1- PhD Student in Psychology, Shahroud Branch, Islamic Azad University, Shahroud Iran.
2- Assistant Professor, Department of Psychology, Shahroud Branch, Islamic Azad University, Shahrood Iran.
Abstract: (978 Views)
Background and objective: The Covid-19 disease started in December 2019 as an epidemic in China and is currently spreading rapidly. Covid-19 is one of the new cases of corona virus, which is very similar to SARS corona virus and Middle East corona virus. This disease is usually associated with simple respiratory symptoms such as dry cough, fatigue, fever and digestive symptoms. Corona virus 2019 is a serious threat to health. It has created physical and life problems for people and has caused widespread psychological and physical problems. In fact, the unpredictability of the situation, the lack of definitive treatment, the uncertainty of the time to control the disease and the rapid transmission from person to person are the most important reasons for concern in most people of the world. Obsessive-compulsive disorder is one of the most common, disabling It is the most challenging and resistant psychological disorders that increased during the corona epidemic. One of the treatments whose effectiveness has been confirmed in psychological disorders is short-term psychodynamic therapy. Therefore, the aim of the study was to determine the effectiveness of short-term psychodynamic therapy on primary maladaptive schemas, and cognitive-emotional regulation in patients with obsessive-compulsive disorder and anxiety about the coronavirus.
Research method: The current research was a semi-experimental type and was conducted with a pre-test-post-test design with two control and experimental groups. The statistical population of this research included all patients suffering from obsessive compulsive disorder suffering from anxiety of the corona virus in the year 1400 who referred to psychological clinics in Tehran. Since the number of subjects in groups in semi-experimental studies is considered to be at least fifteen people (19). Among the statistical population, 30 qualified volunteers were randomly entered into the study and randomly assigned to two experimental and control groups (each group includes 15 people). The implementation method was as follows: after selecting the people of the sample group and before starting the treatment program, the cognitive regulation questionnaires of Karnefsky (2006) and Yang's schema (1990) were distributed between both groups. After that, a short-term psychodynamic treatment program was implemented on the experimental group (in the form of a 90-minute session and each session once a week) and the control group was not subjected to any treatment program. At the end, the post-test was done again from both groups. Also, after the end of the research, in order to maintain the ethical standards in the research, the treatment programs implemented in this research were also implemented on the control group.
The criteria for entering the research include 1- a score above the average on the Yale Brown Obsession and Corona Anxiety Scale, 2- at least a diploma level of education, 3- not participating in other therapeutic interventions at the same time, and the criteria for exiting the research also include 1- absence of more than three sessions 2- Non-observance of group therapy rules. Data analysis was carried out in two parts: descriptive statistics and inferential statistics. At the level of descriptive statistics, frequency, percentage, mean and standard deviation were used, and at the level of inferential statistics, multivariate covariance analysis was used. Data analysis was done in SPSS software version 24 and the significance level of the tests was considered to be 0.05.
Findings: The findings of the research showed that the effect of short-term psychodynamic therapy on early maladaptive schemas and cognitive-emotional regulation in patients with obsessive-compulsive disorder and anxiety about the coronavirus was significant (P<0.001).
Conclusion: It can be said that short-term psychodynamic therapy and interventions in tactical defenses are an effective way to increase cognitive-emotional regulation and reduce the initial maladaptive schema.