اثربخشی درمان متمرکز بر هیجان بر استرس ادراک‌شده و انعطاف پذیری کنشی زنان مبتلا به اختلال وسواس فکری-عملی مبتنی بر عوامل فرهنگی
محورهای موضوعی : روان شناسی
1 - دانشجوی کارشناسی ارشد، گروه روان شناسی بالینی، دانشکده علوم انسانی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران
2 - استادیار، گروه روان شناسی، دانشکده علوم انسانی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران
کلید واژه: درمان متمرکز بر هیجان, استرس ادراک‌شده, انعطاف پذیری کنشی, اختلال وسواس مبتنی بر عوامل فرهنگی,
چکیده مقاله :
هدف پژوهش حاضر، تعیین اثربخشی درمان متمرکز بر هیجان براسترس ادراک‌شده و انعطاف‌پذیری کنشی زنان مبتلا به اختلال وسواس مبتنی بر عوامل فرهنگی بود. جامعه آماری شامل زنان مراجعه‌کننده به مراکز مشاوره شهر اهواز در سال 1403 بود. نمونه پژوهش 50 زن مبتلا به اختلال وسواس فکری -عملی بود. که به روش دردسترس از بین زنان مراجعه‌کننده به یکی از مراکز مشاوره انتخاب شدند و به صورت تصادفی در دو گروه آزمایش (25 نفر) و کنترل (25 نفر) گمارش شدند. پژوهش حاضر نیمه آزمايشی واز نوع پيش آزمون -پس آزمون با گروه کنترل بود. ابزار پژوهش شامل مقیاس استرس ادراک‌شده کوهن و همکاران(1983) و پرسشنامه انعطاف‌پذیری کنشی کانر و دیویدسون (2003)، بود. گروه آزمايش طی 8 جلسه 90 دقيقه ای درمان متمرکز بر هیجان را دريافت کردند و گروه کنترل هیچگونه مداخله ای دریافت نکردند. تحليل دادهها با استفاده از آزمون تحليل کوواريانس چندمتغيره و تک متغیره انجام شد. نتايج پژوهش نشان داد که درمان متمرکز بر هیجان بر استرس ادراک‌شده و انعطاف پذیری کنشی زنان مبتلا به اختلال وسواس مبتنی بر فرهنگ اثربخش است و می تواند به‌عنوان یک درمان کمکی برای زنان مبتلا به وسواس مبتنی بر عوامل فرهنگی استفاده شود.
The present study was conducted with the aim of determining the effectiveness of emotion focused therapy on perceived stress and resiliency of women with obsessive-compulsive disorder based on cultural factors. The statistical population included all women who referred to counseling centers in Ahvaz city in 2024. The sample consisted of 50 women with obsessive-compulsive disorder who were selected according to the convenient sampling procedure among women who referred to one of Ahvaz counseling centers and were randomly assigned into two experimental (25 people) and control (25 people) groups. The present study was designed as semi-experimental with pre-test, post-test and control group. The research tools included; Cohen et al. (1983) Perceived Stress Scale and Connor & Davidson (2003) Resiliency Questionnaire. The experimental group received emotion-focused therapy for 8 sessions, 90-minutes each. The control group did not receive any intervention. Data was analyzed via using Multivariate Analysis of Covariance(MANCOVA) and Univariate Analysis of Covariance(ANCOVA). The results showed that emotion-focused therapy was effective on the perceived stress and resiliency of women with culture-based obsessive-compulsive disorder, and therefore it could be used as complementary treatment for women with cultural-based obsessions.
