The effectiveness of behavioral-emotional spiritual therapy on scrupulosity, and rumination in patients with obsessive-compulsive disorder

Document Type : Original Article

Authors

1 PhD student in Psychology, Department of Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran

2 Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran

Abstract

Introduction: The Purpose of the present study was to investigate the effectiveness of integrated behavioral -emotional spiritual therapy on scrupulosity and rumination in patients with obsessive-compulsive disorder.
Method: The current research method was a randomized trial with pre-test, post-test and follow-up. In this research, 40 patients with obsessive-compulsive disorder, who were randomly divided into two groups of 20 people, experimental and control. The experimental group received behavioral emotional-spiritual therapy as a group in 15 ninety-minute sessions, and the control group did not receive any intervention. The data collection tools included a semi-structured interview based on DSM5 (SCID-I), the Obsessive compulsive Questionnaire, the scrupulosity Questionnaire and the Rumination Questionnaire, which the participants answered at the beginning and end of the treatment and two months after the end of the treatment. The data was analyzed using the analysis of covariance test in SPSS-22 software.
Findings: The findings of the research showed that behavioral emotional-spiritual therapy significantly reduces scrupulosity and rumination in patients with obsessive-compulsive disorder (P<0.001) and the gains of the treatment are maintained two months after the end of the treatment.
Conclusion: According to the findings of the research, behavioral-emotional spiritual therapy can be used to reduce rumination and scrupulosity, and therapists can use this method to reduce rumination and scrupulosity of people with obsessive-compulsive disorder.

