Appraisal of Effectiveness and Comparison of Exposure and Response Prevention Therapy and Acceptance and Commitment Therapy (ACT)-Based Training on Improving of Obsessive and Compulsive Disorder Patients' Components of Life Quality



Introduction: This study aimed to appraisal of effectiveness and comparison of exposure and response prevention therapy and acceptance and commitment therapy (ACT)-based training on improving of obsessive and compulsive disorder patients' components of life quality.

Method: This study was quasi-experimental with pretest- posttest and control group. The statistical population included all obsessive and compulsive disorder patients aged over 18 years old who referred to private counseling centers and urban and rural health centers in Rasht in 2014. 45 patients with obsessive and compulsive disorder were selected from those who referred these centers and were divided into the experimental groups and the control group randomly. The experimental groups received eight sessions of 45-minutes. Yale-Brown Obsessive and Compulsive Scale and brief form of World Health Organization quality of life assessment were used to collect data.

Results:The results of multiple analysis of covariance indicated that there was a significant difference among three groups in posttest scores of physical, psychological, social and environmental quality (P ≤ 0.01). The Results of Tuky test showed that the mean score for acceptance and commitment therapy (ACT)-based training was significantly more than the mean score for exposure and response prevention in all components. Likewise, the mean score of both experimental groups were significantly more than the mean score of the control group (P ≤ 0.05).

Conclusion: According to the results of this study, acceptance and commitment therapy (ACT)-based training more increased in quality of life. Thus, mental health experts can use this therapy for increasing patients' quality of life.