پیوندهای مفید
اخبار و اعلانات
آمار
| تعداد نشریات | 25 |
| تعداد شماره‌ها | 939 |
| تعداد مقالات | 7,733 |
| تعداد مشاهده مقاله | 12,721,014 |
| تعداد دریافت فایل اصل مقاله | 9,063,392 |
مقایسة اثربخشی درمان مواجهه‌سازی و اجتناب از پاسخ با شناخت درمانی مبتنی بر ذهن‌آگاهی بر احساس گناه در افراد مبتلا به اختلال وسواسی-بی‌اختیاری | ||
| مطالعات روان‌شناختی | ||
| دوره 20، شماره 1 - شماره پیاپی 74، اردیبهشت 1403، صفحه 39-54 اصل مقاله (570.02 K) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.22051/psy.2024.45632.2891 | ||
| نویسندگان | ||
| پریسا احمدی آذر1؛ محبوبه طاهر* 2؛ سقا افراخته3؛ فائزه جهان4 | ||
| 1دانشجوی دکتری روانشناسی عمومی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران | ||
| 2استادیار، گروه روانشناسی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران | ||
| 3استادیار، گروه روانشناسی، دانشگاه جامع امام حسین(ع)، تهران، ایران. | ||
| 4استادیار، گروه روانشناسی، واحد سمنان، دانشگاه آزاد اسلامی، سمنان، ایران | ||
| چکیده | ||
| هدف پژوهش حاضر مقایسة اثربخشی درمان مواجهه سازی و اجتناب از پاسخ با شناخت درمانی مبتنی بر ذهن آگاهی بر احساس گناه بود. روش این پژوهش نیمه آزمایشی با دو گروه آزمایشی و یک گروه کنترل بود که از طرح پیش آزمون، پس آزمون و پیگیری دو ماهه استفاده شد. 45 نفر از افراد مبتلا به اختلال وسواسی-بی اختیاری مراجعه کننده به مراکز خدمات مشاوره و روان درمانی شهر تهران در سال 1402 به صورت هدفمند انتخاب و به صورت تصادفی در سه گروه، هر گروه 15 نفر، گمارده شدند. ابزارهای مقیاس وسواسی-بی‌اختیاری یل-براون گودمن و پرسشنامة احساس گناه بود که در سه مرحله استفاده شد؛ در ابتدا از شرکت کنندگان پیش آزمون به عمل آمد. سپس، گروه های آزمایش تحت 10 جلسة 90 دقیقه ای درمان مواجهه سازی و 8 جلسه 90 دقیقه ای شناخت درمانی اجرا شد. پس آزمون پس از مداخله و مرحلة پیگیری اجرا گردید. تحلیل واریانس با اندازهگیری مکرر برای داده ها استفاده شد. یافته ها نشان داد که هر دو روش درمانی، احساس گناه را کاهش داد و درمان مواجهه سازی و اجتناب از پاسخ تأثیر موثرتری نسبت به شناخت درمانی مبتنی بر ذهن آگاهی داشت. | ||
| کلیدواژه‌ها | ||
| احساس گناه؛ اختلال وسواسی-بی‌اختیاری؛ درمان مواجهه‌سازی و اجتناب از پاسخ؛ شناخت درمانی مبتنی بر ذهن‌آگاهی | ||
| عنوان مقاله [English] | ||
| A Comparison of the Effectiveness of Exposure and Response Prevention Therapy with Mindfulness-based Cognitive Therapy on Guilt Feeling in People with Obsessive-Compulsive Disorder | ||
| نویسندگان [English] | ||
| Parisa Ahmadi Azar1؛ Mahboobe Taher2؛ Saqqa Afrakhteh3؛ Faezeh Jahan4 | ||
| 1Ph.D Candidate in Psychology, Shahroud Branch, Islamic Azad University, Shahrood, Iran | ||
| 2Assistant Professor, Department of Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran. | ||
| 3Assistant Professor, Department of Psychology, Imam Hossein (a.s.) Comprehensive University, Tehran, Iran | ||
| 4Assistant Professor, Department of Psychology, Semnan Branch, Islamic Azad University, Semnan. | ||
| چکیده [English] | ||
| The present study aimed to compare of effectiveness the exposure and response prevention therapy with mindfulness-based cognitive therapy on guilt feeling. This was a semi-experimental study with two experimental groups and one control group. The design was conducted using the pre-test, post-test and two months follow-up method. Based on this, 45 people with obsessive-compulsive disorder who referred to counseling and psychotherapy service centers in Tehran in 2023, were selected on purposeful sampling and randomly assigned to three groups (15 people in each group). In order to collect information, Yale-Brown obsessive-compulsive scale and guilt feelings questionnaire were used. At first, the participants were pre-tested, then, the experimental groups underwent 10 sessions of 90 minutes of exposure and response prevention therapy and 8 sessions of 90 mins mindfulness-based cognitive therapy. The post-test was conducted on all participants. Two months later, the follow–up test was completed by 3 groups. The analysis of variance with repeated measurements were applied to data. The results showed that both methods were suitable, but the exposure and response prevention therapy had a greater and more meaningful effect. | ||
