Predicting the Intensity of Scrupulosity based on Image of God and Thought Control Strategies in Obsessive-Compulsive Patients

Document Type : Original Article (s)

Authors

1 Department of Clinical Psychology, School of Education and Psychology, Shiraz University, Shiraz, Iran

2 Associate Professor, Department of Clinical Psychology, School of Education and Psychology, Shiraz University, Shiraz, Iran

3 Assistant Professor, Department of Clinical Psychology, School of Education and Psychology, Shiraz University, Shiraz, Iran

4 Professor, Department of Clinical Psychology, School of Education and Psychology, Shiraz University, Shiraz, Iran

5 Psychiatrist, Department of Psychiatry, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: Scrupulosity is one of the mental disorders with a history richer than any other disorder. However, much of the published literature lacks a thorough clinical coverage of the issue. Based on previous studies, most patients with scrupulosity particularly follow dysfunctional thinking patterns related to moral and religious issues. The main goal of this study was to examine the role of God's image and thought control strategies in prediction of scrupulosity intensity in people with obsessive-compulsive disorder (OCD).Methods: Available sampling was used to select sixty patients with OCD (confirmed according to DSM-IV criteria and through clinical interviews) from the persons that referred to counseling centers, clinics and psychiatric clinics in Shiraz. In this correlational study, patients were tested via God Image Scale (GIS), Thought Control Strategies (TCS), Peen Inventory of Scrupulosity (PIOS) and Beck Depression Scale-II. Thus, the intensity of scrupulosity, as the criterion variable, was predicted by image of God and strategies of intrusive thought control. In addition, depression, education and marital status of patients were statistically controlled. The correlations between variables were analyzed using Pearson's correlation coefficient and hierarchical regression analysis in SPSS16.Findings: The mean age of subjects was 25.35 ± 6.91. While Bachelor's degree was the most prevalent educational level (53.33%), 23.3% of subjects had high school diploma, 15% had a master's degree and 8.4% had not even finished high school. The majority of subjects were single (65%). The results showed that the combination of acceptance (B: 0.58, P ≤ 0.001) and God's presence (B: -0/38, P ≤ 0.011) along with punishment strategy (B: 0.33, P ≤ 0.005) could predict 44% of the intensity of scrupulosity in people with OCD. Conclusion: This study provided psychologists and psychotherapists with an opportunity to that consider the type of image and attitudes patients have toward God. As we know, thinking of God as accepting increases the intensity of scrupulosity while considering him as present decreases the problem. In addition, with punishment strategy being identified as the only scrupulosity-related strategy, it needs to be replaced by healthier methods to inhibit and control the intrusive thoughts in patients.

Keywords

References

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Journal of Isfahan Medical School
Volume 29, Issue 166 - Serial Number 166
November and December 2012
Pages 2307-2318

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History

  • Receive Date: 30 July 2011
  • Revise Date: 19 April 2024
  • Accept Date: 06 April 2022

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