Aragona, M. (2009). The concept of mental disorder and the DSM -V. Dialogues in Philosophy, Mental and Neuro Sciences, 2(1), 1 -14. URL: https://philpapers.org/archive/ARATCO
Asadi, S., Daraeian, A., Rahmani, B., Kargari, A., Ahmadiani, A., & Shams, J. (2016). Exploring yale-brown obsessivecompulsive scale symptom structure in Iranian OCD patients using item-based factor analysis. Psychiatry Research, 245, 416-422. [Persian] DOI: 10.1016/j.psychres.2016.08.028
Asghari, F., Sadeghi, A., Aslani, K., Saadat, S., & Khodayari, H. (2013). The Survey of Relationship between Perceived Stress Coping Strategies and Suicide Ideation among Students at University of Guilan, Iran. International Journal of Education and Research, 1(11), 111-118. [Persian] URL: http://ijme.mui.ac.ir/article-1-3531-en.html
Cherian, A. V., Narayanaswamy, J. C., Viswanath, B., Guru, N., George, C. M., Bada Math, S., Kandavel, T., & Janardhan Reddy, Y. C. (2014). Gender differences in obsessive-compulsive disorder: Findings from a large Indian sample. Asian Journal of Psychiatry, 9, 17–21. DOI: 10.1016/j.ajp.2013.12.012
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior,1(1), 385-396. DOI: https://doi.org/10.2307/2136404
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). De Press Anxiety, 18, 76-82. DOI: 10.1002/da.10113
Diener, E., & Suh, E. M. (2000). Culture and subjective well-being. Cambridge: Mass, MIT Press. DOI:10.1007/978-90-481-2352-0_2
Garyfallos, G., Katsigiannopoulos, K., Adamopoulou, A., Papazisis, G., Karastergiou, A., & Bozikas, V. P. (2010). Comorbidity of obsessive-compulsive disorder with obsessive-compulsive personality disorder: Does it imply a specific subtype of obsessive-compulsive disorder? Psychiatry Research, 177(1- 2), 156-160. DOI: 10.1016/j.psychres.2010.01.006
Haddadpour, H., Mehri Nejad, S. A., Roshan Chasli, R., & Sotoudeh Asl, N. (2021). The Structural Model of Social Interest Based on Spiritual Health and Moral Intelligence with the Mediating Role of Motivational Beliefs in Adolescents. Islamic Lifestyle with a Focus on Health, 5(2), 174-184. [Persian] DOI: https://sid.ir/paper/985367/fa
Hibbs, R., Pugh, M., & Fox, J. R. (2021). Applying emotion-focused therapy to work with the “anorexic voice” within anorexia nervosa: A brief intervention. Journal of psychotherapy integration, 31(4), 327. URL: https://psycnet.apa.org/fulltext/2021-00513-001.html
Javaheri Mohammadi, A., Keshavarz Afshar, H., & Bagherzadeh, Sh. (2021). The Relationship of Emotional Self-Control and Alexithymia and Academic Emotions with Academic Burnout in Students with Learning Disabilities. Research Journal, 20(2), 111-116. [Persian] DOI: http://psj.umsha.ac.ir/article-1-904- fa.html
Júnior, É. D. M. S., Passos, I. C., Scott, J., Bristot, G., Scotton, E., Mendes, L. S. T., ... & Kauer - Sant’Anna, M. (2020). Decoding rumination: a machine learning approach to a transdiagnostic sample of outpatients with anxiety, mood and psychotic disorders. Journal of Psychiatric Research, 121, 207 -213. DOI: 10.1016/j.jpsychires.2019.12.005
Kanen, J. W., Ersche, K. D., Fineberg, N. A., Robbins, T. W., & Cardinal, R. N. (2019). Computational modelling reveals contrasting effects on reinforcement learning and cognitive flexibility in stimulant use disorder and obsessive-compulsive disorder: remediating effects of dopaminergic D2/3 receptor agents. Psychopharmacology , 236(8), 2337- 2358. DOI: 10.1007/s00213-019-05325-w
Kaplan, H., & Sadock, B. (2008). Kaplan Sadock's synopsis of psychiatry: behavioral sciences / clinical psychiatry. 9th Edition. Translated by Farzin Rezaee & Hasan Rafiei. (2022). Tehran: Arjmand Publications. [Persian] URL: https://basalam.com/v_332798/product/4981863
Khayeri, B., Mirmahdi, R., Akouchekian, S., Heydari, H., & Aleyasin, S. A. (2019). The effectiveness of emotion-focused therapy and dialectical behavior therapy on reducing obsessive-compulsive symptoms in women with obsessive-compulsive disorder. Journal of Isfahan Medical School, 37(517), 145-153. DOI: 10.22122/jims.v37i517.11432
Martini, T., Busseri, M. (2010). Emotion regulation strategies and goals as predictors of older mothers and adult daughters helping-related subjective. Well-Being. Psychology and Aging, 25, 48-59. DOI: 10.1037/a0018776
Mohammadi, M. (2008). Investigating factors affecting resilience in people at risk of substance abuse. Psychological Achievements, 18(1), 93-118. [Persian] URL: https://psychac.scu.ac.ir /article_11692. html.
