جستجوی مقالات مرتبط با کلیدواژه « اختلال وسواس فکری و عملی » در نشریات گروه « روانشناسی »

The present study was conducted aiming to investigate the effectiveness of acceptance and commitment therapy on working memory in the patients with obsessive compulsive disorder.

The present study was quasi-experimental with pretest, posttest, control group design and two-month follow-up stage. The statistical population of the study included the people with obsessive compulsive disorder who referred to centers of psychology and consultation services in the city of Isfahan from March to July 2020. 30 people with obsessive compulsive disorder were selected through convenient sampling method and they were randomly accommodated into experimental and control groups (each group of 15). 4 individuals from the experimental group and 1 person were excluded from the study. The experimental group received ten ninety-minute sessions of Acceptance and commitment therapy (Hayes et al, 2004) during two-and-a- half months. The applied questionnaires in this study included Yale-Brown obsessive-compulsive Scale (Goodman, Rasmussen, 1986) and And working memory measurement tools. The data from the study were analyzed through repeated measurement ANOVA.

the results showed that Acceptance and commitment therapy has significant effect (p<0.001) on working memory in the patients with obsessive compulsive disorder. In this way, this treatment has been able to improve the working memory of people with obsessive- compulsive disorder.

the findings of the present study showed that the Acceptance and commitment therapy can be used as an efficient therapy to increase working memory in the people with obsessive compulsive disorder through employing techniques such as mental techniques, observing the self as the background, cognitive defusion techniques, stipulating values, and committed action.

Numerous researches have been done on the effect of two exposure and response prevention and acceptance and commitment-based treatment on depression and quality of life in patients with obsessive-compulsive disorder but compared the effect of these two treatments on reducing the severity of symptoms. Obsessive-Compulsive Disorder There is a research gap.

The aim of this study was to compare the efficacy of exposure therapy and prevention of response and group acceptance and commitment therapy in reducing the severity of specific symptoms in patients with obsessive-compulsive disorder.

This was a quasi-experimental study with pre-test and post-test design with control group. Statistical population included all patients with obsessive-compulsive disorder referring to counseling centers in Shiraz in 2018. Sixty subjects were selected by purposive sampling method and were randomly divided into three groups (20 persons), two experimental groups and one control group. Research instruments include: Obsessive-Compulsive Disability Test: Hodgson & Rachman (1977), Commitment and Acceptance Therapy Sessions (Narimani et al., 2016), and Exposure and Response Prevention Therapy Sessions (Narimani et al., 2016). The data were analyzed using analysis of covariance.

There was a significant difference between the two groups in the post-test in all specific symptoms (infection, examination, suspicion and impulse control). Both groups showed a significant decrease compared to the control group. However, exposure therapy and response prevention group had a significant and significant decrease compared to the intervention (P< 0/001).

Two treatments, exposure and response prevention and treatment based on acceptance and commitment, reduced the symptoms of patients with obsessive-compulsive disorder.

the present study aimed to the comparison of the intolerance of uncertainty (IU) and short-term memory capacity in patients with obsessive-compulsive disorder and normal individuals. a total of 30 patients (16 female, 14 male) with obsessive-compulsive were selected using convenience sampling from the psychiatric clinics and centers of Tabriz were matched with 30 patients (16 females and 14 males) of normal individuals by demographic information, and all of them were assessed through Baher & Dougas’s intolerance of uncertainty scale and the Wechsler Digit span test subscales .Data were analyzed by multivariate analysis of variance (MANOVA) and as well as SPSS version 19. The results showed that there is a significant difference between the two groups in terms of IU (P

Failure in emotional regulation process was reported as a major problem in patients with obsessive-compulsive disorder (OCD). In the emotional schema therapy (EST), the roles of emotions and emotion processing strategies are substantial. This study aimed at determining the effectiveness of EST in emotional schema (ES) of women with OCD. It was a quasi-experimental study. The statistical population included all women visiting consulting centers in Nishabur in 2014-2015. The research sample consisted of 20 patients with OCD (10 persons as the intervention group and 10 persons in the waiting list), selected using convenience sampling technique. The intervention group received a two-hour per week for 12 sessions. The research instrument included Yale–Brown Obsessive Compulsive Scale and Leahy Emotional Schema Scale. Data were analyzed with ANCOVA. Results from data analysis suggested a significance difference between the intervention and control groups in terms of Validity, Comprehensibility, Guilt, Higher Values, Control, Numbness , Duration, Consensus, Expression and Blame; whereas, the two groups were not significantly different in terms of Simplistic View of Emotion, Rational, Acceptance of Feelings and Rumination. In general, results of this study show that EST has positive effect on the reduction of OCD and can be used as an effective method in correcting several emotional schemas in women with OCD.

