جستجوی مقالات مرتبط با کلیدواژه "آمیختگی فکر" در نشریات گروه "پزشکی"

One of the reasons for patients' resistance and the poor effectiveness of treatment approaches is the comorbidity of depression and anxiety disorder. Therefore, the purpose of the present study was to determine the effectiveness of "Cognitive Behavioral Therapy" on difficulties in emotion regulation, intolerance of uncertainty and thought fusion in people suffering from comorbid depression and anxiety.

The present research was semi-experimental with a pre-test, post-test design with a control group. The statistical population of this research included all the people who had referred to psychological centers in Isfahan city with comorbid symptoms of depression and anxiety in 2019. The samples were selected by convenience method from the counseling center of the 5th and 7th regions of Isfahan city. After passing a clinical interview according to DSM-5 and completing the "Beck Depression Inventory, Version 2" and "Beck Anxiety Inventory", finally, 32 people were eligible for the study. The samples were randomly assigned to intervention (16 people) and control (16 people) groups. Data collection was Done with demographic questionnaire, "Difficulties in Emotion Regulation Scale", "Intolerance of Uncertainty Scale" and "Thought Fusion Instrument". Content validity and face validity were measured by qualitative method and reliability was also measured by internal consistency method by calculating Cronbach's alpha coefficient. "Cognitive Behavioral Therapy" was implemented for 10 sessions of 90 minutes for the intervention group and the control group was on the waiting list. The data was analyzed with SPSS .21.

“Cognitive-Behavioral Therapy” in the intervention group caused a significant improvement in the intolerance of uncertainty, difficulties in regulating emotions and mixing thoughts in the post-exam stage. However, the effectiveness of “Cognitive-Behavioral Therapy” was stable only on the uncertainty intolerance variable until the follow-up stage (P<0.05).

The effect of "Cognitive Behavioral Therapy" has shown more lasting changes on the uncertainty intolerance variable than other variables. Considering the negative prognosis and the high complexity of  comorbid depression and anxiety, it is suggested that this intervention be combined and strengthened with complementary therapy for the long-term effectiveness of this intervention on other correlates of this disorder.

Obsessive–compulsive disorder includes mental obsessions, compulsions, or both. Obsessions comprise frequent and intrusive thoughts, impulses, and mental images; compulsions are repetitive objective behaviors (washing hands, keeping order, checking) or repetitive mental activities (counting, chanting, repeating words slowly in silence). The patients feel obliged to do these behaviors in response to an obsession or according to rules that must be strictly obeyed. In the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, this disorder has a separate class, and its accompanying problems and debilitating symptoms disrupt the individual's interpersonal, occupational, and social functioning and bring significant economic and social costs to the individual and society. Pathological studies have investigated the factors and correlates with obsessive–compulsive disorder to identify the symptoms of the disorder better in the form of cognitive models. A positive and significant relationship between obsessive–compulsive symptoms and mixed thoughts has been reported in many studies, and it has been mentioned as a powerful predictor for the symptoms of the disorder. Obsessions or compulsions are time–consuming, and their problems cause confusion in interpersonal, social, work, and other critical functional situations and bring financial costs to the individual, family, and society. Also, this disorder has a relatively high prevalence. The present study was conducted to predict the symptoms of obsessive–compulsive disorder based on the thought–action fusion and mindfulness in a nonclinical population.

