Volume 31, Issue 1 (3-2024)
RJMS 2024, 31(1): 1-11 |
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Research code: این مقاله مستخرح از رساله دکتری میباشد
Ethics code: IR.IAU.TON.REC.1401.076
Clinical trials code: IR.IAU.TON.REC.1401.076
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Norouzi M, Benisi P, Delfan Azari G A. The Effectiveness of Reality Therapy on Obsessive-Compulsive Disorder (OCD) of Working Women Referring to Vofoor Counseling Center. RJMS 2024; 31 (1) :1-11
URL: http://rjms.iums.ac.ir/article-1-8691-en.html
URL: http://rjms.iums.ac.ir/article-1-8691-en.html
Associate Professor, Department of Educational Management, West Tehran Branch, Islamic Azad University, Tehran, Iran , parenazbanisi2017@gmail.com
Abstract: (425 Views)
Bakcground & Aims: Obsessive-compulsive disorder (OCD) is a disabling disorder that affects an individual's performance. The aim of the present study was to investigate the effectiveness of the theory of choice in reducing the symptoms of obsessive-compulsive disorder in housewives who referred to the Wafar Counseling Center. The present study was applied in terms of its purpose and fieldwork. Among the employed women with obsessive-compulsive disorder who referred to the Wafar Counseling Center in Tehran, 3 people were selected as a sample using the available sampling method and were randomly assigned to the experimental and control groups. The inclusion criteria included being female and having insight into the disease and obtaining a significant score on the Yale-Brown Questionnaire, and being between 25 and 37 years old, having a high school diploma or higher, and university education, who were employed, and also willing to participate in the study. The exclusion criteria included not answering all the research questions, being male, and not having a connection to the disease. In order to maintain confidentiality, each client was assigned a code.
Methods: To conduct the present study, a semi-experimental method with a pre-test-post-test design was used. Among the employed women with obsessive-compulsive disorder referring to the Wafur Counseling Center in Tehran, 3 women with obsessive-compulsive disorder were selected using a convenience sampling method and randomly assigned to two experimental and control groups. First, a pre-test of obsessive-compulsive disorder was conducted for each group using the Yale-Brown Questionnaire (BOCS-Y), then an eight-session reality therapy intervention plan was conducted for the experimental and follow-up groups, then a post-test of obsessive-compulsive disorder was implemented for each group. Finally, the findings were analyzed using a univariate analysis of covariance test.
Results: Based on the results of the research, according to the evaluation of the questionnaires in the pre-test and post-test stages, which were obtained based on the comparison of the results obtained from answering each question of the Yale-Brown questionnaire, it was determined that the statistical value was less than the significance level of 0.05. Therefore, the average of the obsessive-compulsive variable in women in the control subjects of the experiment had a significant decrease after Glaser reality therapy treatment. In other words, Glaser reality therapy has a significant effect on reducing obsessive-compulsive symptoms in women. And all three patients improved in reducing obsessive-compulsive symptoms compared to the baseline, which is the pre-test.
Conclusion: According to the results of the study, it can be concluded that the effectiveness of reality therapy in cognitively reducing the symptoms of obsessive-compulsive disorder in people with obsessive-compulsive disorder is effective, and these findings can be used to treat patients with this disorder. It will also provide a basis for improving the effectiveness of existing treatment methods in this field. Reality therapy, by placing the responsibility for choosing behavior on the shoulders of the patient, considers him to have authority and choice over his behavior, and guides him from believing in external control to internal control and a type of self-following, and ultimately leads the patient to self-leadership.
The results of the study showed that at a significance level of 0.05, Glaser's reality therapy had a significant effect on reducing obsessive-compulsive disorder in working women in the experimental group. The results of the present study were consistent with the results of previous studies. In explaining the results, it can be said that obsessive-compulsive disorder is an anxiety disorder that has different forms and intensities. It is the presence of unpleasant, repetitive thoughts called obsessions about frightening things that are difficult to get out of the mind. Following these thoughts, a person performs physical or mental actions to reduce their unpleasant anxiety-provoking feelings. These actions are called practical compulsions, because the person feels compelled to perform these actions to relieve their anxiety. According to the results of this study, improvement in obsessive-compulsive symptoms was observed in patients with obsessive-compulsive disorder. During the eight treatment sessions that were conducted, obsessive symptoms and increased ability to reduce negative emotions such as anxiety when faced with the stimuli of obsessive behaviors were observed, as well as a greater sense of control through the perception of having the right to choose, in obsessive behaviors and greater responsibility for actions, thoughts and feelings (general behavior). According to research, people with obsessive-compulsive disorder have specific emotional schemas that are experienced as automatic and negative thoughts such as cognitive avoidance, rumination, and persistent worry. In a study, the effectiveness of cognitive therapy and reality therapy on rumination in women with obsessive-compulsive disorder was examined, and the effectiveness of reality therapy was confirmed.