Obsessive compulsive disorder is a debilitating disorder which makes very much adaptation problems for patients and their families. The purpose of this study was the comparison of intolerance of uncertainty and emotion regulation in obsessive compulsive dsorder-patients and normal individuals. The method was causal-comparative. The statistical population of patients included all the patients with obsessive compulsive disorder who referred to the psychiatric hospital of Razi in Tabriz during the second half of 2013. 25 participants were selected by using simple random sampling and 25 people were selected from the normal staff of the hospital as the comparison group. The instruments used in the study, were the intolerance of uncertainty questionnaire and emotion regulation questionnaire and Multivariate analysis of variance was used for analyzing the data. The results showed that among two groups, obsessive compulsive dsorder-patients and normal participants, there was significant and meaningful differences intolerance of Uncertainty; In this way that the average scores of obsessive compulsive disorder -patients in intolerance of uncertainty was Higher than normal subjects’ average. Also it was observed a significant difference in the variable of Emotion Regulation between obsessive compulsive disorder patients and normal participants, in this way that the average scores of obsessive compulsive disorder -patients in emotion regulation were lower than normal subjects’ average. The results of the current study show that tolerance of uncertainty and emotion regulation efficient variables contribute to the improvement of the condition of obsessive patients and can have implicitly be more support of these patients.

In recent years, dialectical behavior therapy has been used as a therapy for treatment-resistant anxiety disorder. The current research has been done to investigate the efficacy of group training of dialectical behavior therapy concepts on improvement of emotional recognition strategies and decrease of Obsessive-Compulsive Disorder (OCD).
30 women with OCD were selected by clinical interview and randomly divided into two experimental and control groups. The subjects of both groups completed Cognitive Emotion Regulation Questionnaire and Yale-Brown Obsessive-Compulsive Scale before starting the first treatment session and also after the last treatment session. Experimental group received 12 sessions (90 minutes) of dialectical behavior therapy. Data were analyzed by multivariate analysis of variance.
Results showed that there's a significant reduction in OCD symptoms (except sexual obsession and check compulsion) of experimental group in comparison with the control group. Moreover, Positive strategies of emotion regulation increase significantly in experimental group than control group.
Discussion and Dialectical behavior therapy could help the patients with OCD, by training emotion regulation strategies, tolerance acceptance of negative emotion, to learn how to work effectively on their obsession.

Obsessive compulsive disorder is one of the most common psychological disorders that has a great impact on performance and quality of life of patients. The aim of this study was to investigate the effectiveness of metacognitive therapy in group and individual design on obsessive-compulsive and depressive symptoms in patients with obsessive-compulsive disorder. 30 patients with obsessive-compulsive disorder, subsequent to primary clinical assessment and obtaining study requirements were selected and randomly assigned to individual therapy (n = 10), group therapy (n = 10) and control group (n = 10). The experimental groups received 10 metacognitive therapy sessions on a weekly basis. Data collection tool was Yale –Brown Obsessive Compulsive Scale (Y-BOCS) and Beck Depression Inventory (BDI-II), which was performed in pretest, posttest and one month follow up. Results showe that metacognitive therapy in group and individual design are effective in reducing of obsessive-compulsive and depression symptoms and metacognitive therapy in comparison with the control group causes significant reduction in obsessive-compulsive and depression symptoms in the patients at the post-test stage. There was no significant difference between group therapy and individual therapy. Therapeutic achievements were maintained at the follow-up stage. Based on the results of this study, metacognitive therapy is effective in the treatment of obsessive-compulsive disorder and can be used in a group and individual design to treat obsessive-compulsive disorder.