The research design was correlational analytics. The statistical population of the research comprised all students (boys and girls) of the universities of Tabriz City, Iran (Tabriz Azad University, Tabriz University, and Shahid Madani University). This research recruited a sample of 500 students (accounting for 10% possible dropout) by the available sampling method. Questionnaires were administered individually. Also, to comply with the ethical principles, the code of ethics under the number IR.IAU.TABRIZ.REC.1400.50 was obtained from the Ethics Committee. To collect data, we used the revised obsessive–compulsive questionnaire (Foa et al., 2002) with an internal consistency of 0.85 for its Persian version, thought–action fusion scale (Shafran, Tordarson, and Rachman, 1996) with an internal consistency of 0.81, and the mindfulness assessment scale (Brown and Ryan, 2003) with an internal consistency of 0.85. The Pearson correlation coefficient and multiple regression were used to analyze the obtained data in SPSS version 25. The significance level of statistical tests was considered 0.05

According to the results, the average age of the subjects studied was 24.63, with a standard deviation of 7.2 years. Based on the results, there was a significant relationship between the thought–action fusion and mindfulness with the symptoms of obsessive–compulsive disorder (p<0.001). Also, the results showed that mindfulness and thought–action fusion can predict obsessive–compulsive symptoms (p<0.001). The prediction coefficient of obsessive–compulsive symptoms based on mindfulness was higher than thought–action fusion.

According to the results, the symptoms of obsessive–compulsive disorder can be predicted based on thought–action fusion and mindfulness. It is suggested that in future studies, researchers conduct research using a combination of quantitative and qualitative methods and in a comparative manner. Also, thought–action fusion can be used as a screening and diagnostic tool. Therefore, the results of the present research should be utilized in the design of follow–up and therapeutic interventions. 

The aim of this study was to investigate the role of thought-action fusion, emotion dysregulation and repetitive negative thoughts in the prediction of worry
According to the current research design (correlation), the Pearson correlation and the multiple regression methods was used. 343 students from the Kharazmi University were selected by a convenience sampling method and then completed the Thought Fusion Inventory (TFI), the Difficulties in Emotion Regulation Strategies Scale (DERS), the Repetitive Negative Thoughts Questionnaire and the Penn State Worry Questionnaire (PSWQ).
The results showed that thought-action fusion, repetitive negative thoughts and emotion dysregulation variables had a significant and positive correlation with worry (p According to the results, it was indicated that Emotion Dysregulation and Repetitive Negative Thoughts have been able to predict worry and this results can be considered a step towards a better understanding of the nature of the worry.

Aims: Due to low psychological well-being level in veterans with the post-traumatic stress disorders, the symptoms are exacerbated in them. The aim of the study was to predict the psychological well-being in the veterans with post-traumatic stress disorders, based on the personality parameters including self-compassion, sense of coherence, and the thought-action fusion.
Instrument & In the descriptive correlational study, 120 veterans with post-traumatic stress disorders, hospitalized in Isar Psychiatric Hospital in Ardabil, were studied as available subjects in 2016. Data was collected using the psychological well-being questionnaire, self-compassion scale, the sense of coherence scale, and the revised thought-action fusion scale. Data was analyzed by SPSS 17 software using Pearson correlation coefficient test and step-wise regression analysis.
Findings: The psychological well-being in the veterans with post-traumatic stress disorders significantly and positively correlated with the sense of coherence and the self-compassion, while it significantly and negatively correlated with the thought-action fusion (p High sense of coherence and high self-compassion, as well as low thought-action fusion, improve psychological well-being in the veterans with post-traumatic stress disorders.

The aim of the current study is to investigate the relationship of thought Action Fusion, experiential avoidance and responsibility with obsessive–compulsive Symptoms in nonclinical population. A sample of 200 students of Malayer University was selected through convenience sampling method and completed the following questionnaires: Thought Fusion Instrument (TFI), Acceptance and Action Questionnaire (AAQ-II), Responsibility Attitude Scale Obsessive-Compulsive Inventory-Revised. Data were analyzed using Pearson correlation and multiple regression analysis. Results from stepwise regression showed that thought Action Fusion, experiential avoidance and responsibility entered in the model as predictors. Predictors had different weights in predicting symptoms. Predictive equation is reported for obsessive-compulsive symptoms in students. Based on the research results use of metacognitive therapy and acceptance and commitment therapy in the treatment of OCD is suggested.