Overall, the present study provides evidence supporting the effectiveness of reality therapy in cognitively reducing obsessive-compulsive symptoms in individuals with obsessive-compulsive disorder. These findings can be used to treat patients with this disorder, and will also provide a basis for improving the effectiveness of existing treatment methods in this field. Reality therapy, by placing the responsibility for choosing behavior on the shoulders of the patient, recognizes him as the owner of authority and choice over his behavior, and guides him from believing in external control to internal control and a type of self-following, and ultimately leads the patient to self-leadership.
Methods: To conduct the present study, a semi-experimental method with a pre-test-post-test design was used. Among the employed women with obsessive-compulsive disorder referring to the Wafur Counseling Center in Tehran, 3 women with obsessive-compulsive disorder were selected using a convenience sampling method and randomly assigned to two experimental and control groups. First, a pre-test of obsessive-compulsive disorder was conducted for each group using the Yale-Brown Questionnaire (BOCS-Y), then an eight-session reality therapy intervention plan was conducted for the experimental and follow-up groups, then a post-test of obsessive-compulsive disorder was implemented for each group. Finally, the findings were analyzed using a univariate analysis of covariance test.
Results: Based on the results of the research, according to the evaluation of the questionnaires in the pre-test and post-test stages, which were obtained based on the comparison of the results obtained from answering each question of the Yale-Brown questionnaire, it was determined that the statistical value was less than the significance level of 0.05. Therefore, the average of the obsessive-compulsive variable in women in the control subjects of the experiment had a significant decrease after Glaser reality therapy treatment. In other words, Glaser reality therapy has a significant effect on reducing obsessive-compulsive symptoms in women. And all three patients improved in reducing obsessive-compulsive symptoms compared to the baseline, which is the pre-test.
Conclusion: According to the results of the study, it can be concluded that the effectiveness of reality therapy in cognitively reducing the symptoms of obsessive-compulsive disorder in people with obsessive-compulsive disorder is effective, and these findings can be used to treat patients with this disorder. It will also provide a basis for improving the effectiveness of existing treatment methods in this field. Reality therapy, by placing the responsibility for choosing behavior on the shoulders of the patient, considers him to have authority and choice over his behavior, and guides him from believing in external control to internal control and a type of self-following, and ultimately leads the patient to self-leadership.
The results of the study showed that at a significance level of 0.05, Glaser's reality therapy had a significant effect on reducing obsessive-compulsive disorder in working women in the experimental group. The results of the present study were consistent with the results of previous studies. In explaining the results, it can be said that obsessive-compulsive disorder is an anxiety disorder that has different forms and intensities. It is the presence of unpleasant, repetitive thoughts called obsessions about frightening things that are difficult to get out of the mind. Following these thoughts, a person performs physical or mental actions to reduce their unpleasant anxiety-provoking feelings. These actions are called practical compulsions, because the person feels compelled to perform these actions to relieve their anxiety. According to the results of this study, improvement in obsessive-compulsive symptoms was observed in patients with obsessive-compulsive disorder. During the eight treatment sessions that were conducted, obsessive symptoms and increased ability to reduce negative emotions such as anxiety when faced with the stimuli of obsessive behaviors were observed, as well as a greater sense of control through the perception of having the right to choose, in obsessive behaviors and greater responsibility for actions, thoughts and feelings (general behavior). According to research, people with obsessive-compulsive disorder have specific emotional schemas that are experienced as automatic and negative thoughts such as cognitive avoidance, rumination, and persistent worry. In a study, the effectiveness of cognitive therapy and reality therapy on rumination in women with obsessive-compulsive disorder was examined, and the effectiveness of reality therapy was confirmed.
Overall, the present study provides evidence supporting the effectiveness of reality therapy in cognitively reducing obsessive-compulsive symptoms in individuals with obsessive-compulsive disorder. These findings can be used to treat patients with this disorder, and will also provide a basis for improving the effectiveness of existing treatment methods in this field. Reality therapy, by placing the responsibility for choosing behavior on the shoulders of the patient, recognizes him as the owner of authority and choice over his behavior, and guides him from believing in external control to internal control and a type of self-following, and ultimately leads the patient to self-leadership.
Type of Study: Research |
Subject:
Clinical Psychiatry
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