The present research aimed to examine the effectiveness of psycho education on express emotion and decreasing severity of diseases in patient with obsessive compulsive disorder. The study utilized quasi-experimental design with pretest - posttest along with control group method. The population included all of the clients referring in the summer of 1393 to the psychiatric department of Imam Hussein Hospital, in Tehran. The sample group was involved 27 OCD patients and random assigned in experimental (n=12) and Control (n=15) groups. All participants filled Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) & Level of Expressed Emotion scale (LEE), then intervention was applied to experimental group base on MultiFamily Behavioral Treatment (MFBT). The intervention was performed in eight sessions (2 hours per session) to OCD caregivers. In order to analyze data analysis covariance (ANCOVA) method was applied by SPSS v22. The research results indicated that psycho education was effective on expressed emotion and its factors: (intrusiveness, emotional response, negative attitude toward illness, Tolerance/Expectations) as well as reducing severity of OCD in patient. The findings were supported by previous studies, too. According to these findings, psycho education as an effective intervention in the treatment suggested.

This study aimed to appraisal of effectiveness and comparison of exposure and response prevention therapy and acceptance and commitment therapy (ACT)-based training on improving of obsessive and compulsive disorder patient's components of life quality.
This study was quasi-experimental with pretest- posttest and control group. The statistical population included all obsessive and compulsive disorder patients aged over 18 years old who referred to private counseling centers and urban and rural health centers in Rasht in 2014. 45 patients with obsessive and compulsive disorder were selected from those who referred these centers and were divided into the experimental groups and the control group randomly. The experimental groups received eight sessions of 45-minutes. Yale-Brown Obsessive and Compulsive Scale and brief form of World Health Organization quality of life assessment were used to collect data.
The results of multiple analysis of covariance indicated that there was a significant difference among three groups in posttest scores of physical, psychological, social and environmental quality (P ≤ 0.01). The Results of Tuky test showed that the mean score for acceptance and commitment therapy (ACT)-based training was significantly more than the mean score for exposure and response prevention in all components. Likewise, the mean score of both experimental groups were significantly more than the mean score of the control group (P ≤ 0.05).
According to the results of this study, acceptance and commitment therapy (ACT)-based training more increased in quality of life. Thus, mental health experts can use this therapy for increasing patient's quality of life.

This study deals with the effect of cognitive-behavioral therapy, response prevention and exposure and medicinal treatments on OCD using a meta-analysis and by means of drawing a comparison between such techniques and OCD treatment. The structured review method was adopted for the purpose of selecting the required surveys; therefore, 28 surveys, including master's degree and doctoral theses and local and foreign papers and articles drawing upon the foregoing methods in OCD treatment, were selected as the research sample. The important factor in determining suitability of the studies and surveys was the statistical methods employed for their data analyses. In order to compute effect sizes, the standard difference between means was used. According to the ensuing results, CBT has an effect size of 1.611. Moreover, effect sizes of response prevention and exposure techniques and medicinal treatments were put at 1.59 and 0.617 respectively, suggesting effectiveness of the foregoing treatments. A comparison of efficiency of such therapies and treatments demonstrated, on the other hand, that CBT has the highest level of effect in OCD treatment. Furthermore, medicinal care is less effective than psychological therapies and treatments.

This study aimed to compare the intolerance of ambiguity and perfectionism in patients with obsessive-compulsive disorder and ordinary people.

This study was a descriptive retrospective. The sample was consisted of 30 patients with obsessive-compulsive disorder (16 female and 14 male) and 30 ordinary people (16 female and 14‌male) so that they were selected by using available method. Baher and Daga's intolerance of ambiguity scale (2002) and Tehran's multidimensional perfectionism questionnaires (2003-2005) were used to measure the variables and to analysis the data multivariate analysis of variance was used.

Data analysis showed that patients with obsessive-compulsive disorder have more perfectionism and intolerance of ambiguity than ordinary people.

Based on the findings, we can say that intolerance of ambiguity and perfectionism are two cognitive structures that provide the context for the emergence and intensification of symptoms of obsessive-compulsive disorder and hence in the treatment intervention, focus on the adjustment of the two structures has special importance.

