1- Science and Arts University
Abstract: (25 Views)
Background & Objective: Obsessive-compulsive disorder is a neuropsychiatric condition characterized by unwanted obsessions or compulsions. Obsessive-compulsive disorder affects 1–3% of the general population, making it a common psychiatric disorder. The disorder is highly disabling and consequently causes significant suffering for patients worldwide. Learning-based models that emphasize fear and compulsion and related cognitive models that highlight faulty beliefs (e.g., related to obsessive anxiety) in the pathogenesis of OCD. In addition to clinical symptoms, specific cognitive deficits have been reported in OCD. These affect areas such as cognitive flexibility, visuospatial memory, response inhibition, and goal-directed behavior and are associated with aberrant activity in cortico-striate-thalamo-cortical circuits. Adolescence is a very important period in a person's life. Obsessive-compulsive disorder can cause many psychological problems for individuals, especially adolescents. Since the prevalence of obsessive-compulsive disorder in society is high, and since there is no definitive treatment for people with obsessive-compulsive disorder and these people show great resistance to treatment, and because few studies to date have examined the effectiveness of family-centered therapy on the adjustment of adolescents with obsessive-compulsive disorder, the purpose of this study was to examine the effectiveness of family-centered therapy on the adjustment of adolescents with obsessive-compulsive disorder in Shahrekord city.
Methods: This study was a quasi-experimental study with pre-test and post-test with a control group. Among adolescents with obsessive-compulsive disorder aged 12 to 18 years who referred to psychiatric and psychological clinics in Shahrekord, 30 eligible volunteers were included in the study, of which 15 were randomly assigned to the intervention group and 15 to the control group. Bell's Adaptability Questionnaire (1961) scores were compared at two time points before and after family-centered group therapy. Data analysis was performed using analysis of covariance. The significance level of the tests was 0.05.
Results: Data analysis showed that the adjustment test score in adolescents with obsessive-compulsive disorder in the intervention group and after receiving treatment decreased significantly compared to the control group (P > 0.001).
Conclusion: In explaining these results, it can be said that family-based therapy is a process in which family members of patients with obsessive-compulsive disorder help treat patients and is positively associated with a decrease in more severe symptoms of obsessive-compulsive disorder, a decrease in functional impairment, and an increase in quality of life. Family-centered therapy is often a successful intervention for coping with the patient in the short term because it provides a sense of relief from distress and facilitates the rapid completion of avoidance and compulsive behavior. More than 95% of families of patients with obsessive-compulsive disorder adapt to their patients' obsessive-compulsive disorder compulsions by providing reassurance, engaging in compulsive behaviors, waiting for the compulsion to end, or avoiding the triggers of obsessive-compulsive disorder and taking on a supportive role, whereas they previously had a blaming role for the patient, and this leads to improved psychological adjustment of the individual. The first line of treatment for obsessive-compulsive disorder includes cognitive behavioral therapy and drug therapy using serotonin reuptake inhibitors. Evidence suggests that family adaptation is associated with poor treatment outcomes, and this association is also observed between avoidance of response exposure and adaptation behaviors that are known to counteract treatment effectiveness. Therefore, approaches aimed at reducing family adaptation problems by promoting knowledge and promoting adaptive behavioral models are important for achieving treatment goals. It has been reported that obsessive-compulsive disorder responds positively to treatment in the short term, but has a high relapse rate. Therefore, the family in learning a supportive role in treatment and empowering them with the necessary therapeutic skills to guide response exposure should have a positive effect on the sustainability of treatment effects in patients with obsessive-compulsive disorder. The results of the present study showed that 8 sessions of family-based therapy have a significant effect on the adaptation of adolescents with obsessive-compulsive disorder in Shahrekord city, and family-based group therapy can be used as an effective treatment for the treatment of adaptation problems of adolescents with obsessive-compulsive disorder.
Methods: This study was a quasi-experimental study with pre-test and post-test with a control group. Among adolescents with obsessive-compulsive disorder aged 12 to 18 years who referred to psychiatric and psychological clinics in Shahrekord, 30 eligible volunteers were included in the study, of which 15 were randomly assigned to the intervention group and 15 to the control group. Bell's Adaptability Questionnaire (1961) scores were compared at two time points before and after family-centered group therapy. Data analysis was performed using analysis of covariance. The significance level of the tests was 0.05.
Results: Data analysis showed that the adjustment test score in adolescents with obsessive-compulsive disorder in the intervention group and after receiving treatment decreased significantly compared to the control group (P > 0.001).
Conclusion: In explaining these results, it can be said that family-based therapy is a process in which family members of patients with obsessive-compulsive disorder help treat patients and is positively associated with a decrease in more severe symptoms of obsessive-compulsive disorder, a decrease in functional impairment, and an increase in quality of life. Family-centered therapy is often a successful intervention for coping with the patient in the short term because it provides a sense of relief from distress and facilitates the rapid completion of avoidance and compulsive behavior. More than 95% of families of patients with obsessive-compulsive disorder adapt to their patients' obsessive-compulsive disorder compulsions by providing reassurance, engaging in compulsive behaviors, waiting for the compulsion to end, or avoiding the triggers of obsessive-compulsive disorder and taking on a supportive role, whereas they previously had a blaming role for the patient, and this leads to improved psychological adjustment of the individual. The first line of treatment for obsessive-compulsive disorder includes cognitive behavioral therapy and drug therapy using serotonin reuptake inhibitors. Evidence suggests that family adaptation is associated with poor treatment outcomes, and this association is also observed between avoidance of response exposure and adaptation behaviors that are known to counteract treatment effectiveness. Therefore, approaches aimed at reducing family adaptation problems by promoting knowledge and promoting adaptive behavioral models are important for achieving treatment goals. It has been reported that obsessive-compulsive disorder responds positively to treatment in the short term, but has a high relapse rate. Therefore, the family in learning a supportive role in treatment and empowering them with the necessary therapeutic skills to guide response exposure should have a positive effect on the sustainability of treatment effects in patients with obsessive-compulsive disorder. The results of the present study showed that 8 sessions of family-based therapy have a significant effect on the adaptation of adolescents with obsessive-compulsive disorder in Shahrekord city, and family-based group therapy can be used as an effective treatment for the treatment of adaptation problems of adolescents with obsessive-compulsive disorder.
Type of Study: Original Research Article |
Subject:
Psychology
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
