Volume 29, Issue 1 (3-2022)                   RJMS 2022, 29(1): 36-47 | Back to browse issues page

Research code: A-10-5714-1
Ethics code: IR.IAU.BOJNOURD.REC.1399.013
Clinical trials code: A-10-5714-1

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Hoseini S, Qasemi Motlagh M, Esmaeili shad B, Mehdian H. Comparison of the Effectiveness of Mindfulness-Based Therapy and Cognitive Therapy on the Difficulty of Emotion Regulation in Patients with Obsessive-Compulsive Disorder. RJMS 2022; 29 (1) :36-47
URL: http://rjms.iums.ac.ir/article-1-6686-en.html
Assistant Professor, Department of Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran , Avestaps@yahoo.com
Abstract:   (1220 Views)
Background & Aims: Obsessive-Compulsive Disorder (OCD) is a very serious psychological disorder characterized by obsessive thoughts and compulsive behaviors and can vary greatly in different geographical areas  so that its prevalence ranges from one percent to four percent. It has been recorded in different geographical areas Obsessions are anxious, unwanted, and stubborn thoughts, as well as impulses or images that are inconsistent with them, in the sense that they are disturbing, disturbing, and inappropriate and do not actually correspond to the person's apparent and perceived feelings. Practical obsessions are created in response to obsessions aimed at reducing anxiety; Which includes repetitive behaviors (such as washing or reviewing) or mental actions (such as counting) The main feature of these obsessions and compulsions (thoughts and behaviors) is that they are not pleasurable for the sufferer, but the patient continues to chew thoughts and repeat actions. To perhaps alleviate the inconvenience to him. Obsessive-compulsive disorder causes major problems in various areas for the individual. Among these problems and disabilities is the disorder in the emotional regulation of this group of patients. Problems with emotion regulation strategies are present in almost all patients, and OCD appears to be characterized by a wide range of emotion regulation problems, particularly fear of emotion or fear of accepting emotion Emotional regulation includes awareness, understanding and acceptance of emotions, the ability to control impulsive behaviors, behavior in accordance with personal goals in situations where negative emotions are experienced, and the ability to use flexible and appropriate emotional strategies appropriate to the situation. The absence of any of these can lead to disruption of this process. In fact, emotion regulation involves all the conscious and unconscious strategies that a person has to increase, maintain or decrease one or more components of the emotional response (experimental, behavioral). And physiological).The aim of this study was to compare the effectiveness of schema therapy and mindfulness-based cognitive therapy on the difficulty of emotion regulation in patients with obsessive-compulsive disorder.
Methods: For this purpose, 45 patients with obsessive-compulsive disorder were selected from obsessive-compulsive patients referred to psychological and psychiatric centers in Mashhad and randomly divided into three groups (15 in the control group, 15 in the schema therapy group). And 15 patients were replaced in the cognitive therapy group based on mindfulness). Analysis of variance with repeated measures and post hoc test were used to analyze the data. The results showed the effectiveness of mindfulness-based schema therapy and cognitive therapy (compared to the control group) on the difficulty of emotion regulation in patients with obsessive-compulsive disorder.
Results: The results also showed that there was no significant difference in the effectiveness of these two types of treatments on the difficulty of emotion regulation in people with obsessive-compulsive disorder in the study sample and both treatments were equally effective.
Conclusion: Based on the findings of the study, mindfulness-based cognitive therapy and schema therapy help clients with obsessive-compulsive disorder to be able to effectively regulate and manage their emotions. Therefore, considering that emotions play an essential role in the persistence and exacerbation of this disorder, therapists can increase the effectiveness of treatment sessions by using any of these treatment methods. Mindfulness is one of the emotional therapy treatments that has a positive effect on obsession. Cognitive therapy based on mindfulness by focusing attention and awareness on the current situation and also by increasing the psychological capacity of people to accept events and experiences without judgment. Current life helps people with obsessive-compulsive disorder avoid negative predictions about the future and unpleasant events that await them, and pay too much attention to ordinary events that they find too disturbing. They give up and in this way help to find better emotional conditions and thus manage their emotions. Thus, as Leahy et al. (2014) point out, schema therapy, mindfulness, and commitment-based approaches are effective on coping strategies with undesirable emotions.
   Therefore, according to the results of several studies that indicate the important role of emotions and the inability to regulate emotion in patients with obsessive-compulsive disorder, it is important to note that therapies that can somehow modulate emotions in these patients. Set to be considered as effective and efficient treatments. Therefore, given that cognitive therapy based on mindfulness and schema therapy can help regulate the emotions of these patients, therapists can measure the inability of patients to regulate emotion, if necessary, these therapies to help manage this emotion.

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Type of Study: Research | Subject: Clinical Psychiatry

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