Worry is considered as a common cognitive factor in most of psychological disorders, particularly anxiety disorders. It has a significant role in psychopathology of obsessive-compulsive disorder. The purpose of the present study was to examine the relationship between intolerance of uncertainty and worry in patients with obsessive-compulsive disorder regarding to the moderating role of metacognitive beliefs and deficit in cognitive emotion regulation. 100 patients with obsessive-compulsive disorder (78 female, 22 male) participated in this study. All participants completed Intolerance of Uncertainty Scale (IUS), Penn State Worry Questionnaire (PSWQ), Metacognitve Beliefs Questionnaire (MCBQ), and Cognitive Emotion Regulation Questionnaire (CERQ). Results showed that intolerance of uncertainty could predict worry in patients with obsessive-compulsive disorder. Further, findings revealed that the relationship between intolerance of uncertainty and worry in patients with obsessive-compulsive disorder was moderated by metacognitive beliefs and deficit in cognitive emotion regulation. Hence, it could be concluded that the relationship between intolerance of uncertainty and worry is not a simple linear one. This is partly moderated by metacognitive beliefs and deficit in cognitive emotion regulation.

The aim of the present study was the comparison of response inhibition, cognitive self-consciousness and dissociative experiences in patients with OCD (checkers and washers sub-groups). The research method was causal-comparative. The sample consisted of 80 patients with OCD (checkers and washers sub-groups) who were selected as accessible. Entry criteria include those who are above 25 years old, who have passed secondary education and have no other physical or mental illnesses. To collect the data we used the obsessive- compulsive questionnaire, strop color-word test, meta-cognition inventory of meta cognition questionnaire and dissociative experience scale. Data were analyzed by MANOVA analysis statistical method. The results showed that response error, response time and dissociative experiences in patients with washers sub-group were significantly higher than checkers sub-group. The results also showed that there was not significant differences between patients with checkers and washers in cognitive self-consciousness (P

Obsessive Compulsive Disorder is a debilitating disorder which makes many adaptational problems for patients and their families. The purpose of this study was the comparison of intolerance of uncertainty، emotion regulation and marital satisfaction in OCD-patients and normal individuals. This study used a case-control design. The population of the study included all the patients with OCD who referred to the Psychiatric Hospital of Razi in Tabriz in the second half of 1392. 25 subjects were selected by using simple random sampling and 25 ordinary subjects were selected as a comparison group. MANOVA was used for analyzing the data. The results showed that among two groups، OCD-patients and normal subjects، there were significant differences in intolerance of Uncertainty; in this way that the average scores of OCD-patients in intolerance of Uncertainty was higher than normal subjects’ average. Also it was observed a significant difference in the variables of emotion regulation and marital satisfaction between OCD patients and normal subjects، in this way that the average scores of OCD-patients in emotion regulation and marital satisfaction were lower than normal subjects’ average. The results of the current study show that in tolerance of uncertainty، emotion regulation and marital satisfaction of OCD patients in comparison with the normal group has been a failure and as a result، they require special attention in the treatment of this disorder.

The purpose of present research was to determinate effectiveness of inference-based therapy on reduction of obsession and compulsion symptoms. Thirty women who had received diagnosis of OCD by clinical interview (SCID) were placed with randomization in experimental and control (wait list) groups. Participants completed Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and Inferential Confusion Questionnaire (ICQ) in pretest and posttest. Experimental group received inference-based group therapy in 12 sessions. To analyze data، MANOVA was used. The results of research showed that except aggression، religious and sexual obsessions، there were significance difference between experimental control and groups in all of signs Y-BOCS and ICQ. Inference-based therapy had efficacy on reduction of obsession and compulsion symptoms.

