The Effect of Behavioral-Emotional Spiritual Therapy on Obsessive-Compulsive Symptoms, Obsessive Beliefs and Fusion of Thought and Action
| Autor: | Mohammad Farhoush, Mahmoud Najafi |
|---|---|
| Jazyk: | perština |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | پژوهشنامه روانشناسی مثبت, Vol 9, Iss 2, Pp 21-42 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2476-4248 2476-3705 |
| DOI: | 10.22108/ppls.2023.136323.2392 |
| Popis: | Obsessive Compulsive Disorder (OCD) is a common and exhausting disease. The present study aimed to investigate the effect of integrated behavioral-emotional spiritual therapy on obsessive-compulsive disorder, obsessive beliefs, and fusion of thought and action in patients with obsessive-compulsive disorder. The study used a controlled trial with pre-test, post-test, and two-month follow-up design. In this study, 40 people suffering from OCD participated and were divided into two groups experimental and control. The experimental group received emotional-spiritual behavioral therapy in 15 ninety-minute sessions, and the control group did not receive any intervention. The data collection tools included a semi-structured interview based on DSM5 (SCID-I), the Obsessive-Compulsive Questionnaire, the Obsessive Beliefs Questionnaire, and the Questionnaire on the Fusion of Thought and Action. The participants answered to the scales at the beginning and end of the treatment and two months after the treatment. The data were analyzed using the analysis of the covariance test. The findings of the research showed that emotional-spiritual behavioral therapy significantly reduced obsessive-compulsive disorder, and obsessive beliefs including extreme responsibility, perfectionism, control of thoughts, and fusion of thought and action. According to the findings of the research, emotional-spiritual behavioral therapy was effective in reducing obsessive-compulsive disorder, obsessive beliefs, and fusion and action.IntroductionObsessive Compulsive Disorder is characterized by obsessive thoughts or compulsive behaviors or both. Obsessions include recurrent and persistent thoughts, desires, or perceptions that are experienced in an intrusive and obnoxious manner. Compulsions are experienced in two ways of overt behaviors and hidden behaviors. Overt compulsions are like frequent hand washing, extreme order, and checking, hidden compulsions are repetitive mental activities such as counting and slowly repeating words (Najafi et al., 2022). Obsessive beliefs and fusion of thought and action are factors that perpetuate obsessive-compulsive disorder. Obsessive beliefs and fusion of thought and action are factors that perpetuate OCD. Cognitive-behavioral therapy and exposure and response prevention therapy are among the most important treatments for OCD. However, each of these treatments has shortcomings. Nowadays, therapists are looking to combine the effective components of different treatments and increase their efficiency to solve shortcomings. Paying attention to different and numerous variables in the explanation of OCD leads to a deeper and more comprehensive look at the dimensions of OCD and as a result, more efficient treatment formulation (Fisher et al., 2020). The past research has shown a positive relationship between religiosity and mental health (Borghei et al., 2020). Today, a wide range of therapists believe that to increase the effectiveness of psychotherapy for religious people, positive religious and spiritual attitudes and feelings should be combined with psychotherapy (Fox et al., 2020). Therefore, the question of this research was: What is the effectiveness of behavioral-emotional-spiritual therapy in reducing OCD symptoms, obsessive beliefs, and fusion of thought and action in obsessive-compulsive patients? MethodThe design of the present study was a randomized controlled trial with pre-test-post-test and follow-up. The statistical population included all people suffering from OCD in the city of Qom. The sample consisted of 40 people who were selected and randomly and equally placed in two experimental and control groups based on the variables of age, marital status, education, and history of OCD.The participants in the experimental group received the spiritual-emotional behavioral protocol in the form of 15 group therapy sessions, and the control group remained in the waiting line and received obsessive-compulsive therapy due to ethical issues after the research. The behavioral emotional-spiritual protocol for the treatment of OCD includes 15 sessions: establishing a therapeutic relationship and explaining the logic of the treatment, secondary positive spiritual evaluation of negative thoughts, accepting doubts, self-soothing, reducing the fusion of thought and action, exposure and response prevention, Acceptance of doubt and behavior management, mindfulness skills mixed with spirituality, removing barriers to exposure and response prevention therapy, increasing quality of life and modifying lifestyle.All participants completed the research questionnaires. Analysis of variance, multivariate analysis of covariance (MANCOVA), and univariate analysis of covariance were used to analyze the data with SPSS-24 software. ResultsThe assumptions of the analysis of the covariance test were checked. Multivariate covariance analysis was performed and the results in the post-test were in the Pillai's Trace (F(5,26)=0.661, p |
| Databáze: | Directory of Open Access Journals |
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