مقایسه‌ی اثربخشی درمان متمرکز بر هیجان و رفتار درمانی دیالکتیک بر کاهش علایم وسواس بیماران زن مبتلا به اختلال وسواس فکری- عملی

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روان‌شناسی، دانشکده‌ی علوم انسانی، واحد خمین، دانشگاه آزاد اسلامی، خمین، ایران

2 استادیار، گروه روان‌شناسی، دانشکده‌ی روان‌شناسی و علوم تربیتی، دانشگاه پیام نور، تهران، ایران

3 دانشیار، گروه روان‌پزشکی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 دانشیار، گروه مشاوره، دانشکده‌ی علوم انسانی، واحد خمین، دانشگاه آزاد اسلامی، خمین، ایران

5 استادیار، گروه روان‌شناسی بالینی، دانشکده‌ی علوم انسانی، واحد آشتیان، دانشگاه آزاد اسلامی، آشتیان، ایران

چکیده

مقدمه: هدف از انجام پژوهش حاضر، مقایسه‌ی اثربخشی روش‌های درمان متمرکز بر هیجان (Emotion-Focused Therapy یا EFT) و رفتار درمانی دیالکتیک (Dialectical behavior therapy یا DBT) بر کاهش علایم وسواس بیماران زن مبتلا به اختلال وسواس فکری- عملی (Obsessive-compulsive disorder یا OCD) بود.روش‌ها: به منظور انتخاب شرکت‌کنندگان، از بین افرادی که در سال 1397 به کلینیک‌ها و مراکز مشاوره‌ی شهر اصفهان مراجعه کرده بودند، 30 بیمار مبتلا به OCD با روش نمونه‌گیری هدفمند انتخاب شدند و در سه گروه EFT (10 نفر)، DBT (10 نفر) و شاهد (10 نفر) قرار گرفتند. درمان‌های مداخله‌ای هر کدام طی 8 جلسه‌ی هفتگی انجام شد و گروه شاهد درمان خاصی را طی این دوره‌ی زمانی دریافت نکرد. برای سنجش شدت علایم وسواس، پرسش‌نامه‌ی استاندارد شدت نشانه‌های وسواس Yale-brown (Yale-Brown Obsessive Compulsive Scale یا Y-BOCS) در سه مرحله‌ی پیش‌آزمون، پس‌آزمون و پیگیری تکمیل گردید. داده‌ها با استفاده از آزمون Repeated measures ANOVA مورد تجزیه و تحلیل قرار گرفت.یافته‌ها: اثربخشی روش‌های EFT و DBT بر کاهش علایم وسواس بیماران در نمرات پس‌آزمون معنی‌دار بود (050/0 > P).نتیجه‌گیری: نتایج به دست آمده، به طور بالقوه اثرات کاربردی مهمی برای متخصصان و درمانگران جهت توجه به اثربخشی روش‌های EFT و DBT بر کاهش علایم وسواس بیماران زن مبتلا به OCD دارد.

کلیدواژه‌ها

عنوان مقاله [English]

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

نویسندگان [English]

  • Behnaz Khayeri 1
  • Reza Mirmahdi 2
  • Shahla Akouchekian 3
  • Hasan Heydari 4
  • Seyed Ali Aleyasin 5
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
چکیده [English]

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.

کلیدواژه‌ها [English]

  • Emotion-focused therapy
  • Dialectical Behavior Therapy
  • Obsessive-compulsive disorder

مراجع

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مجله دانشکده پزشکی اصفهان
دوره 37، شماره 517 - شماره پیاپی 517
فروردین و اردیبهشت 1398
صفحه 145-153

فایل ها

سابقه مقاله

  • تاریخ دریافت: 11 اسفند 1397
  • تاریخ بازنگری: 07 اردیبهشت 1403
  • تاریخ پذیرش: 17 فروردین 1401

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