Comparing the Effectiveness of Acceptance and Commitment-based Therapy and Intensive Short-term Dynamic Psychotherapy on Ego strength in women with Obsessive Compulsive Disorder

Subject Areas : general Psychology

Maryam Ezzatpoor ¹ ( Department of Psychology, Borujerd Branch, Islamic Azad University, Borujerd, Iran )
Zahra Tanha ² ( Assistant Professor, Department of Psychology, Khorram Abad Branch, Islamic Azad University, Khorram Abad, Iran, tell: 09013642238 [e-mail] )
Koorosh Amraei ³ ( Associate Professor of Psychology Department, Faculty of Literature and Humanities, University of Lorestan, Khorram Abad, Iran. [e-mail] )
Koorosh Goodarzi ⁴ ( Assistant Professor, Department of Psychology, Borujerd Branch, Islamic Azad University, Borujerd, Iran [e-mail] )

Received: 2024-02-25 Accepted : 2024-04-14 Published : 2024-05-21

Keywords: ACT, Dynamic Psychotherapy , Ego Strength, Obsessive Compulsive Disorder,

Abstract :

Abstract Introduction: My strength, a set of my actions is considered as one of the basic structures of personality. The normal process of transformation requires my ability to face the demands and conflicts of the institution, order, fTherefore, this research aims to compare the effectiveness of treatment based on acceptance and commitment and intensive short-term dynamic psychotherapy. On the strength of me in women suffering from obsessive-compulsive disorder-practice was done. Research Method: This research was a semi-experimental type with a pre-test, post-test and follow-up plan with a control group. The statistical population of the research included all the patients referred to the consultation centers of Mehr Neuropsychiatric Hospital, Imam Reza and Khorramabad Health Center in the second half of 1401-1402, of which 42 were participants in three short-term dynamic psychotherapy groups (14 people ), the treatment based on acceptance and commitment (13 people) and the control group (15 people) were selected by available sampling and placed in the experimental and control groups and according to the psychological strength questionnaire of Clough et al. (2002) in 3 They responded and the treatment group based on acceptance and commitment during 8 sessions based on the treatment protocol according to Hayes et al. and the control group did not receive training, and the obtained data were analyzed by variance analysis with repeated measurements. Findings: The results showed that the average difference of my strength components in the pre-test-post-test and pre-test-follow-up stages is statistically significant, but the average difference of those scores in the post-test-follow-up stages is not significant. Conclusion: According to the findings, treatment based on acceptance and commitment has increased the average of those components more compared to short-term dynamic psychotherapy. Based on this, it was concluded that the treatment based on acceptance and commitment is a more effective method to increase my strength in patients with obsessive-compulsive disorder compared to short-term dynamic psychotherapy

References:

