1- PhD Student in Psychology, Shahroud Branch, Islamic Azad University, Shahroud Iran.
2- Assistant Professor Assistant Professor, Department of Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran.
3- Assistant Professor Assistant Professor, Department of Psychology, Semnan University, Semnan, Iran.
Abstract: (22 Views)
Background and purpose: Acceptance and commitment therapy is an effective treatment for people with obsessive-compulsive disorder. Acceptance and commitment therapy focuses on helping people accept their thoughts and feelings without judgment, while committing to actions that align with their values. Therefore, the aim of the study was to determine the effectiveness of acceptance and commitment therapy on cognitive and experiential avoidance in people with obsessive-compulsive disorder.
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 people with obsessions who referred to counseling and psychology clinics in Mashhad in 1401. From among the statistical population, 30 qualified volunteers were included in the study and were randomly assigned to two treatment-schema and control groups (each group included 15 people). The implementation method was such that after selecting the people of the sample group and before starting the treatment program, cognitive avoidance questionnaires of Sexton and Dagas (2004), experiential avoidance of Gams et al. (2011) were distributed between both groups. After that, acceptance and commitment therapy was implemented on the experimental group (in the form of 8 sessions of 90 minutes 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 higher than 16 on the Yale Brown obsession 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- Disobeying the rules was group therapy.
In this research, ethical standards including obtaining informed consent, ensuring privacy and confidentiality were observed. Also, when participating in the research, the participants were free to withdraw from the research at any time and provide individual information. Data analysis was carried out in two parts: descriptive statistics and inferential statistics. At the level of descriptive statistics of frequency, percentage, mean and standard deviation and at the level of inferential statistics in order to check the normality of the data using the Kolmogorov Smirnov test and to check the homogeneity of variances using the Lon test and also the assumption of homogeneity of the slope of the regression lines with Examining the group-pre-test interaction effect was used in the regression model. And finally, univariate 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 research findings showed that the effect of acceptance and commitment therapy on cognitive and experiential coping in people with obsessive-compulsive disorder was significant (P<0.001).
Conclusion: Therefore, it can be said that acceptance and commitment therapy can be a valuable alternative to traditional exposure and response prevention techniques by helping people to accept their thoughts and feelings without judgment and at the same time commit to actions that are in line with their values. be