The Effectiveness of Emotion-Focused Therapy and Dialectical Behavior Therapy on Reducing Obsessive-Compulsive Symptoms in Women with Obsessive-Compulsive Disorder

Document Type : Original Article (s)

Authors

1 PhD Student, Department of Psychology, School of Humanities, Khomein Branch, Islamic Azad University, Khomein, Iran

2 Assistant Professor, Department of Psychology, School of Psychology and Educational Sciences, Payame Noor University, Tehran, Iran

3 Associate Professor, Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

4 Associate Professor, Department of Counseling, School of Humanities, Khomein Branch, Islamic Azad University, Khomein, Iran

5 Assistant Professor, Department of Clinical Psychology, School of Humanities, Ashtian Branch, Islamic Azad University , Ashtian Iran

Abstract

Background: The aim of this study was to investigate the effectiveness of emotion-focused therapy (EFT) and dialectical behavior therapy (DBT) on reducing obsessive-compulsive symptoms in patients with obsessive-compulsive disorder (OCD).Methods: In order to select the participants of the study, 30 patients with OCD were selected from the patients referred to the clinics and counseling centers of Isfahan City, Iran, in 2018, using purposive sampling method. They were divided into three groups of EFT (10 people), DBT (10 people), and control (10 people). EFT and DBT were performed during eight weekly sessions, and the control group did not receive any special treatment during this period of time. Yale-brown obsessive-compulsive scale was completed in three stages of pretest, posttest, and follow up. To analyze the data, the method of analysis of variance with repeated measurements was used.Findings: The efficacy of EFT and DBT on reducing obsessive-compulsive symptoms of patients was significant in posttest scores (P < 0.050).Conclusion: The findings of this study have potentially significant implications for practitioners and therapists to pay attention to the effectiveness of EFT and DBT on the reduction of obsessive-compulsive symptoms in women with OCD.