Soluk Özdemir Y, Paker N, Şişmanoğlu Ataç N, Buğdaycı D, Öneş K. COVID-19-related anxiety and obsession levels in stroke patients and family caregivers and their effects on caregiver burden. Neuropsychiatr. 2024;38(1):24-31. English. doi: 10.1007/s40211-024-00490-7. Epub 2024 Feb 5. PMID: 38315321.
Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727–33. https://doi.org/10.1056/NEJMoa2001017.
Wang C, Pan R, Wan X, et al. A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain Behav Immun. 2020;87:40–8. https://doi.org/10.1016/j.bbi.2020.04.028.
Caycho-Rodríguez T, Rivera-Calcina R, Vilca LW, Carbajal-León C, Valencia PD, Yupanqui-Lorenzo DE, Arias Gallegos WL, Reyes-Bossio M, Oré-Kovacs N, Rojas-Jara C, Gallegos M, Polanco-Carrasco R, Cervigni M, Martino P, Lobos-Rivera ME, Moreta-Herrera R, Palacios Segura DA, Samaniego-Pinho A, Figares AB, Lee SA. Assessment of Obsessive Thoughts About COVID-19 in 7 Latin American Countries: Structure and Measurement Invariance of the Obsession With COVID-19 Scale. OMEGA - Journal of Death and Dying. 2023; 10(1): 97-117. https://doi.org/10.1177/00302228231210148
Boer D, Hanke K, He J. On detecting systematic measurement error in cross-cultural research: A review and critical reflection on equivalence and invariance tests. Journal of Cross-Cultural Psychology. 2018; 49(5): 713–734. https://doi.org/10.1177/0022022117749042
Aaycho-Rodríguez T, Tomás JM, Vilca LW, Carbajal-León C, Cervigni M, Gallegos M, Martino P, Barés I, Calandra M, Anacona CAR, López-Calle C, Moreta-Herrera R, Chacón-Andrade ER, Lobos-Rivera ME, Del Carpio P, Quintero Y, Robles E, Lombardo MP, Recalde OG, Videla CB. Socio-demographic variables, fear of COVID-19, anxiety, and depression: Prevalence, relationships and explanatory model in the general population of seven Latin American countries. Frontiers in Psychology. 2021; 12 (7): 695-989. https://doi.org/10.3389/fpsyg.2021.695989
Abrams M, Chronos A, Milisavljevic Grdinic M. Childhood abuse and sadomasochism: New insights. Sexologies. 2022; 31(3): 240- 259. https://doi.org/10.1016/j.sexol.2021.10.004.
Berger P, Berner W, Bolterauer J, Gutierrez K, Berger K. Sadistic personality disorder in sex offenders: Relationship to antisocial personality disorder and sexual sadism. Journal of Personality Disorders. 1999; 13(2): 175–186. https://doi.org/10.1521/pedi.1999.13.2.175.
Blasco-Belled A, Rogoza R, Alsinet C. Vulnerable narcissism is related to the fear of being laughed at and to the joy of laughing at others. Personality and Individual Differences. 2022; 190:111536. https://doi.org/ 10.1016/j.paid.2022. 111536.
Bougar MR, Nourimoghadam S, Soroushvala A, Khodarahimi S, Abdi M, Sadeghi M, Mazraeh N. The effects of attachment style and object relations on aggression in individuals with spousal violence: The mediating role of dark tetrad personality traits. Current Psychology. 2023; 1(4): 25-31. https://doi.org/10.1007/s12144-023-04912-7.
Bradbury-Jones C, Isham L. The pandemic paradox: The consequences of COVID-19 on domestic violence. Journal of Clinical Nursing. 2020; 29(13–14): 2047–2049. https://doi.org/10.1111/jocn.15296.
Buckels EE. Multifaceted assessment of sadistic tendencies. In P. K. Jonason (Ed.), Shining light on the dark side of personality: Measurement properties and theoretical advances. 2023: 194–204.
Cazala F, Sajous-Turner A, Caldwell MF, Van Rybroek GJ, Kiehl KA, Harenski CL. Childhood trauma predicts sadistic traits and violent behavior in incarcerated youth. Child Psychiatry and Human Development. Advance online publication; 2023.
Chen S, Cheng Y, Zhao W, Zhang Y. Psychological pain in depressive disorder: A concept analysis. Journal of Clinical Nursing. 2023; 32(13–14): 4128–4143. https://doi.org/10.1111/jocn.16543.
Chester DS, DeWall CN, Enjaian B. Sadism and aggressive behavior: Inflicting pain to feel pleasure. Personality and Social Psychology Bulletin. 2019; 45(8): 1252–1268. https://doi.org/10.1177/0146167218816327.
Einy S, Narimani M, Sadeghi-Movahhed F. Comparing the effectiveness of mentalization-based therapy and cognitive-analytic therapy on ego strength and defense mechanisms in people with Borderline personality disorder. Internal Medicine Today. 2019; 25(4): 324–339. http://imtj.gmu.ac.ir/article-1-3183-en.html.
Farmani A, Bougar MR, Khodarahimi S, Farahmand H. The incidence of psychosocial disturbances during the coronavirus disease-19 pandemic in an Iranian sample. Current Psychology. 2023; 42(10): 8562–8571. https://doi.org/10.1007/s12144-021-02341-y.