Mohammadi, M. R., Ahmadi, N., Hooshyari, Z., Khaleghi, A., Yazdi, F. R., & Mehrparvar, A. H. (2021). Prevalence, comorbidity, and predictors of obsessive-compulsive disorder in Iranian children and adolescents. Journal of Psychiatric Research, 141, 198-192. [Persian] DOI: 10.1016/j.jpsychires.2021.06.018
Naserinia, S., & Borjali, M. (2020). The Effectiveness of Emotion-Focused Therapy on Obsessive Symptoms in Patients With Corona Disease. Clinical Psychology Studies, 10(39), 135-155. [Persian] DOI: https://doi.org/10.22054/jcps.2021.55622.2447
Nikpour, G., Borjali, A., Delavar, A., Eskandari, H., & Zarghami, M. (2015). Construction and Standardization of a Questionnaire Investigating Cultural Reasons Causing Concurrent Obsession and Major Depressive Disorders in Iran. Journal of Mazandaran University of Medical Sciences, 25(130), 116-128. [Persian] URL: http://jmums.mazums.ac.ir/article-1-6408-en.html
Razavi, M. S., & Salehiyan, R. (2022). The relationship between perceived stress and sexual satisfaction and marital adjustment in couples undergoing infertility treatment in Tehran in 2021. Journal of Psychology New Ideas, 11(15), 1-11. [Persian] URL: http://jnip.ir/article-1-643-fa.html
Rezazadeh, Z., & Zarani, F. (2022). Obsessive-compulsive disorder and related cultural issues in Iran: a Systematic Review. Rooyesh. 11(2), 45-58. [Persian] URL: http://frooyesh.ir/article-1-3035-fa.html
Rosa-Alcázar, A. I., Rosa -Alcázar, Á., Martínez - Esparza, I. C., Storch, E. A., & Olivares - Olivares, P. J. (2021). Response inhibition, cognitive flexibility and working memory in obsessive -compulsive disorder, generalized anxiety disorder and social anxiety disorder. International Journal of Environmental Research and Public Health, 18(7), 3642. DOI: https://doi.org/10.3390/ijerph18073642
Sadeghian, H., Khodaie Ardakani, M. R., Eskandari, H., Tamizi, Z., & Khodaie, A. (2013). Symptomology of patients with obsessive compulsive disorders when referring to clinical centers in Tehran. Iranian Journal of Psychiatric Nursing, 1(2), 21-29. [Persian] URL: http://ijpn.ir/article-1-54-en.html
Vannikov‐Lugassi, M., Shalev, H., & Soffer‐ Dudek, N. (2021). From brooding to detachment: Rumination longitudinally predicts an increase in depersonalization and derealisation. Psychology and Psychotherapy: Journal of Theory, Research and Practice , 94, 321 -338. DOI: https://doi.org/10.1111/papt.12279
Yadollahi Ardestani, Sh., Shakib, N., Shariatmadari, M., & Yousefi , S . (2021). The effectiveness of emotion - focused cognitive therapy on cognitive flexibility and rumination of adolescents with practical obsessive - compulsive disorder . Bi - Quarterly Journal of Studies and Psychological News in Adolescents and Youth, 2(1), 160-170. [Persian] DOI: http://dx.doi.org/10.52547/jspnay.2.1.160