| کلیدواژه‌ها [English] | ||
| Exposure and response prevention therapy, guilt feeling, mindfulness-based cognitive therapy, obsessive-compulsive disorder | ||
|
سایر فایل های مرتبط با مقاله
|
||
| مراجع | ||
|
استکتی، گ.، اس.، و نیشیت، پی. (1376). درمان اختلال وسواسی_بی‌اختیاری، ترجمه عباس بخشیپور رودسری، مجید محمود علیلو و حمیدپورشریفی. تبریز، نشر روان پویا. تاریخ انتشار به زبان اصلی 1995). http://www.lib.ir/book/63581492/
دمهری، فرنگیس، رستمی، معصومه؛ و سعیدمنش، محسن. (1400). بررسی اثربخشی شفقت درمانی بر احساس گناه، کمالگرایی و طرحواره شرم در فرزندان نیروهای انتظامی. نشریه روانشناسی نظامی، 12 (48)، 74-59. https://dorl.net/dor/20.1001.1.25885162.1400.12.48.4.9
راجرزی اصفهانی، سپیده؛ متقی پور، یاسمن، کامکاری، کامبیز؛ ظهیرالدین، علیرضا؛ و جان بزرگی، مسعود. (1390). پایایی و روایی نسخه فارسی مقیاس وسواس-بی اختیاری ییل و براون. مجله روانپزشکی و روانشناسی بالینی ایران، 17 (4)، 303-297. http://ijpcp.iums.ac.ir/article-1-1453-en.html
Abramowitz, J. S. (2018). Getting over OCD: a 10-step workbook for taking back your life. Guilford Publications. https://books.google.com/books? American Psychiatric Association . (2023) Diagnostic and statistical manual of mental disorders, fifth edition, text revision. Washington: American Psychiatric Association. https://www.psychiatry.org/psychiatrists/practice/dsm American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5thed.). Washington, DC. American Psychiatric Press https://psycnet.apa.org/record/2013-14907-000 Basile, B., Mancini, F., Macaluso, E., Caltagirone, C., & Bozzali, M. (2014). Abnormal processing of deontological guilt in obsessive–compulsive disorder. Brain Structure and Function, 219 (1), 1321-1331. https://doi.org/10.1007/s00429-013-0570-2 Cheek, J. M., & Hogan, R. (1983). Self-concepts, self-presentations, and moral judgments. Psychological Perspectives on the Self, 2 (1), 249-273. https://www.researchgate.net Claus, N., Miegel, F., Jelinek, L., Landmann, S., Moritz, S., Külz, A. K., ... & Cludius, B. (2023). Perfectionism as possible predictor for treatment success in mindfulness-based cognitive therapy and metacognitive training as third-wave treatments for obsessive-compulsive disorder. Cognitive Therapy and Research, 47 (3), 439-453. https://doi.org/10.1007/s10608-023-10361-0 Cludius, B., Landmann, S., Rose, N., Heidenreich, T., Hottenrott, B., Schröder, J., ... & Moritz, S. (2020). Long-term effects of mindfulness-based cognitive therapy in patients with obsessive-compulsive disorder and residual symptoms after cognitive behavioral therapy: twelve-month follow-up of a randomized controlled trial. Psychiatry Research, 291 (1), 1-10. https://doi.org/10.1016/j.psychres.2020.113119 D’Olimpio, F., & Mancini, F. (2014). Role of deontological guilt in obsessive-compulsive disorder–like checking and washing behaviors. Clinical Psychological Science, 2 (6), 727-739. https://doi.org/10.1177/2167702614529549 Demehri, F., Rostami, M., & Saeidmanesh, M. S. (2021). The effectiveness of compassion therapy on guilt, perfectionism and imperfection schema in the children of law enforcement unit. Military Psychology, 12 (48), 59-74. (Text in Persian) https://dorl.net/dor/20.1001.1.25885162.1400.12.48.4.9 Denzel, D., Runge, K., Feige, B., Pankratz, B., Pitsch, K., Schlump, A., ... & Endres, D. (2023). Autoantibodies in patients with obsessive-compulsive disorder: a systematic review. Translational Psychiatry, 13 (1), 241-255. https://doi.org/10.1038/s41398-023-02545-9 