Keywords

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, DC: American Psychiatric Publishing, Inc; 2013.
  2. Narimani M, Maleki Pirbazari M, Mikaeili N, Abolghasemi A. Appraisal of effectiveness and comparison of exposure and response prevention therapy and Acceptance and Commitment Therapy (ACT) -Based training on improving of obsessive and compulsive disorder patients' components of life quality. Journal of Clinical Psychology 2016; 8(1): 25-36. [In Persian].
  3. Whitbourne SK, Halgin R. Abnormal psychology: Clinical perspectives on psychological disorders with DSM-5 update. New York, NY: McGraw-Hill Education; 2013.
  4. Davison J,Neale J, Kring NM. Abnormal psychology based on DSM5. 12th ed. Trans. Dehestani M. Tehran, Iran: Ravan Publications; 2014. [In Persian].
  5. Ganji M. Abnormal psychology based on DSM-5. 4th ed. Tehran, Iran: Savalan Publications; 2014. [In Persian].
  6. Sheikhmoonesi F, Hajheidari Z, Mohammadpour M, Masoudzadeh A, Mozaffari M. The prevalence and severity of obsessive-compulsive disorder and its relationship with dermatological lesion in Iranian dermatological clinic. Eur Psychiatry 2013; 28: 1.
  7. Summerfeldt LJ, Kloosterman PH, Antony MM, McCabe RE, Parker JDA. Emotional intelligence in social phobia and other anxiety disorders. J Psychopathol Behav Assess 2011; 33(1): 69-78.
  8. Hofmann SG, Carpenter JK, Curtiss J. Interpersonal Emotion Regulation Questionnaire (IERQ): Scale development and psychometric characteristics. Cognit Ther Res 2016; 40(3): 341-56.
  9. almardani someeh s, Narimani M, Mikaeeli N, Basharpoor S. The comparison of intolerance of uncertainty, emotion regulation in obsessive-compulsive disorder patients and normal individuals. Journal of Psychological Studies 2017; 13(2): 77-94. [In Persian].
  10. Shameli L. The effect of emotional focused therapy on emotional self-regulation, experiential avoidance and obsessive-compulsive symptoms in women with obsessive-compulsive disorder in Ahvaz [PhD Thesis]. Ahvaz, Iran: Iran: School of Literature and Human Sciences, Shahid Chamran University of Ahvaz; 2015. [In Persian].
  11. Eftekharzade R, Hosseinian S, Shams J, Yazdi Sm. The effectiveness of psycho education on expressed emotion and decreasing severity of diseases in patient with obsessive compulsive disorder. Journal of Psychological Studies 2016; 12(2): 67-84. [In Persian].
  12. Plate AJ, Aldao A. Emotion regulation in cognitive-behavioral therapy: bridging the gap between treatment studies and laboratory experiments. In: Hofmann SG, Asmundson GJG, editors. The science of cognitive behavioral therapy. San Diego, CA: Academic Press; 2017. p. 107-27.
  13. Allen LB, Barlow DH. Relationship of exposure to clinically irrelevant emotion cues and obsessive-compulsive symptoms. Behav Modif 2009; 33(6): 743-62.
  14. Barghi Irani Z, Bagian Kolemarz MJ, Foladvand S. The study of the efficacy of "focused on emotion therapy" group training on quality of life improvement and marital satisfaction of mothers of children with cancer. Journal of Health Psychology 2014; 2(6): 79-94. [In Persian].
  15. Greenberg LS. Emotion-focused therapy of depression. Person-Centered & Experiential Psychotherapies 2017; 16(2): 106-17.
  16. Kang JI, Namkoong K, Yoo SW, Jhung K, Kim SJ. Abnormalities of emotional awareness and perception in patients with obsessive-compulsive disorder. J Affect Disord 2012; 141(2-3): 286-93.
  17. Stern MR, Nota JA, Heimberg RG, Holaway RM, Coles ME. An initial examination of emotion regulation and obsessive compulsive symptoms. J Obsessive Compuls Relat Disord 2014; 3(2): 109-14.
  18. Salehi A, Baghban I, Bahrami F, Ahmadi S. The effect of emotion regulation training based on dialectical behavior therapy and gross process model on symptoms of emotional problems. Zahedan J Res Med Sci 2012; 14(2): 49-55. [In Persian].
  19. Alizadeh A, Alizadeh E, Mohammadi A. Effectiveness of individual dialectical behavior therapy skills training on major depression. Iranian Journal of Psychiatric Nursing 2013; 1(2): 62-9. [In Persian].
  20. Carmel A, Comtois KA, Harned MS, Holler R, McFarr L. Contingencies create capabilities: adjunctive treatments in dialectical behavior therapy that reinforce behavior change. Cogn Behav Pract 2016; 23(1): 110-20.
  21. Marra T. The dialectical behavior therapy workbook for overcoming depression and anxiety. 12th ed. Trans. Karbalaei Mohammad Meigouni A, Baghani T. Tehran, Iran: Arjmand Publications; 2016. [In Persian].
  22. Mohseni A, Yazdkhasti F. The efficacy of dialectical behavior therapy in reducing attentional bias and rumination in patients with OCD- Isfahan. Community Health Journal 2018; 11(2): 48-57.
  23. Amani M, Abolghasemi A, Ahadi B, Narimani M. The prevalence of obsessive-compulsive disorder among the women 20 to 40 years old of Ardabil city, Western part of Iran. J Fundam Ment Health 2013; 15(59): 233-42. [In Persian].
  24. Mousavi Madani N, Atashpour H, Molavi H. The influence of mindfulness group training on the rate of obsessive-compulsive disorder symptoms. Journal of Social Psychology (New Findings In Psychology) 2010; 5(15): 57-72. [In Persian].
  25. Izadi R, Abedi M R. Alleviation of obsessive symptoms in treatment-resistant obsessive-compulsive disorder using acceptance and commitment-based therapy. Feyz 2013; 17(3): 275-86. [In Persian].
  26. Touraj H, Ommolbanin B, Majid M, Naimeh MA. effectiveness of treatment based on emotional processing on the improvement of patients with compulsive washing: A case study. Research in Clinical Psychology and Counseling 2015; 4(2): 69-81. [In Persian].
  27. Greenberg LS. Emotion-focused therapy: A clinical synthesis. Focus (Am Psychiatr Publ) 2010; 8(1): 32-42.
  28. Pos AE, Greenberg LS. Emotion-focused therapy: The transforming power of affect. J Contemp Psychother 2007; 37(1): 25-31.
  29. Feldman G, Harley R, Kerrigan M, Jacobo M, Fava M. Change in emotional processing during a dialectical behavior therapy-based skills group for major depressive disorder. Behav Res Ther 2009; 47(4): 316-21.
  30. Dimeff LA, Linehan MM. Dialectical behavior therapy for substance abusers. Addict Sci Clin Pract 2008; 4(2): 39-47.
  31. Bornovalova MA, Daughters SB. How does dialectical behavior therapy facilitate treatment retention among individuals with comorbid borderline personality disorder and substance use disorders? Clin Psychol Rev 2007; 27(8): 923-43.
Journal of Isfahan Medical School
Volume 37, Issue 517 - Serial Number 517
January and February 2019
Pages 145-153

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History

  • Receive Date: 02 March 2019
  • Revise Date: 20 April 2024
  • Accept Date: 06 April 2022

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