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MEJDS (2020) 10: 6 |
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Borghei S, Roshan R, Bahrami H. Treatment Based on Acceptance and Commitment and Spirituality of Religious Therapy in a Group Method Improvement of the Severity of Obsessive-Compulsive Symptoms and Obsessive Beliefs and Quality of Life in People with Obsessive-Compulsive Disorder. MEJDS 2020; 10 :6-6
URL: http://jdisabilstud.org/article-1-1238-en.html
URL: http://jdisabilstud.org/article-1-1238-en.html
1- Department of Psuchology, Science and Research branch, Islamic Azad University
2- Department of clinical psychology, Shahed University
3- Department of Psychology , Science and Research branch,Islamic Azad University
2- Department of clinical psychology, Shahed University
3- Department of Psychology , Science and Research branch,Islamic Azad University
Abstract: (2897 Views)
Background & Objectives: Obsessive–compulsive disorder (OCD) is a disabling disorder that causes disturbance and significant interference in the individual function. This disorder is thought to be caused by unwanted and intrusive mental thoughts and images that are considered meaningless, inappropriate and irresistible by the individual, as well as the tendency to determine to neutralize and compensate for these thoughts and mental images. The onset of this disorder is usually between early adolescence and early adulthood. Among treatments, a method that has been more relevant in recent years, treatment is based on acceptance and commitment. Generally, disorders that do not require interacting with inner experiences (thoughts, emotions, memories and physical emotions) that it mainly called "experiential avoidance". Due to the importance of obsessive–compulsive disorder, it needs to test new therapeutic considering religious beliefs. These techniques in spiritual therapy can have behavioral, cognitive, metacognitive, emotional and moral aspects, and can be manifested in religious concepts and behaviors such as trust, patience, prayer, meditation. Given these points, the use of human spiritual capacity in the treatment of obsessive–compulsive disorders is not only effective but also necessary. Religious psychotherapy can have significant effects on the treatment of depression and obsession because religious people are less likely to feel alone and less depression and anxiety than non–religious people. Addressing the impact of religion on health in the various, supply of human life, including health care, is important because it has an unmatched and indispensable role in human life. Therefore, knowing about the effectiveness of the therapeutic methods from religious teachings can be used to treatment of anxiety and obsessive–compulsive disorders. The purpose of this study was to compare the effectiveness of treatment based on acceptance and commitment and spiritual therapy on the improvement of the severity of obsessive–compulsive symptoms and quality of life in patients with obsessive–compulsive and obsessive–compulsive disorder.
Methods: The research was quasi–experimental, pre–test, post–test and follow–up with the control group. Forty–five obsessive–compulsive patients from the Qom (Qom province, center of Iran) consultation center in 2012 were selected by convenience sampling. In the beginning of the study, the subjects were investigated by questionnaires that include the practice of religious beliefs (Golzzari, 2001), Yale Brown obsession (Goodman et al., 1989), obsessive beliefs of OBQ–44 (OCCWG, 2005) and quality of life (SF36) (Farnish, 2005). The experimental group received 14 sessions of 60 minutes of group therapy based on acceptance and commitment and spirituality therapy. Data were analyzed by repeated measure ANOVA and post Hoc.
Results: Descriptive statistics (mean and standard deviation) of the three groups. The mean scores of the obsessive–compulsive scales and the mean scores of obsessive–compulsive beliefs and quality of life questionnaires in both treatment groups decreased and this decrease in follow–up was also seen. Findings of this study indicated that treatment based on acceptance and commitment and spirituality therapy in pretest posttest and fallow up had a significant different on obsessive–compulsive symptoms and observer's beliefs and quality of life (p<0.001). In addition, results of Post HOC test on the comparison of therapeutic methods showed that spirituality therapy was more effective than treatment–based acceptance and commitment to the improvement of obsessive–compulsive symptoms, obsessive–compulsive beliefs and quality of life.
Conclusion: Results of posttest and follow up in the experimental group showed the effect of interventions and it can be concluded that spirituality and acceptance therapy and commitment to reduce the symptoms and obsessive beliefs and improve the quality of life of people with obsessive–compulsive disorder.
Methods: The research was quasi–experimental, pre–test, post–test and follow–up with the control group. Forty–five obsessive–compulsive patients from the Qom (Qom province, center of Iran) consultation center in 2012 were selected by convenience sampling. In the beginning of the study, the subjects were investigated by questionnaires that include the practice of religious beliefs (Golzzari, 2001), Yale Brown obsession (Goodman et al., 1989), obsessive beliefs of OBQ–44 (OCCWG, 2005) and quality of life (SF36) (Farnish, 2005). The experimental group received 14 sessions of 60 minutes of group therapy based on acceptance and commitment and spirituality therapy. Data were analyzed by repeated measure ANOVA and post Hoc.
