Comparing the Effectiveness of Mindfulness-Based Cognitive Therapy and Well-Being Therapy on the Quality of Life of Patients with Hypertension

Objective: This study aimed to compare the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) and Well-Being Therapy (WBT) in improving the quality of life among patients with hypertension. Methods and Materials: This quasi-experimental study employed a pretest-posttest control group design with a three-month follow-up. The statistical population included hypertensive patients aged 45 to 55 who visited healthcare centers in Babol during the first half of 2024. A total of 45 participants were selected using convenience sampling and assigned to three groups (MBCT: n=15, WBT: n=15, Control: n=15). Both interventions were conducted in structured eight-week sessions, while the control group received no intervention. Data were collected using the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) and analyzed using repeated measures ANOVA and post-hoc tests. Findings: The results indicated significant improvements in quality of life in both experimental groups compared to the control group (p<0.05). MBCT was particularly effective in enhancing psychological well-being and emotional regulation, while WBT significantly improved life satisfaction and environmental mastery. These effects were sustained at the three-month follow-up, demonstrating the long-term benefits of both interventions. Conclusion: Both MBCT and WBT effectively enhanced the quality of life in hypertensive patients, but their impacts varied across different life domains. Integrating mindfulness-based and well-being-focused interventions into hypertension management programs can improve patient outcomes and overall psychological well-being.