Keywords

Main Subjects

منابع

  1. Kadivari F, Najafi M, Khosravani V. Childhood adversity affects symptomatology via behavioral inhibition in patients with obsessive-compulsive disorder. Current Psychology. 2022:1-11.
  2. Cervin M, Perrin S, Olsson E, Aspvall K, Geller DA, Wilhelm S, et al. The Centrality of Doubting and Checking in the Network Structure of Obsessive-Compulsive Symptom Dimensions in Youth. J Am Acad Child Adolesc Psychiatry. 2020;59(7):880-9.
  3. Hunt C. Differences in OCD symptom presentations across age, culture, and gender: A quantitative review of studies using the Y-BOCS symptom checklist. Journal of Obsessive-Compulsive and Related Disorders. 2020;26:100533.
  4. Williams MT, Rouleau TM, La Torre JT, Sharif N. Cultural competency in the treatment of obsessive-compulsive disorder: practitioner guidelines. the Cognitive Behaviour Therapist. 2020;13.
  5. Abramowitz JS, Huppert JD, Cohen AB, Tolin DF, Cahill SP. Religious obsessions and compulsions in a non-clinical sample: The Penn Inventory of Scrupulosity (PIOS). Behaviour research and therapy. 2002;40(7):825-38.
  6. Chiang B, Purdon C, Radomsky AS. Development and initial validation of the Fear of Guilt Scale for obsessive-compulsive disorder (OCD). Journal of Obsessive-Compulsive and Related Disorders. 2016;11:63-73.
  7. Rector NA, Katz DE, Quilty LC, Laposa JM, Collimore K, Kay T. Reassurance seeking in the anxiety disorders and OCD: Construct validation, clinical correlates and CBT treatment response. Journal of Anxiety Disorders. 2019;67:102109.
  8. Ebrahimi LS, Mousavi S, Habashi SB, Hasani J. Comparison of rumination between men and women with obsessive-compulsive disorder and social anxiety disorder: a cross-sectional study. Researcher Bulletin of Medical Sciences. 2019;24(1):e16-e.
  9. Domingues-Castro MS, Torresan RC, Shavitt RG, Fontenelle LF, Ferrão YA, Rosário MC, et al. Bipolar disorder comorbidity in patients with obsessive-compulsive disorder: Prevalence and predictors. Journal of affective disorders. 2019;256:324-30.
  10. Kollarik M, van den Hout M, Heinzel CV, Hofer PD, Lieb R, Wahl K. Effects of rumination on unwanted intrusive thoughts: A replication and extension. Journal of Experimental Psychopathology. 2020;11(1):2043808720912583.
  11. Kuckertz JM, Piacentini J, Amir N. Towards a clinically valid mechanistic assessment of exposure and response prevention: Preliminary utility of an exposure learning tool for children with OCD. Journal of obsessive-compulsive and related disorders. 2020;25:100528.
  12. Keleher J, Jassi A, Krebs G. Clinician-reported barriers to using exposure with response prevention in the treatment of paediatric obsessive-compulsive disorder. Journal of obsessive-compulsive and related disorders. 2020;24:100498.
  13. ansari h, janbozorgi m, hossaini semnani s, gharavi rad sm, Tabataba R, amp, et al. Design An islamic approach of CBT in the treatment of OCD(persian). Clinical Psychology Studies. 2019;9(34):167-96.
  14. Jürgens C, Rupp C, Doebler P, Andor F, Buhlmann U. Metacognition in obsessive-compulsive disorder symptom dimensions: Role of fusion beliefs, beliefs about rituals and stop signals. Journal of Obsessive-Compulsive and Related Disorders. 2019;21:102-11.
  15. Perestelo-Perez L, Barraca J, Penate W, Rivero-Santana A, Alvarez-Perez Y. Mindfulness-based interventions for the treatment of depressive rumination: Systematic review and meta-analysis. International Journal of Clinical and Health Psychology. 2017;17(3):282-95.
  16. Philip J, Cherian V. Factors affecting the psychological well-being of health care workers during an epidemic: a thematic review. Indian Journal of Psychological Medicine. 2020;42(4):323-33.
  17. Ong CW, Blakey SM, Smith BM, Morrison KL, Bluett EJ, Abramowitz JS, et al. Moderators and processes of change in traditional exposure and response prevention (ERP) versus acceptance and commitment therapy-informed ERP for obsessive-compulsive disorder. Journal of Obsessive-Compulsive and Related Disorders. 2020;24:100499.
  18. Osório FL, Loureiro SR, Hallak JEC, Machado‐de‐Sousa JP, Ushirohira JM, Baes CV, et al. Clinical validity and intrarater and test–retest reliability of the Structured Clinical Interview for DSM‐5–Clinician Version (SCID‐5‐CV). Psychiatry and clinical neurosciences. 2019;73(12):754-60.
  19. Mohammadkhani P, Forouzan AS, Hooshyari Z, Abasi I. Psychometric properties of Persian version of structured clinical interview for DSM-5-research version (SCID-5-RV): a diagnostic accuracy study. Iranian Journal of Psychiatry and Behavioral Sciences. 2020;14(2).
  20. Goodman WK, Price LH, Rasmussen SA, Mazure C, Delgado P, Heninger GR, et al. The yale-brown obsessive compulsive scale: II. Validity. Archives of general psychiatry. 1989;46(11):1012-6.
  21. Rajezi Esfahani S, Motaghipour Y, Kamkari K, Zahiredin A, Janbozorgi M. Reliability and Validity of the Persian Version of the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS)(persian). Iranian Journal of Psychiatry and Clinical Psychology. 2012;17(4):297-303.
  22. Yossifova M, Loewenthal KM. Religion and the judgement of obsessionality. Mental Health, Religion & Culture. 1999;2(2):145-51.
  23. Gharabaghi H, Ablolazade H, Pourjafari P, editors. Preliminary standardization of obsessive compulsive peen inventory and study of scrupulosity in student of Tabriz university. Proceedings of the 3rd Seminar of Students Mental Health; 2006.
  24. Nolen-Hoeksema S, Harrell ZA. Rumination, depression, and alcohol use: Tests of gender differences. Journal of Cognitive Psychotherapy. 2002;16(4):391-403.
  25. Yook K, Kim K-H, Suh SY, Lee KS. Intolerance of uncertainty, worry, and rumination in major depressive disorder and generalized anxiety disorder. Journal of anxiety disorders. 2010;24(6):623-8.
  26. Farrokhi HS, Iman; and Mustafapour, Vahid. Investigating the factor structure, validity and reliability of the Persian form of the positive and negative rumination scale (PBRS-NBRS) and the rumination response scale (RRS)(persian). The Journal Of New Advances In Behavioral Sciences. 2017;2(14):21-37.
  27. Farhoush M, Najafi M. Designing Behavioral-Emotional-Spiritual Therapy for Obsessive Compulsive Disorder: A Qualitative Study. Journal of Pizhūhish dar dīn va Salāmat (ie, Research on Religion & Health). 2024;10(1):21-37.
  28. Lee EB, Ong CW, An W, Twohig MP. Acceptance and commitment therapy for a case of scrupulosity-related obsessive-compulsive disorder. Bulletin of the Menninger Clinic. 2018;82(4):1.
  29. Alimadadi S, Najafi M, Mohammadi M, Rahimian Bogar I, Salmanian M. Assessment the Effect of Spiritual Psycho Therapy Protocol in Groups on Symptoms, Cognitive Factors and Religious Obsession in Adult Patients with Obsessive Compulsive Disorder(persian). Islamic Life Style. 2020;4(3):18-25.
  30. Mohammadzadeh A, Najafi M. The Comparison of Death Anxiety, Obsession, and Depression Between Muslim Population with Positive and Negative Religious Coping. J Relig Health. 2020;59(2):1055-64.
  31. Motivala SJ, Arellano M, Greco RL, Aitken D, Hutcheson N, Tadayonnejad R, et al. Relationships between obsessive-compulsive disorder, depression and functioning before and after exposure and response prevention therapy. International journal of psychiatry in clinical practice. 2018;22(1):40-6.
  32. Demehri F, Saeedmanesh M, Jala N. The effectiveness of acceptance and commitment therapy (ACT) on rumination and well-being in adolescents with general anxiety disorder. 2018.
  33. Henderson LC, Stewart KE, Koerner N, Rowa K, McCabe RE, Antony MM. Religiosity, spirituality, and obsessive-compulsive disorder-related symptoms in clinical and nonclinical samples. Psychology of Religion and Spirituality. 2022;14(2):208.
  34. Berman NC, Summers BJ, Weingarden H, Wilhelm S. Positive affect and imaginal exposure processes in patients with taboo obsessions. Journal of obsessive-compulsive and related disorders. 2019;23:100474.
  35. Olatunji BO, Christian C, Brosof L, Tolin DF, Levinson CA. What is at the core of OCD? A network analysis of selected obsessive-compulsive symptoms and beliefs. Journal of affective disorders. 2019;257:45-54.

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History

  • Receive Date: 01 January 2024
  • Revise Date: 29 April 2024
  • Accept Date: 13 May 2024

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