journal of Medical Sciences, 2008; 33(1): 1-6. [Persian] [Link]
31. Zimbardo PH, Boyd JN. Putting Time in Perspective: A Valid, Reliable Individual-Differences Metric. Journal of Personality and Social Psychology. 1999;77(6):1271-88. [Link] [DOI:10.1037/0022-3514.77.6.1271]
32. Burdick D. Mindfulness for teens with ADHD: A skill-building workbook to help you focus and succeed. New Harbinger Publications; 2017. [Link]
33. Kabat-Zinn J. Mindfulness-based interventions in context: past, present, and future. Psychology: Science and Practice, 2003;10(2), 144-156. [Link] [DOI:10.1093/clipsy.bpg016]
34. Segal Z, Williams M, Teasdale J. Mindfulness-based cognitive therapy for depression. Guilford press; 2012 Oct 18. [Link]
35. Teasdale JD. Mindfulness-based cognitive therapy for depression. InBuddhist Thought and Applied Psychological Research 2006 Aug 21 (pp. 450-466). Routledge. [Link] [DOI:10.4324/9780203098899-33]
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Neisari M, Moghtader L, Asadi Majareh S. Comparison of the effectivseness of time perspective therapy and mindfulness on alexithymia in adolescent girls with a history of suicide attempts. J Child Ment Health 2026; 13 (2) : 2
URL: http://childmentalhealth.ir/article-1-1573-en.html


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Volume 13, Issue 2 (Vol13 No2 Summer 2026- 2026) Back to browse issues page
فصلنامه سلامت روان کودک Quarterly Journal of Child Mental Health
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