Derogatis, L. R., Lipman, R. S., & Covi, L. (1977). SCL-90. Administration, scoring and procedures manual-I for the R (revised) version and other instruments of the psychopathology rating scales Series. Chicago: Johns Hopkins University school of medicine. http://www.westerparc.nl/wp-content/uploads/2011/12/SCL-90-Engels.pdf Gangemi, A., & Mancini, F. (2017). Obsessive patients and deontological guilt: a review. Psychopathology Review, 4 (2), 155-168. https://doi.org/10.5127/pr.045916 Gomes, M., Pérez, M. P., Castro, I., Moreira, P., Ribeiro, S., Mota, N. B., & Morgado, P. (2023). Speech graph analysis in obsessive-compulsive disorder: The relevance of dream reports. Journal of Psychiatric Research, 161 (1), 358-363. https://doi.org/10.1016/j.jpsychires.2023.03.035 Goodman, W. K., Price, L. H, & Rasmussen, S. A. (1989). The Yale-Brown Obsessive-Compulsive Scale (YBOCS), Part I: Development, use, and reliability. Journal of Archives of General Psychiatry, 46 (1), 1006- 1011. https://doi.org/10.1001/archpsyc.1989.01810110048007 Hezel, D. M., & Simpson, H. B. (2019). Exposure and response prevention for obsessive-compulsive disorder: A review and new directions. Indian Journal of Psychiatry, 61 (1), 85-95. https://doi.org/10.4103/psychiatry.indianjpsychiatry_516_18 Hezel, D. M., Rapp, A. M., Glasgow, S., Cridland, G., & Simpson, H. B. (2023). Year of zoom in a year of doom: lessons learned delivering ERP remotely during the COVID-19 pandemic. Cognitive and Behavioral Practice, 30(2), 263-272. https://doi.org/10.1016/j.cbpra.2021.12.005 Himle, J. A., Grogan-Kaylor, A., Hiller, M. A., Mannella, K. A., Norman, L. J., Abelson, J. L., ... & Fitzgerald, K. D. (2024). Exposure and response prevention versus stress management training for adults and adolescents with obsessive compulsive disorder: A randomized clinical trial. Behaviour Research and Therapy, 172(1), 1-10. https://doi.org/10.1016/j.brat.2023.104458 Kang, L. L., Rowatt, W. C., & Fergus, T. A. (2016). Moral foundations and obsessive-compulsive symptoms: A preliminary examination. Journal of Obsessive-Compulsive and Related Disorders, 11 (1), 22-30. https://psycnet.apa.org/doi/10.1016/j.jocrd.2016.06.004 Kathiravan, S., & Chakrabarti, S. (2023). Development of a protocol for videoconferencing-based exposure and response prevention treatment of obsessive-compulsive disorder during the COVID-19 pandemic. World Journal of Psychiatry, 13 (2), 60-70. https://doi.org/10.5498/wjp.v13.i2.60 Kenny, N. C., Starcevic, V., & Berle, D. (2023). Associations between fear of guilt and obsessive–compulsive symptoms. Behaviour Change, 40 (3), 169-181. https://doi.org/10.1017/bec.2022.14 Külz, A. K., Hertenstein, E., Rose, N., Heidenreich, T., Herbst, N., Thiel, N., ... & Voderholzer, U. (2013). Achtsamkeitsbasierte kognitive therapie bei Zwangsstörungen. Verhaltenstherapie und psychosoziale Praxis, 45 (1), 327-344. https://doi.org/10.1186%2Fs12888-014-0314-8 Lauri, K. O., Andersson, E., Mataix-Cols, D., Norlin, L., Eriksson, V., Melin, K., ... & Aspvall, K. (2023). Long-term effect of stepped-care vs in-person cognitive behavioral therapy for pediatric obsessive-compulsive disorder. Internet Interventions, 32 (1), 1-10. https://doi.org/10.1016/j.invent.2023.100613 Leeuwerik, T., Caradonna, G., Cavanagh, K., Forrester, E., Jones, A. M., Lea, L., ... & Strauss, C. (2023). A thematic analysis of barriers and facilitators to participant engagement in group exposure and response prevention therapy for obsessive–compulsive disorder. Psychology and Psychotherapy: Theory, Research and Practice, 96 (1), 129-147. https://doi.org/10.1111/papt.12430 MacKay, M., Yang, B. H., Dursun, S. M., & Baker, G. B. (2024). The gut-brain axis and the microbiome in anxiety