1- Science and Arts university
2- Yazd University
3- Al.Zahra University
4- Azad University
2- Yazd University
3- Al.Zahra University
4- Azad University
Abstract: (175 Views)
Background & Objective: The coronavirus disease was first identified in Wuhan, China in late 2019 and has since spread rapidly around the world. The epidemic and the imposition of disease reduction efforts have a major impact on the mental health and emotional well-being of the general public, as well as on the health of individuals with psychiatric disorders. is forced to do them to relieve the distress associated with the obsession, to prevent something bad from happening, or to follow strict rules. A diagnosis of obsessive-compulsive disorder is made when these behaviors last at least one hour a day and / or cause clinically significant distress or impairment. Contemporary cognitive models of OCD have emphasized the role of dysfunctional beliefs or evaluations in creating and maintaining specific obsessions and compulsions. Among these dysfunctional beliefs, the fusion of thought and action is one of the most widely studied. The term fusion of thought and action describes the belief that thoughts can directly affect the relevant external event, or the fusion of moral thought and action, meaning that thinking about an immoral action equals the moral and value burden of doing that action. Treatment enhancement methods for adults with obsessive-compulsive disorder, such as Internet-based cognitive behavioral therapy, have been less studied, and in these studies, its effect on the fusion of thought and action as an influential factor in this disorder has been investigated. Has not taken Without timely and successful treatment, obsessive-compulsive disorder can become a chronic illness that severely affects the long-term quality of life of individuals and interferes with aspects of functioning in social, occupational, and personal domains. Untreated OCD often gets worse over time. Therefore, there is an urgent need for additional interventions for people with severe and treatment-resistant OCD. On the other hand, obsessive-compulsive disorder has increased significantly in the post-corona era, and it is inevitable to pay more attention to the treatment of obsessive-compulsive disorder. Therefore, the purpose of this study was to investigate the effectiveness of Internet-based cognitive behavioral therapy on the Thought–Action Fusion in patients with obsessive-compulsive disorder caused by Corona.
Methods: This study was a semi-experimental type with pre-test and post-test. Among the 25 to 40-year-old people with obsessive-compulsive disorder who referred to the psychiatric clinics of Meybod city, 30 eligible volunteers were included in the study, and 15 of them were randomly assigned to the intervention group and 15 to the control group. were placed The scores of the thought-action fusion scale (Shafran et al., 1996) were compared before and after cognitive behavioral therapy. Data analysis was done using covariance analysis. The significance level of the tests was 0.05.
Results: The analysis of the data showed that the score of the Thought–Action Fusion in patients with obsessive-compulsive disorder in the intervention group and after receiving treatment has decreased significantly compared to the control group (P=0.001).
Conclusion: The aim of this research was to investigate the effectiveness of Internet-based cognitive behavioral therapy on the Thought–Action Fusion in patients with obsessive-compulsive disorder caused by Corona. The results of the present study showed that Internet-based cognitive behavioral therapy has a significant effect on the combination of thought and action of patients with obsessive-compulsive disorder caused by Corona and can lead to the improvement of the combination of thought and action in these patients. Lee et al. stated that thought-action integration involves several complex cognitive components, including imagination, anticipatory processes, guilt, and empathy. In the combination of thought and action, it is believed that the thought and the result or action are related and that thinking about something increases the probability of its occurrence or that thoughts are morally equivalent to actions. According to the Salkoskis model, patients with the disorder Obsessive compulsives not only feel strongly responsible for their obsessive impulses to harm others or unacceptable sexual or other images, but also feel guilty for blaming themselves for these impulses or images, and as a Metacognition may play an essential role in these catastrophic misinterpretations. The results of the present study showed that 8 90-minute group Internet-based cognitive behavioral therapy sessions lead to improvement in the Thought–Action Fusion in patients with obsessive-compulsive disorder caused by Corona, and it is possible to use group Internet-based cognitive behavioral therapy as a complementary treatment. Along with other therapeutic methods, he used practical methods to treat the problems of patients with obsessive compulsive disorder.
Methods: This study was a semi-experimental type with pre-test and post-test. Among the 25 to 40-year-old people with obsessive-compulsive disorder who referred to the psychiatric clinics of Meybod city, 30 eligible volunteers were included in the study, and 15 of them were randomly assigned to the intervention group and 15 to the control group. were placed The scores of the thought-action fusion scale (Shafran et al., 1996) were compared before and after cognitive behavioral therapy. Data analysis was done using covariance analysis. The significance level of the tests was 0.05.
Results: The analysis of the data showed that the score of the Thought–Action Fusion in patients with obsessive-compulsive disorder in the intervention group and after receiving treatment has decreased significantly compared to the control group (P=0.001).
Conclusion: The aim of this research was to investigate the effectiveness of Internet-based cognitive behavioral therapy on the Thought–Action Fusion in patients with obsessive-compulsive disorder caused by Corona. The results of the present study showed that Internet-based cognitive behavioral therapy has a significant effect on the combination of thought and action of patients with obsessive-compulsive disorder caused by Corona and can lead to the improvement of the combination of thought and action in these patients. Lee et al. stated that thought-action integration involves several complex cognitive components, including imagination, anticipatory processes, guilt, and empathy. In the combination of thought and action, it is believed that the thought and the result or action are related and that thinking about something increases the probability of its occurrence or that thoughts are morally equivalent to actions. According to the Salkoskis model, patients with the disorder Obsessive compulsives not only feel strongly responsible for their obsessive impulses to harm others or unacceptable sexual or other images, but also feel guilty for blaming themselves for these impulses or images, and as a Metacognition may play an essential role in these catastrophic misinterpretations. The results of the present study showed that 8 90-minute group Internet-based cognitive behavioral therapy sessions lead to improvement in the Thought–Action Fusion in patients with obsessive-compulsive disorder caused by Corona, and it is possible to use group Internet-based cognitive behavioral therapy as a complementary treatment. Along with other therapeutic methods, he used practical methods to treat the problems of patients with obsessive compulsive disorder.
Keywords: Internet-based cognitive behavioral therapy, Thought–Action Fusion, obsessive-compulsive disorder
Type of Study: Original Research Article |
Subject:
Rehabilitation
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