Volume 12 - Articles-1401                   MEJDS (2022) 12: 203 | Back to browse issues page

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Eesaee S, Seirafi M R, Keraskian Moojembari A, Borjali A, Ranjbaripoor T. Evaluating the Effectiveness of Individual Schema Therapy on Obsessive-Compulsive Symptoms in Adolescent Girls. MEJDS 2022; 12 :203-203
URL: http://jdisabilstud.org/article-1-2609-en.html
1- PhD Student in General Psychology, Psychology Department, Karaj Branch, Islamic Azad University, Karaj, Iran
2- Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran
3- Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran
Abstract:   (1059 Views)

Abstract
Background & Objectives: Adolescence is a period of human development in which profound changes occur in a person's physical and psychological structure. Professionals have stated that because mental health problems, as well as personality and behavioral patterns of individuals, are difficult to change in adulthood, timely measures to diagnose mental health problems in children and adolescents are one of the main concerns of the mental health system. Obsessive–compulsive disorder is a neurological disorder that affects up to 1% of children and adolescents. Early maladaptive schemas are the deepest cognitive–emotional components that cause obsessions. In schema therapy, which is a modified and integrated form of cognitive therapy, it is assumed that experiences based on neglect and or abuse in childhood can lead to the formation of early maladaptive schemas. So, this study aimed to evaluate the effectiveness of individual schema therapy on obsessive–compulsive symptoms in adolescent girls.
Methods: The method of the present study was quasi–experimental with a pretest–posttest and two months follow–up design with a control group. The study’s statistical population was all female ninth–grade of junior high school students in Ghods City, Iran, in the 2019–2020 academic year. Of whom 30 students were selected by the available sampling method. Then, they were randomly assigned to two groups: individual schema therapy and control. The inclusion criteria were as follows: living together with both parents, the absence of a probationary semester in the student's record, lacking disabilities, chronic physical illnesses and severe mental illnesses, and not receiving psychotherapy or medication during the past year. The exclusion criterion was the refusal of cooperation. The study subjects answered Maudsley Obsessive–Compulsive Inventory (Hodgson & Rachman, 1977) at the pretest, posttest, and follow–up. Young et al. Schema therapy (2006) was conducted in 12 individual 90–min sessions for the experimental group. To describe the obtained data, descriptive statistics (mean, standard deviation, frequency, and percentage) were used. For data analysis, the Chi–square test, analysis of variance with repeated measurements, and Bonferroni post hoc test were used in SPSS version 24 software. The significance level of statistical tests was considered 0.05.
Results: The individual schema therapy for the experimental group reduced obsessive–compulsive symptoms compared to the control group (p=0.025). Also, the mean score of obsessive–compulsive symptoms during the study time showed a significant difference between the experimental and control groups (p<0.001). In the experimental group, a significant difference was observed between the mean scores of the pretest and posttest (p=0.002) and the pretest and follow–up (p=0.001) regarding the variable of obsessive–compulsive symptoms, and the non–significance of the averages in the posttest and follow–up stages shows the persistence of this effect in the follow–up (p=0.074).
Conclusion: According to the findings, individual schema therapy effectively and efficiently reduces adolescent obsessive–compulsive symptoms. Therefore, it is suggested to use individual schema therapy to reduce obsessive–compulsive symptoms of teenage girls, especially in schools.

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Type of Study: Original Research Article | Subject: Psychology