Hair J, Alamer A. Partial Least Squares Structural Equation Modeling (PLS-SEM) in second language and education research: Guidelines using an applied example. Research Methods in Applied Linguistics. 2022; 1(3): 100027. https://doi.org/10.1016/j.rmal.2022.100027.
Heinze JE, Hsieh HF, Thulin EJ, Howe K, Miller AL, Zimmerman MA. Adolescent exposure to violence and intimate-partner violence mediated by mental distress. Journal of Applied Developmental Psychology. 2021; 72: 101-215. https://doi.org/10.1016/j.appdev.2020.101215.
Kelly WE, Mathe JR. Revisiting trait and state predictors of nightmare frequency and nightmare distress. Advance online publication; 2024.
Byrne G, Cullen C. Acceptance and Commitment Therapy for Anger, Irritability, and Aggression in Children, Adolescents, and Young Adults: A Systematic Review of Intervention Studies. Trauma, Violence, & Abuse. 2024; 25(2): 935-946. https://doi.org/10.1177/15248380231167393
Maughan AL, Lunsky Y, Lake J, Mills JS, Fung K, Steel L, Weiss JA. Parent, child, and family outcomes following Acceptance And Commitment Therapy for parents of autistic children: A randomized controlled trial. Autism. 2024; 28(2): 367-380. https://doi.org/10.1177/13623613231172241
Han J, Feng S, Wang Z, He J, Quan H, Li C. The Effect of Maternal Trait Mindfulness on Preschoolers' Social Competence: The Chain-Mediating Role of Maternal Self-Control and Problematic Social Media Use. Behav Sci (Basel). 2023: 27; 13(10):805. doi: 10.3390/bs13100805. PMID: 37887455; PMCID: PMC10604749.
Poddar S, Sinha V K, Urbi M. Acceptance and commitment therapy on parents of children and adolescents with autism spectrum disorders. Int J Educ Psychol Res. 2024; 1 (13):221-5. Availablehttps://www.ijeprjournal.org/text.asp?2015/1/3/221/158331
Gallego A, Serrat M, Royuela-Colomer E, et al. Study protocol for a three-arm randomized controlled trial investigating the effectiveness, cost-utility, and physiological effects of a fully self-guided digital Acceptance and Commitment Therapy for Spanish patients with fibromyalgia. DIGITAL HEALTH. 2024;10(11): 15-.19 doi:1177/20552076241239177
Wiley JD, Reynolds J, Strate L, Porter A, Seymour P, Beach R, Patel R. Medicare inclusion of licensed mental health counselors and marriage and family therapists. Journal of Rural Mental Health. 2024; 48(2): 143–144. https://doi.org/10.1037/rmh0000262
Sarlaki A, Farokhzad M, Khanzadeh F, Younesi Sinaki M, Razavi Mahdiian SZ, Tayyar Parvin M. Effectiveness of Intensive Short-Term Dynamic Psychotherapy on Object Relations, Anger, and Guilt in Women with Major Depressive Disorder. Psychological Achievements, 2024
Farzadkia M, Farhangi A, Abolghasemi S. 'Comparing the Effectiveness of Mindfulness-based Stress Reduction and Intensive Short-term Dynamic Psychotherapy in Reducing Intolerance of Uncertainty and Depression in Women with Fibromyalgia', Women’s Health Bulletin. 2023; 10(1):44-51. doi:10.30476/whb.2023.97334.1206
Agne R, Fiona M. Living in two worlds’: A qualitative analysis of first-time mothers’ experiences of maternal ambivalence. Journal of Reproductive and Infant Psychology. 2023; 17(3): 1-15.
Altmann U, Zimmermann A, Kirchmann HA, Kramer D, Fembacher A, Bruckmayer E, Pfaffinger I, Von Heymann F, Auch E, Steyer R, Strauss BM. Outpatient psychotherapy reduces health-care costs: A study of 22,294 insurant over 5 years. Frontiers in Psychiatry. 2016; 7(98): 103-119. https://doi.org/10.3389/fpsyt.2016.00098
Amir I, Shefler G. The “Lechol Nefesh” project: Intensive and long term psychoanalytic psychotherapy in public mental health centers. Psychoanalytic Inquiry. 2020; 40(7): 536–549. https://doi.org/10.1080/07351690.2020.1810528.
Attema AE, Brouwer WBF, Claxton K. Discounting in economic evaluations. Pharmaco Economics. 2018; 36(7): 745–758. https://doi.org/10.1007/s40273-018-0672-z
Federica V, Elia E, Chiara A, Carla G, Lucia B, Elisa Z, Patrizia Z, Paola S. A prospective randomized controlled trial of Psycho dermatology on the efficacy of Rilastil Difesa Sterile® cream in the hand eczema of healthcare workers during the COVID-19 pandemic. Journal of Dermatological Treatment. 2023; 34(7):1-29.
Kwon P, Olson ML. Rumination and depressive symptoms: Moderating role of defense style immaturity. Personality and Individual Differences. 2023; 43(4):715-724.
Besharat M. Development and validation of ego strength scale: A preliminary study. Journal of Psychological Science. 2017; 15(60): 445-467. URL: http://psychologicalscience.ir/article-1-163-fa.html