disorders, post-traumatic stress disorder and obsessive-compulsive disorder. Current Neuropharmacology, 22(5), 866-883. https://doi.org/10.2174/1570159X21666230222092029 Mancini, A., Granziol, U., Gragnani, A., Femia, G., Migliorati, D., Cosentino, T., ... & Mancini, F. (2022). Guilt feelings in obsessive compulsive disorder: An investigation between diagnostic groups. Journal of Clinical Medicine, 11 (16), 1-10. https://doi.org/10.3390/jcm11164673 Mancini, F. (Ed.). (2018). The obsessive mind: Understanding and treating obsessive-compulsive disorder. Routledge. https://www.routledge.com Melchior, K., van der Heiden, C., Deen, M., Mayer, B., & Franken, I. H. (2023). The effectiveness of metacognitive therapy in comparison to exposure and response prevention for obsessive-compulsive disorder: A randomized controlled trial. Journal of Obsessive-Compulsive and Related Disorders, 36 (1), 1-10. https://doi.org/10.1186%2Fs13063-019-3381-9 Pérez-Aranda, A., García-Campayo, J., Gude, F., Luciano, J. V., Feliu-Soler, A., González-Quintela, A., ... & Montero-Marin, J. (2021). Impact of mindfulness and self-compassion on anxiety and depression: The mediating role of resilience. International Journal of Clinical and Health Psychology, 21 (2), 1-10. https://doi.org/10.1016/j.ijchp.2021.100229 Rajezi Esfahani, S., Motaghipour, Y., Kamkari, K., Zahiredin, A., & Janbozorgi, M. (2012). Reliability and validity of the persian version of the Yale-Brown obsessive compulsive scale (Y-BOCS). Iranian Journal of Psychiatry and Clinical Psychology, 17 (4), 297-303. (Text in Persian) http://ijpcp.iums.ac.ir/article-1-1453-en.html Reid, J. E., Laws, K. R., Drummond, L., Vismara, M., Grancini, B., Mpavaenda, D., & Fineberg, N. A. (2021). Cognitive behavioural therapy with exposure and response prevention in the treatment of obsessive-compulsive disorder: A systematic review and meta-analysis of randomised controlled trials. Comprehensive Psychiatry, 106 (1), 1-10. https://doi.org/10.1016/j.comppsych.2021.152223 Segal, Z., Williams, M., & Teasdale, J. (2018). Mindfulness-based cognitive therapy for depression. Guilford Publications. https://doi.org/10.1037%2F0022-006X.76.3.524 Semeniuc, S., Păduraru, A. E., & Soponaru, C. (2023). Guilt, disgust, and not Just right experience mediate the effect of demanding parent mode on obsessive-compulsive-disorder-like tendencies, and punitive parent mode moderates this mediation. Behavioral Sciences, 13 (9), 700-715. http://dx.doi.org/10.3390/bs13090700 Song, Y., Li, D., Zhang, S., Jin, Z., Zhen, Y., Su, Y., ... & Li, X. (2022). The effect of exposure and response prevention therapy on obsessive-compulsive disorder: A systematic review and meta-analysis. Psychiatry Research, 1 (1), 1-10. https://doi.org/10.1016/j.psychres.2022.114861 Stekette’s, G., S., & Nishith, P. (1995). Obsessive-compulsive disorder treatment, translated by Bakshipour Rudsari, Mahmoud Alilou & Poursharifi. Tabriz, Rwan Poya Publication. Date of publication in original language 1376). http://www.lib.ir/book/63581492/ Strauss, C., Lea, L., Hayward, M., Forrester, E., Leeuwerik, T., Jones, A. M., & Rosten, C. (2018). Mindfulness-based exposure and response prevention for obsessive compulsive disorder: Findings from a pilot randomised controlled trial. Journal of Anxiety Disorders, 57 (1), 39-47. https://doi.org/10.1016/j.janxdis.2018.04.007 Tinella, L., Lunardi, L., Rigobello, L., Bosco, A., & Mancini, F. (2023). Relationship obsessive compulsive disorder (R-OCD): The role of relationship duration, fear of guilt, and personality traits. Journal of Obsessive-Compulsive and Related Disorders, 37(1), 1-10. https://doi.org/10.1016/j.jocrd.2023.100801 | ||
|
آمار تعداد مشاهده مقاله: 351 تعداد دریافت فایل اصل مقاله: 264 |
||