References
1. Keating DP, I. Demidenko M, Kelly D. Cognitive and neurocognitive development in adolescence. In: Reference module in neuroscience and biobehavioral psychology. San Diego: Elsevier; 2019. [DOI]
2. Page CE, Coutellier L. Adolescent stress disrupts the maturation of anxiety-related behaviors and alters the developmental trajectory of the prefrontal cortex in a sex- and age-specific manner. Neuroscience. 2018;390:265–77. [DOI]
3. Moghadam R, Tabibi J, Riahi, Hajinabi K. A comparative study of adolescent and youth health status: a systematic review. Journal of Health Promotion Management. 2019;8(6):67–75. [Persian] [Article]
4. Morelli V, Nettey C. Adolescent health screening: Toward a more holistic approach. In: Morelli V, editor. Adolescent health screening: an update in the age of big data. San Diego: Elsevier; 2019, pp: 1–5. [DOI]
5. Chung E, Heyman I. Challenges in child and adolescent obsessive–compulsive disorder. Psychiatry. 2008;7(8):319–24. [DOI]
6. Vigne P, Simões BFT, de Menezes GB, Fortes PP, Dias RV, Laurito LD, et al. The relationship between obsessive-compulsive disorder and anxiety disorders: a question of diagnostic boundaries or simply severity of symptoms? Compr Psychiatry. 2019;94:152116. [DOI]
7. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, D.C: American Psychiatric Association; 2013.
8. Torres AR, Fontenelle LF, Shavitt RG, Ferrão YA, do Rosário MC, Storch EA, et al. Comorbidity variation in patients with obsessive-compulsive disorder according to symptom dimensions: results from a large multicentre clinical sample. J Affect Disord. 2016;190:508–16. [DOI]
9. Danaei Sij Z, Manshaee G, Nadi M. The effectiveness of schema group therapy on attachment styles (secure, insecure anxiety & insecure avoidance) and symptoms in patients with obsessive-compulsive disorder. Journal of Birjand University of Medical Sciences. 2018;25(3):181–92. [Persian] [Article]
10. Kroska EB, Miller ML, Roche AI, Kroska SK, O’Hara MW. Effects of traumatic experiences on obsessive-compulsive and internalizing symptoms: the role of avoidance and mindfulness. J Affect Disord. 2018;225:326–36. [DOI]
11. Young JE, Klosko JS, Weishaar ME. Schema therapy: a practitioner's guide. 1st ed. The Guilford Press; 2006.
12. Zeynel Z, Uzer T. Adverse childhood experiences lead to trans-generational transmission of early maladaptive schemas. Child Abuse Negl. 2020;99:104235. [DOI]
13. Farrell JM, Reiss N, Shaw IA. The schema therapy clinician's guide: a complete resource for building and delivering individual, group and integrated schema mode treatment programs. Hoboken, NJ, US: Wiley Blackwell; 2014. [DOI]
14. Farrell JM, Shaw IA. Experiencing schema therapy from the inside out: a self-practice/self-reflection workbook for therapists. New York: The Guilford Press; 2018.
15. Baniadam L, Makvand Hoseini S, Sedaghat M. The efficacy of schema therapy on obsessive compulsive disorder and marital satisfaction on married women. Journal of Applied Psychological Research. 2017;8(2):131–43. [Persian] [Article]
16. Wilhelm S, Berman NC, Keshaviah A, Schwartz RA, Steketee G. Mechanisms of change in cognitive therapy for obsessive compulsive disorder: role of maladaptive beliefs and schemas. Behav Res Ther. 2015;65:5–10. [DOI]
17. Thiel N, Tuschen-Caffier B, Herbst N, Külz AK, Nissen C, Hertenstein E, et al. The prediction of treatment outcomes by early maladaptive schemas and schema modes in obsessive-compulsive disorder. BMC Psychiatry. 2014;14:362. [DOI]
18. Wilson Van Voorhis CR, Morgan BL. Understanding power and rules of thumb for determining sample sizes. The Quantitative Methods for Psychology. 2007;3(2):43–50. [DOI]
19. Hodgson RJ, Rachman S. Obsessional-compulsive complaints. Behav Res Ther. 1977;15(5):389–95. [DOI]
20. Dadfar M, Bolhari J, Dadfar K, Bayanzadeh SA. Prevalence of the obsessive-compulsive disorder symptoms. Iranian Journal of Psychiatry and Clinical Psychology. 2001;7(1):27–33. [Persian] [Article]
21. Mokhbere-Dezfuli A, Rezaei F, Sadeghi M. The mediating role of dysfunctional cognition between early maladaptive schemas and obsessive-compulsive disorder. Jundishapur Scientific Medical Journal. 2017;15(6):717–31. [Persian] [Article]
22. Fassbinder E, Brand-de Wilde O, Arntz A. Case formulation in schema therapy: Working with the mode model. In: Kramer U, editor. Case formulation for personality disorders. LondonAcademic Press; 2019, pp:77–94.
23. Dozois DJA, Beck AT. Cognitive schemas, beliefs and assumptions. In: Dobson KS, Dozois DJA, editors. Risk factors in depression. San Diego: Elsevier; 2008, pp: 119–43. [DOI]

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