Investigation effectiveness of the integrated educational approach on obsessive-compulsive disorder 10.55131/jphd/2023/210318
Article Sidebar
Main Article Content
Abstract
Obsessive-Compulsive Disorder (OCD) is one of the most common and debilitating psychological disorders. This quasi-experimental study aimed to investigate the effect of three psychological interventions, including cognitive-behavioral therapy (CBT), existential therapy (ET), and transactional analysis (TA), which have been performed simultaneously on Obsessive-Compulsive Disorder (OCD) patients in Milad Hospital. In this study, 60 patients were randomly assigned to experimental and control groups. The measures used included the Yale-Brown Obsessive-Compulsive Scale. The intervention program of cognitive-behavioral therapy, existentialism, and interaction behavior analysis consisted of eight 60-minute sessions performed only on the experimental group. The results of covariance analysis showed that the combined program of CBT, ET, and TA is effective in the obsessive-compulsive beliefs of patients with OCD (P <0.01). According to the results of the present study on the effectiveness of the intervention program, training can be combined with CBT, ET, and TA as suitable option in designing psychological treatment plans for patients with OCD.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Abolghasemi A, Bagheri Sheykhangafshe F, Hosseinzadeh Kalsari B, Yousefi Siakouche A. Prediction Obsessive-Compulsive Symptoms Based on Anxiety Sensitivity and Social Problem Solving. Rooyesh. 2020;9(3):109-16.
Mohyadini H, Bakhtiarpoor S, Pasha r, Ehteshamzadeh P. Comparison the Effectiveness of Cognitive Behavioral Group Therapy” and Drug Therapy (Fluoxetine) on Symptoms of Obsessive-Compulsive Disorder. jhpmir. 2021;10(1):23-33.
Torres AR, Cruz BL, Vicentini HC, Lima MC, Ramos-Cerqueira AT. Obsessive-Compulsive Symptoms in Medical Students: Prevalence, Severity, and Correlates. Acad Psychiatry. 2016;40(1):46-54.
Espay AJ, Aybek S, Carson A, Edwards MJ, Goldstein LH, Hallett M, et al. Current Concepts in Diagnosis and Treatment of Functional Neurological Disorders. JAMA Neurol. 2018; 75(9):1132-41. doi: 10.1001/ jamaneurol.2018.1264
Rozenman M, Piacentini J, O'Neill J, Bergman RL, Chang S, Peris TS. Improvement in anxiety and depression symptoms following cognitive behavior therapy for pediatric obsessive compulsive disorder. Psychiatry Res. 2019;276:115-23.
Seah R, Fassnacht D and Kyrios M. Attachment anxiety and self-ambivalence as vulnerabilities toward Obsessive Compulsive Disorder. J Obsessive Compuls Relat Disord. 2018;18: 40-6.
Sadok BJaZ, Virginia. Summary of Kaplan and Zadok Psychiatry based on DSM-5. Tehran:Savalan Publishing, 2014.
Drubach DA. Obsessive-compulsive disorder. Continuum (Minneap Minn). 2015;21:783-8.
Williams MT, Mugno B, Franklin M, Faber S. Symptom dimensions in obsessive-compulsive disorder: phenomenology and treatment outcomes with exposure and ritual prevention. Psychopathology. 2013; 46(6):365-76. doi: 10.1159/000348582.
Cervin M, Perrin S. Incompleteness and Disgust Predict Treatment Outcome in Pediatric Obsessive-Compulsive Disorder. Behav Ther. 2021;52(1):53-63. doi: 10.1016/j.beth.2020.01.007.
Ameri N, Najafi M. Prediction of obsession and compulsion symptoms based on anxiety sensitivity, psychological distress and psychological flexibility in students. Rooyesh. 2021;9:85-96.
Arnold PD, Askland KD, Barlassina C, et al. Revealing the complex genetic architecture of obsessive-compulsive disorder using meta-analysis. Mol Psychiatry. 2018; 23: 1181-.
Jaisoorya TS, Janardhan Reddy YC, Nair BS, Rani A, Menon PG, Revamma M, et al. Prevalence and correlates of obsessive-compulsive disorder and subthreshold obsessive-compulsive disorder among college students in Kerala, India. Indian J Psychiatry. 2017;59(1):56-62. doi: 10.4103/0019-5545.204438.
McKay D, Sookman D, Neziroglu F, Wilhelm S, Stein DJ, Kyrios M, et al. Efficacy of cognitive-behavioral therapy for obsessive-compulsive disorder. Psychiatry Res. 2015;225(3): 236-46. doi: 10.1016/j.psychres. 2014.11.058.