Results: Descriptive statistics (mean and standard deviation) of the three groups. The mean scores of the obsessive–compulsive scales and the mean scores of obsessive–compulsive beliefs and quality of life questionnaires in both treatment groups decreased and this decrease in follow–up was also seen. Findings of this study indicated that treatment based on acceptance and commitment and spirituality therapy in pretest posttest and fallow up had a significant different on obsessive–compulsive symptoms and observer's beliefs and quality of life (p<0.001). In addition, results of Post HOC test on the comparison of therapeutic methods showed that spirituality therapy was more effective than treatment–based acceptance and commitment to the improvement of obsessive–compulsive symptoms, obsessive–compulsive beliefs and quality of life.
Conclusion: Results of posttest and follow up in the experimental group showed the effect of interventions and it can be concluded that spirituality and acceptance therapy and commitment to reduce the symptoms and obsessive beliefs and improve the quality of life of people with obsessive–compulsive disorder.
Keywords: Acceptance and commitment therapy, Spiritual therapy, Obsessive–compulsive disorder (OCD), Quality of life, Obsessive symptoms and obsessive beliefs.
Type of Study: Original Research Article |
Subject:
Psychology
References
1. Keeley ML, Storch EA, Merlo LJ, Geffken GR. Clinical predictors of response to cognitive-behavioral therapy for obsessive-compulsive disorder. Clin Psychol Rev. 2008;28(1):118–30. [DOI]
2. Moritz S, Rufer M, Fricke S, Karow A, Morfeld M, Jelinek L, et al. Quality of life in obsessive-compulsive disorder before and after treatment. Compr Psychiatry. 2005;46(6):453–9. [DOI]
3. Hasler G, LaSalle-Ricci VH, Ronquillo JG, Crawley SA, Cochran LW, Kazuba D, et al. Obsessive-compulsive disorder symptom dimensions show specific relationships to psychiatric comorbidity. Psychiatry Res. 2005;135(2):121–32. [DOI]
4. Barlow DH, Durand VM. Abnormal Psychology: An Integrative Approach. Belmont: Cengage Learning; 2012, pp:191–2.
5. Hayes SC. Climbing Our Hills: A Beginning Conversation on the comparison of acceptance and commitment therapy and traditional cognitive behavioral therapy. Clinical Psychology: Science and Practice. 2008;15(4):286–95. [DOI]
6. Hayes SC, Strosahl KD. A Practical Guide to Acceptance and Commitment Therapy. Springer Science & Business Media; 2004.
7. Ahadi H, Nikkhou M. Religious assessment in psychotherapy. In: International Congress of East Psychotherapy. Iran, Tehran: University of Tehran;2004,p:15–9.[Persian]
8. Bayanzadeh SA, Bolhary J, Dadfar M, Karimi Keisomi I. Effectiveness of cognitive-behavioral religious - cultural therapy in improvement of obsessive-compulsive patients. Razi J Med Sci. 2005;11(44):913–23. [Persian] [Article]
9. Baker DC. Studies of the inner life: The impact of spirituality on quality of life. Qual Life Res. 2003;12(1):51–7. [DOI]
10. Ansari H, Janbozorgi M. The effectiveness of cognitive-behavioral therapy based on god-like, self-like and hereafter-like assumptions on the identity of obsessive-incontinence disorder: A Case Study. Ravanshenasi Va Din. 2017;9(4):25. [Persian]
11. Salkovskis PM. Obsessional-compulsive problems: A cognitive-behavioural analysis. Behav Res Ther. 1985;23(5):571–83. [DOI]
12. Ramezani A, Dadfar M, Kazemi H, Kolivand PH, Bahrami F. Introduction of Religious CognitiveBehavioral Models in the Treatment of Anxietyand Obsessive Compulsive Disorder. Tehran: MirMah Publication; 2014. [Persian]
13. Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, et al. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry. 1989;46(11):1006–11. [DOI]
14. Dadfar M, Bolhari J, Dadfar K, Bayanzadeh SA. Prevalence of the obsessive-compulsive disorder symptoms. Iranian J Psychiatry and Clinical Psychology. 2001;7(1):27–33. [Persian] [Article]
15. Golzari M. The Impact of `Umrah Mufradah on Students’ Mental Health, Happiness and Practicing Religious Beliefs. Studies in Islam and Psychology. 2012;4(7):111–26. [Persian] [Article]
16. Shams G, Karam Ghadiri N, Esmaeli Torkanbori Y, Ebrahimkhani N. Validation and reliability assessment of the Persian version of obsessive beliefs questionnaire-44. Advances in Cognitive Science. 2004;6(1):23–36. [Persian] [Article]
17. Frisch MB, Clark MP, Rouse SV, Rudd MD, Paweleck JK, Greenstone A, et al. Predictive and treatment validity of life satisfaction and the quality of life inventory. Assessment. 2005;12(1):66–78. [DOI]
18. Narimani M, Abolghasemi A. Psychological Test. Ardabil: Baghe Rezvan Publication; 2004, pp: 134–6. [Persian]
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