مقايسه اثر بخشي طرحواره درماني و درمان مبتني بر پذيرش و تعهد بر نشانگان وسواس فكري-عملي و احساس گناه در افراد مبتلا به اختلال وسواسي-جبري

Comparison of the Effectiveness of Schema Therapy and Treatment Based on Acceptance and Commitment on Obsessive-Compulsive Disorder and Guilt in People with Obsessive-Compulsive Disorder

هدف: هدف از اين مطالعه مقايسه اثربخشي طرحواره درماني و پذيرش و تعهد درماني بر نشانگان وسواس فكري_عملي و احساس گناه در بيماران مبتلا به اختلال وسواس_جبري بود. روش شناسي: روش پژوهش اين مطالعه از نوع نيمه آزمايشي با پيش آزمون-پس آزمون-پيگيري سه گروهي شده است. جامعه آماري پژوهش شامل كليه بيماران مبتلا به اختلال وسواسي_جبري در شهر دزفول در سال1397 بود. نمونه مورد مطالعه 45 بيمار مبتلا به اختلال وسواسي_جبري بود. نمونه به روش نمونه گيري هدفمند از جامعه آماري انتخاب شده است. آنها به طور تصادفي در يكي از سه گروه مبتني بر درمان پذيرش و تعهد ، طرحواره درماني و كنترل (15 نفر در هر گروه) قرار گرفتند. سه گروهي كه به اين ترتيب تشكيل شد مشابه هم بوده و اندازه‌گيري براي هر دو گروه آزمايش در يك زمان صورت گرفت. ابزار پژوهش مقياس نشانگان وسواس فكري-عملي پادوا (1980) و پرسشنامه احساس گناه كوگلر و جونز (1992) است. داده هاي پژوهش با استفاده از آزمون تحليل واريانس اندازه گيري مكرر تجزيه و تحليل شدند. يافته ها: نتايج تجزيه و تحليل داده ها نشان داد كه اثربخشي درمان پذيرش و تعهد در كاهش نشانگان وسواس فكري- عملي در بيماران مبتلا به وسواسي-جبري بيشتر است (p <0.05). نتيجه گيري: اثربخشي درمان مبتني بر پذيرش و تعهد بر احساس گناه بيش از طرحواره درماني بود (p <0.05).

Purpose: Treatment of obsessive-compulsive disorder is one of the most challenging clinical and mental health issues. Given the many costs involved, it may be necessary to review the research background to find the most beneficial treatment options. Therefore, the aim of this study was to compare the effectiveness of schema therapy and acceptance and commitment therapy on obsessive-compulsive disorder and guilt in obsessive-compulsive disorder patients. Methodology: The research method was quasi-experimental with pre-test and post-test design with control group and quarterly follow-up stage. The statistical population of the study consisted of all women with obsessive-compulsive disorder referred to Sina Psychiatric Center in Dezful in 2018, from which 45 people were selected by purposive sampling method and randomly in three An equal group of 15 people were replaced. Data were collected using the Obsessive-Compulsive Disorder Syndrome Questionnaire (Padua, 1980) and the Feelings of Guilt Questionnaire (Kugler and Jones, 1992). Subjects in both experimental groups underwent 8 sessions of 90 minutes of treatment once a week, but no control intervention was applied to the control group. Data analysis was performed using descriptive statistics and repeated measures analysis of variance with SPSS / 24 software. Findings: The results showed that there was a significant difference between schema therapy and treatment based on acceptance and commitment with the control group on obsessive-compulsive disorder and guilt in the post-test and follow-up stages (P <0.05). Also, Ben Foroni test showed that treatment based on acceptance and commitment was more effective on the variables of obsessive-compulsive disorder and guilt in the post-test and follow-up stages compared to schema therapy. Conclusion: These findings indicate the usefulness of acceptance and commitment treatment for obsessive-compulsive disorder and guilt in obsessive-compulsive patients. These findings, while helping to explain the etiology of obsessive-compulsive disorder, can be promising in planning preventive interventions, although more controlled studies are needed.