Strayhorn J, Jr. Editorial: Cognitive-Behavioral Therapy Versus Serotonin Reuptake Inhibitors for Pediatric Obsessive-Compulsive Disorder. J Am Acad Child Adolesc Psychiatry. 2020;59(2):219-21. doi: 10.1016/ j.jaac.2019.03.015.
Hayes-Skelton SA, Lee CS. Changes in Decentering Across Cognitive Behavioral Group Therapy for Social Anxiety Disorder. Behav Ther. 2018; 49(5):809-22. doi: 10.1016/j.beth. 2018.01.005.
Wheaton MG, Gallina ER. Using Cognitive-Behavioral Therapy to Treat Obsessive-Compulsive Disorder With Co-Occurring Depression. J Cogn Psychother. 2019;33(3):228-41. doi: 10.1891/0889-8391.33.3.228.
Asadi J, Aghaei M. Comparison the effectiveness of Cognitive-Behavioral therapy and Cognitive-Behavioral Hypnotherapy on Resiliency and sleep quality of women with Fibromyalgia syndrome. RRJ. 2021;10:21-34.
Charmchi N, Asgari P, Hafezi F, Makvandi B, BakhtiarPour S. The effect of “cognitive behavior therapy” in method group on anxiety and psychological resilience of menopausal women. Int J Workplace Health Manag. 2016;5:15-22.
Eidelman P, Talbot L, Ivers H, Bélanger L, Morin CM, Harvey AG. Change in Dysfunctional Beliefs About Sleep in Behavior Therapy, Cognitive Therapy, and Cognitive-Behavioral Therapy for Insomnia. Behav Ther. 2016;47(1):102-15. doi: 10.1016/ j.beth.2015.10.002.
Hirschtritt ME, Bloch MH, Mathews CA. Obsessive-Compulsive Disorder: Advances in Diagnosis and Treatment. JAMA. 2017;317(13):1358-67. doi: 10.1001/jama.2017.2200.
Amanzad Z, Hoseinian S. The Effect of Group Counselling Base on Existential Approach on Life Attitude and Spiritual well being of Patients with type 2 Diabetes. Journal of Woman and Family Studies. 2018;6:49-67.
Prochaska JaN, John. Theories of psychotherapy. Tehran Roshd, 2011.
Watter DN. Existential Issues in Sexual Medicine: The Relation Between Death Anxiety and Hypersexuality. Sex Med Rev. 2018;6(1):3-10. doi: 10.1016/ j.sxmr.2017.10.004.
Lind AB, Delmar C, Nielsen K. Searching for existential security: a prospective qualitative study on the influence of mindfulness therapy on experienced stress and coping strategies among patients with somatoform disorders. J Psychosom Res. 2014; 77(6):516-21. doi: 10.1016/ j.jpsychores.2014.07.015.
Bahmani B, Motamed Najjar M, Sayyah M, Shafi-Abadi A, Haddad Kashani H. The Effectiveness of Cognitive-Existential Group Therapy on Increasing Hope and Decreasing Depression in Women-Treated With Haemodialysis. Glob J Health Sci. 2015;8(6):219-25. doi: 10.5539/ gjhs.v8n6p219.
Joensuu M, Ahola P, Knekt P, Lindfors O, Saarinen P, Tolmunen T, et al. Baseline symptom severity predicts serotonin transporter change during psychotherapy in patients with major depression. Psychiatry Clin Neurosci. 2016;70(1):34-41. doi: 10.1111/pcn.12335.
Yang W, Staps T, Hijmans E. Existential crisis and the awareness of dying: the role of meaning and spirituality. Omega (Westport). 2010; 61(1):53-69. doi: 10.2190/OM.61.1.c.
Oraki M, Mehdizadeh, A, Dortaj A. Comparison of the effectiveness of cognitive-behavioral therapy focused on emotion regulation and acceptance and commitment-based therapy to reduce the symptoms of low back pain, depression and increase life satisfaction in women with chronic low back pain was associated with major depressive disorder. Health Psychology. 2018;7:25-43.
Rahmati S, Hooshmandi, Rudabeh, Mousavi Anzahi, Arezoo Sadat, Dehaqin, Vahideh. The Effectiveness of Group Behavior Analysis of Mutual Behavior Analysis on Distress and Social Problem Solving of Delinquent Adolescents. Social Psychology Research. 2020;10:45-64.
Kim M-S, Bang G, Ko I-J. The agent communication simulation based on the ego state model of transactional analysis. Advances in Computer Science and Ubiquitous Computing. Springe; 2016. p.360-5.
Parvin SR, Ahmed KE, Hossain M. Psychotherapy services based on transactional analysis played an important role in the case of depression. Curr Womens Health Rev. 2019;2:1-5.