Generalized anxiety disorder (GAD) can be affected by different emotional, cognitive, and natural factors. The purpose of this study was to predict GAD based on emotion regulation deficits, thought-action fusion, and behavioral inhibition. This was a correlational study. The study sample was comprised of 135 patients with GAD selected from among patients who were referred to psychiatric clinics and centers in Tabriz, Iran, using convenient sampling method. The data collection tool consisted of cognitive emotion regulation questionnaire (CERQ), thought fusion instrument (TFI), Beck Anxiety Inventory (BDI), retrospective and adults measures of behavioral inhibition (RMBI, AMBI), and the 20-item Toronto Alexithymia Scale (TAS-20). Data were analyzed using Pearson correlation coefficient and stepwise multiple regression analysis method. Difficulty in describing and identifying emotions, maladaptive emotion regulation strategies, thought-action fusion, and childhood behavioral inhibition had significant relationships with GAD (P < 0.010). Moreover, stepwise regression analysis showed that difficulty in identifying emotions, maladaptive emotion regulation, thought-action fusion, and childhood behavioral inhibition were the best predictors for GAD, respectively. Considering the role of emotion regulation deficits, thought-action fusion, and childhood behavioral inhibition in GAD, these variables must be taken into account in the prevention and treatment programs for GAD.

Background and Anxiety and thought fusion are common problems in generalized anxiety disorder (GAD). The control of anxiety and worry is difficult and causes serious problems in patients’ lives. A treatment that could reduce these symptoms can reduce psychopathology, and improve their quality of life. This study investigated the efficacy of metacognitive therapy on anxiety and thought fusion in patients with GAD. A semi-experimental study was performed using pretest posttest design and a control group. The research population included married women in Ahvaz suffering from GAD who were selected via convenience sampling. The samples were 30 married women who were willing to participate in the study. They were randomly assigned into experimental (n=15) and control groups (n=15). Beck Anxiety Inventory and Thought Fusion Questionnaire were used. Metacognitive therapy was administered to the experimental group in ten-weekly, 120 minutes sessions during 2/5 months period while the control group received no intervention. All subjects completed Beck Anxiety Inventory and Thought Fusion Questionnaire in pre-test, posttest and follow up. The results of multivariate covariance analysis showed significant effect of metacognitive therapy on anxiety (F=111.61, P=0.001) and thought fusion (F=134.19, P=0.001) in the experimental group. The treatment results remained unchanged in 3 months follow up for anxiety (F=57.67, P=0.001) and thought fusion (F=120.1, P=0.001). Metacognitive therapy is effective on reduction of pathological symptoms in GAD.

Generalized Anxiety Disorder (GAD) is affected by different emotional, cognitive and natural factors. The purpose of this study was to investigate the role of emotional regulation deficits, thought-action fusion and behavioral inhibition in Generalized Anxiety Disorder. This research is a correlational study and the sample included 120 patients with GAD selected from patients referring to four psychiatry centers in Shiraz using availability sampling. Instruments used for data collection included Cognitive emotion regulation questionnaire (CERQ), Thought Fusion Instrument (TFI), Beck Anxiety Inventory (BDI), retrospective and adults Measures of Behavioral Inhibition (RMBI, AMBI), and the 20-item Toronto alexithymia Scale (TAS-20). Data was analyzed using Pearson Correlation Coefficient and stepwise multiple regression analysis method. Results showed that there was a significant relationship between difficulty in describing and identifying emotions, mal-adaptive emotion regulation strategies, thought-action fusion and childhood behavioral inhibition with GAD (p<0.01). Also, stepwise regression analysis showed that difficulty in identifying emotions, ma-ladaptive emotion regulation, thought-action fusion and childhood behavioral inhibition were the best predictors for GAD respectively. Discussion & Given the role of emotion regulation deficits, thought-action fusion and childhood behavioral inhibition in GAD, the prevention and treatment programs for GAD should take these variables into account.