مقایسه اثربخشی طرحواره‌درمانی و تلفیق آن با روش مواجهه و جلوگیری از پاسخ بر شدت علائم وسواس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری مشاوره، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران

2 دانشیار، گروه مشاوره ، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران

3 دانشیار، گروه مشاوره ، دانشگاه علامه طباطبائی تهران، ایران

چکیده

مقدمه: نتایج تحقیقات پیشین اثربخشی طرحواره‌درمانی و روش مواجهه و جلوگیری از پاسخ را بر وسواس تأیید کردند. پژوهش حاضر با هدف مقایسه اثربخشی طرحواره‌درمانی و تلفیق آن با روش مواجهه و جلوگیری از پاسخ بر شدت علائم وسواس انجام شد.
روش: روش پژوهش نیمه‌آزمایشی با گروه کنترل بود. جامعه‌آماری شامل تمامی زنان مبتلا به وسواس شستشو مراجعه­کننده به مراکز مشاوره در شمال و مرکز شهر تهران در بازه زمانی اول آبان تا پایان بهمن 1399 بود. 45 نفر بصورت در دسترس بعنوان نمونه انتخاب و به روش تصادفی در دو گروه مداخله و یک گروه کنترل (هر گروه 15 نفر) قرار گرفتند. گروه مداخله اول و دوم به ترتیب طی 12 و 14 جلسه تحت درمان با طرحواره‌درمانی و تلفیق طرحواره‌درمانی با روش مواجهه و جلوگیری از پاسخ قرار گرفتند. جمع‌آوری داده‌ها بوسیله مقیاس وسواس فکری - جبری ییل براون انجام شد. جهت تحلیل داده‌ها از آزمون تحلیل کوواریانس و آزمون بنفرنی استفاده شد.
یافته ­ها: هر 2 روش طرحواره‌درمانی و تلفیق طرحواره‌درمانی با روش مواجهه و جلوگیری از پاسخ بر کاهش شدت علائم وسواس در زنان مبتلا به اختلال وسواس شستشو اثربخش بودند (00/01 >P). همچنین تلفیق طرحواره‌درمانی با روش مواجهه و جلوگیری از پاسخ نسبت به طرحواره‌درمانی بر کاهش شدت علائم وسواس در زنان مبتلا به اختلال وسواس شستشو اثربخش‌تر بود (00/01 >P). و نتایج پیگیری 2 ماهه مداخله نشان دهنده ثبات درمان بود (000/01 >P).
نتیجه ­گیری: هر 2 روش از مداخلات مؤثر بر کاهش شدت علائم وسواس شستشو می‌باشند. لذا توصیه می‌شود تلفیق طرحواره‌درمانی با روش مواجهه و جلوگیری از پاسخ در مراکز درمانی برای افراد مبتلا به وسواس شستشو مورد استفاده درمانگران و متخصصان قرار گیرد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Schema Therapy and its Combination with Exposure and Response Prevention Method on the Severity of Obsessive-Compulsive Symptoms

نویسندگان [English]

  • Maryam Youshizadeh 1
  • Farideh Dokaneifard 2
  • Mahdi Zare Bahramabadi 3
1 PhD Student in Counseling, Science and Research Unit, Islamic Azad University, Tehran, Iran
2 Associate Professor, Counseling Department, Roudhen Branch, Islamic Azad University, Roudhen, Iran
3 Associate Professor, Counseling Department, Allameh Tabatabai University, Tehran, Iran
چکیده [English]

Introduction: Previous studies have confirmed the effectiveness of schema therapy and exposure and response prevention methods on obsession symptoms. The present study aimed to compare the effectiveness of schema therapy(ST) and its combination with the exposure and response prevention method(STERP) on the severity of obsessive-compulsive symptoms
Method: The method of this study was semi-experimental research with a control group. The statistical population included all women with washing obsessive-compulsive disorder referred to counseling centers in the north and center of Tehran from November to the February of 2020. A total of 45 were selected as research samples using a convenience sampling method and were randomly divided into two intervention groups and one control group(15 in each group). The first and second intervention groups were treated with schema therapy and a combination of schema therapy and exposure and response prevention methods during 12 and 14 sessions, respectively. Data were collected using the Yale-Brown Obsessive-Compulsive Disorder Scale. To analyze the data, the analysis of covariance and the Bonferroni test was used.
Results: Both intervention methods ST and STERP were effective in reducing the severity of obsessive-compulsive symptoms in women with washing obsessive-compulsive disorder (P<0.001). Also, STERP was more effective than ST in reducing the severity of obsessive-compulsive symptoms in women with washing obsessive-compulsive disorder (P<0.001)and the results of the 2-month follow-up of the intervention showed the stability of treatment (P<0.001).
Conclusion: STERP may be a feasible and potentially effective treatment for prior non-responders among OCD patients and thus worth further investigation in randomized controlled trials.

کلیدواژه‌ها [English]

  • "schema therapy"
  • "exposure and response prevention"
  • "severity of symptoms"
  • "washing disorder"

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  • تاریخ دریافت: 30 بهمن 1400
  • تاریخ بازنگری: 27 خرداد 1401
  • تاریخ پذیرش: 09 آبان 1401

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