Falligant JM, Hagopian LP. Further extensions of precision medicine to behavior analysis: A demonstration using functional communication training. J Appl Behav Anal. 2020;53(4):1961-81. doi: 10.1002/ jaba.739.
Torkaman M, Farokhzadian J, Miri S, Pouraboli B. The effect of transactional analysis on the self-esteem of imprisoned women: a clinical trial. BMC Psychol. 2020;8(1):3. doi: 10.1186/s40359-019-0369-x.
Sundah A. The effectiveness of Transactional Analysis counseling to increase self esteem. International Journal of Scientific Research and Management. 2018;6:266-73.
Maximo SI. A Scoping Review of Ethical Considerations in Spiritual/ Religious Counseling and Psychotherapy. J Pastoral Care Counsel. 2019;73(2):124-33. doi: 10.1177/1542305019848656.
Wootton BM, Diefenbach G. Internet-Delivered Cognitive Behaviour Therapy (iCBT) for Obsessive–Compulsive Disorder. Clin Psychol (Aust Psychol Soc). 2015;1:47-52.
Cao R, Yang X, Luo J, Wang P, Meng F, Xia M, et al. The effects of cognitive behavioral therapy on the whole brain structural connectome in unmedicated patients with obsessive-compulsive disorder. Prog Neuropsychopharmacol Biol Psychiatry. 2021;104:110037. doi: 10.1016/j.pnpbp.2020.110037.
Javadi M, Mirzaee F, Ahmadinejad B, Aslani H, Bahramian F and Sherafati M. The effects of educational intervention on improving the lifestyle of osteoarthritis patients undergoing total knee arthroplasty.
Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, et al. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry. 1989;46(11):1006-11. doi: 10.1001/ archpsyc.1989.01810110048007.
Bürgy M. Phenomenology of Obsessive-Compulsive Disorder: A Methodologically Structured Overview. Psychopathology. 2019; 52(3):174-83. doi: 10.1159/000501165.
Yang X-Y, Luo J, Liu J, Ma Y, Guo Z-h, Yang X-j, et al. Effects of cognitive behavioral therapy on white matter fibers of patients with obsessive-compulsive disorder as assessed by diffusion tensor imaging: study protocol for a parallel group, controlled trial. Asia Pacific Clinical and Translational Nervous System Diseases. 2016;1.
López-Pina JA, Sánchez-Meca J, López-López JA, Marín-Martínez F, Núñez-Núñez RM, Rosa-Alcázar AI, et al. The Yale-Brown Obsessive Compulsive Scale: A Reliability Generalization Meta-Analysis. Assessment. 2015;22(5):619-28. doi: 10.1177/1073191114551954.
Shameli L, Mehrabizadeh Honarmand M, Naa’mi A, Davodi I. EFT in emotion regulation styles and severity of Obsessive-Compulsive symptoms in women with OCD. Iranian Journal of Psychiatry and Clinical Psychology. 2019;24:456-69.
Esfahani SR, Motaghipour Y, Kamkari K, Zahiredin A , Janbozorgi M. Reliability and Validity of the Persian version of the Yale-Brown Obsessive-Compulsive scale (Y-BOCS). Iranian Journal of Psychiatry & Clinical Psychology. 2012; 17.
Whybird G, Nott Z, Savage E, Korman N, Suetani S, Hielscher E, et al. Promoting quality of life and recovery in adults with mental health issues using exercise and nutrition intervention. International Journal of Mental Health. 2022;51(4):424-47. doi: https://doi.org/ 10.1080/00207411.2020.1854023
Garzonis K, Mann E, Wyrzykowska A, Kanellakis P. Improving Patient Outcomes: Effectively Training Healthcare Staff in Psychological Practice Skills: A Mixed Systematic Literature Review. Eur J Psychol. 2015;11(3):535-56. doi: 10.5964/ejop. v11i3.923.
Lee YJ, Koo BH, Seo WS, Kim HG, Kim JY, Cheon EJ. Repetitive transcranial magnetic stimulation of the supplementary motor area in treatment-resistant obsessive-compulsive disorder: An open-label pilot study. J Clin Neurosci. 2017;44:264-8. doi: 10.1016/j.jocn.2017.06.057.
Nakao T, Okada K, Kanba S. Neurobiological model of obsessive-compulsive disorder: evidence from recent neuropsychological and neuroimaging findings. Psychiatry Clin Neurosci. 2014;68(8):587-605. doi: 10.1111/pcn.12195.
Skapinakis P, Caldwell DM, Hollingworth W, Bryden P, Fineberg NA, Salkovskis P, et al. Pharmacological and psychotherapeutic interventions for management of obsessive-compulsive disorder in adults: a systematic review and network meta-analysis. Lancet Psychiatry. 2016;3(8):730-9.