1- Science and Arts university
2- Atrat University and Isfahan Education
Abstract: (164 Views)
Background & Objective: Obsessive-compulsive disorder is a psychiatric condition characterized by intrusive thoughts, images or impulses, urges, or repetitive, time-consuming behaviors, including repetitive mental actions that result in significant functional impairment and distress. Obsessive-compulsive disorder patients tend to engage in repetitive compulsions, often under strict and specific instructions. These behaviors are often irrational or excessive. Despite being relatively rare in the general population—the 12-month and lifetime prevalence of OCD is estimated at 1.2% and 2.3%, respectively. Despite the high rate of disability and resulting social burden, the neuropathology of OCD is still not fully understood. Therefore, identifying the neural correlates of obsessive-compulsive disorder is of great importance to increase the diagnostic specificity and improve the effectiveness of the treatment of this disorder. Islam is the second largest and fastest growing religion in the world. By 2050, Muslims will make up approximately 30% of the world's population. Considering the dominance and continuous growth of Islam, it is necessary to understand the experiences and perceptions of Muslims about the healing approaches of spirituality, especially with regard to their psycho-social-spiritual care. Considering the importance of cognitive regulation of emotion in obsessive-compulsive disorder, the high statistics of obsessive-compulsive disorder among people in Iranian society, and the problems that this disorder causes for these people, it is inevitable to pursue treatment in these patients. Moreover, so far, no study has investigated the effectiveness of spiritual therapy on the cognitive regulation of emotion in Muslim women with obsessive-compulsive disorder, so the purpose of this study was to investigate the effectiveness of spiritual therapy on the Cognitive emotion regulation in Muslim women with obsessive-compulsive disorder.
Methods: This study was a semi-experimental intervention type with pre-test and post-test. The statistical population included Muslim women suffering from obsessive-compulsive disorder aged 30 to 45 who referred to psychiatric clinics in Yazd city. Among the community members, 30 available qualified volunteers were included in the study, and 15 of them were randomly assigned to the intervention group and 15 to the control group. The variable scores of the cognitive regulation of emotion were compared by means of the Cognitive emotion regulation questionnaire (Granofsky et al., 2001) in two time periods before and after the group spirituality therapy. Data analysis was done using SPSS version 17 software and covariance analysis. The significance level of the tests was 0.05.
Results: Data analysis showed that the score of cognitive emotion regulation test in women with obsessive-compulsive disorder in the intervention group and after receiving treatment increased significantly compared to the control group respectively (P=0.001).
Conclusion: Looking at these results, it can be said that spirituality can reduce negative emotions such as anxiety, depression and anger while increasing positive emotions. According to Barbara Fredrickson's expansion and construction theory, positive emotions expand one's momentary thought-action set and promote personal growth and happiness. In addition, happiness has many positive consequences such as life satisfaction. In other words, happy people are more satisfied with their lives, not only because they feel better, but also because of the expansion of life resources.
Fallah et al. stated that spirituality can influence agency in two ways: directly, it provides a major source of goal-oriented energy; and indirectly, it has a positive effect on the interpretation of events and equips a person with mental strengths such as happiness and optimism, which motivates a person to achieve goals. It can also facilitate the achievement of these goals through prayer, meditation, etc. In this way, stronger agency and more paths to achieve goals can create hope in a person based on Hope Snyder's theory.
Spiritual care includes attitudes and behaviors that are formed based on spiritual values and includes care that reflects people's cultures and beliefs, which is provided after assessing their spiritual needs and challenges. Spiritual care also includes methods or activities that rely on providing company or care, listening, or religious activities that are consistent with patients' beliefs to help them achieve better physical, mental, social, and spiritual health and well-being. The results of the present study showed that 8 sessions of group spirituality therapy have a significant effect on the Cognitive emotion regulation in Muslim women with obsessive-compulsive disorder and can lead to the improvement of cognitive regulation of emotion in these patients. Group spirituality therapy can be used as a complementary treatment to improve the cognitive regulation of emotions in patients with obsessive-compulsive disorder.