The purpose of this study was to investigate the effectiveness of the treatment based on correcting of secondary control appraisals in patients with Obsessive Compulsive Disorder and comparing it with treatment based on correcting of inflated responsibility. The method of present study was quasi-experimental and pre-post test design was used. The experimental groups contained treatment based on correcting of secondary control appraisalsgroup (n=12) and treatment based on correcting of inflated responsibility group (n=15). Both groups received ten two-hour group sessions once a week. In control group 13 patients participated. Yale Brown Obsessive-Compulsive scale (YBOCS), Obsessive Beliefs Questionnaire (OBQ-44) and Beck Depression Inventory (BDI) were used to assess severity of OCD, Obsessive beliefs and Depression. Data were analyzed using Multiple Covariance Analysis in SPSS. The results suggested that based on scores of YBOCS, OBQ-44 and BDI, both treatment based on correcting of secondary control appraisals and treatment based on correcting of inflated responsibility were significantly more effective than the wait list control conditionand treatment based on correcting of secondary control appraisals significantly more effective than treatment based on correcting of inflated responsibility in post-test and follow-up. This superiority maintained over the 1month follow-up. According to the findings of present study, treatment based on correcting of secondary control appraisals was more effective than treatment based on correcting of inflated responsibility in treatment of patients with obsessive-compulsive disorder.

The purpose this research was a comparative review of meta-cognition components in youngsters stricken and not-stricken with obsessive compulsive disorder. Comparative-causative method was used in this study، the available sampling method is used to select the samples including 30 youngsters stricken with obsessive compulsive disorder among those admitting to psychiatric clinics of Imam Hussein (AS) and Tehran Roozbeh hospitals، and 30 youngsters not stricken selected among the students in Tehran. To collect data، the diagnosis of psychiatric and organized clinical interview based on DSM-IV diagnostic criteria، short form of Wells and Cartwright-Hatton meta-cognition Questionnaire and Madzli’s obsessive compulsive questionnaire were used. The data were analyzed via T test within two independent groups. The results showed that the meta-cognition of youngsters stricken with obsessive compulsive disorder compared with adolescents not stricken by the disorder was different and only in the component relating to the need to control thoughts in the two groups difference was not observed. Regarding to the results obtained in the study، meta-cognition beliefs were important in showing minds، feelings and the necessity of doing manners as well as conserving، persistency and intensifying of illness''s signs in people who are stricken with obsessive compulsive disorder are playing an important role.

The aim of present study was to investigate emotional recognition and inhibition in patients with obsessive-compulsive and comparing with normal group. Statistical society of this research comprised total of patients with obsessive-compulsive aged 15-45 that had been referred to Mental Hospital and consulting and Therapeutic Center located in Ardabil in second half of 1388 and first half of 1389, as well as the normal population included all the normal persons aged 15-45. 40 persons in each group and in total 80 persons have been Sampled Availability selected in groups. The groups were matched for age, sex, education and handedness. The subjects were tested by emotional inhibition (EI) and facial emotional recognition test. Data were analyzed by multivariate analysis of variance (MANOVA). The results suggested significant difference between emotion inhibition (p<0,01) and emotion recognition (p<0.01) in patients with OCD in comparison with healthy persons. Emotional Inhibition and Emotional Recognition patients were weaker than healthy persons. Adults who were suffered from OCD in emotional inhibition and emotional recognition were more impaired in comparison with normal group.

Theory of mind is the ability to attribute mental states beliefs, intents, desires, pretending, knowledge, etc. to oneself and others and to understand that others have beliefs, desires, and intentions that are different from one's own. The present study examined the relationship between the capacity of theory of mind and some cognitive functions of patients with obsessive- compulsive disorder. From among patients with obsessive-compulsive disorder referring to psychiatric and psychological treatment centers in Ardabil, 20 subjects were selected randomly and matched 20 normal people. The data were collected using tasks related to theory of mind, including first and second false belief tasks, and advanced test of theory of mind. Wisconsin Card Sorting Test and Associative Learning Test were also used for data collection. To analyze the data, two independent T tests and Pearson’s correlation coefficient were used. The performance of patients with obsessive- compulsive disorder in all task related to theory of mind was poorer than that of the normal group; however, the differences were significant only in the advanced test of theory of mind. Moreover, there was a significant relationship between the results of the advanced task of theory of mind and associated learning test results. While there was no significant relationship between the results of Wisconsin Card Test and the advanced test of theory of mind. Based on the findings, the basic capacities of theory of mind for patient with obsessive- compulsive disorder were generally maintained Patients; while, there was a significant decrease in the capacities of the advanced test of theory of mind. The decrease seems to be related to a reduction in the memory capacity of these patients. The possible links between memory and impaired theory of mind show the clinical importance of theory of mind deficits in treating patients with obsessive- compulsive disorder.