پیش بینی سازگاری زناشویی براساس تحمل ابهام و کمال‌گرایی در بین بیماران مبتلا به اختلال وسواس فکری-عملی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، گروه روانشناسی، دانشگاه آزاد اسلامی، واحد رودهن، رودهن، ایران

2 استادیار گروه روانشناسی، دانشگاه آزاد اسلامی، واحد رودهن، رودهن، ایران

چکیده

مقدمه: اختلال وسواس فکری- عملی یکی از رایج ترین اختلالات روان شناختی است که اثر زیادی بر عملکرد و کیفیت زندگی مبتلایان دارد، این پژوهش با هدف پیش بینی سازگاری زناشویی براساس تحمل ابهام و کمال گرایی در بین بیماران مبتلا به اختلال وسواس انجام شد.
روش: روش پژوهش همبستگی با رویکرد پیش­بینی و طرح رگرسیون بود. از جامعه آماری بیماران مبتلا به اختلال وسواس مراجعه کننده به مراکز مشاوره منطقه 4 شهر تهران با استفاده از روش تصادفی چند مرحله­ای 150 نفر به عنوان نمونه انتخاب شدند. ابزارهای پژوهش شامل پرسشنامه سازگاری زناشویی (اسپانیر، 1976)، پرسشنامه عدم تحمل ابهام (فریستون و همکاران، 1994)، پرسشنامه کمال­گرایی (تری شورت و همکاران، 1995) بود. داده­های پژوهش با استفاده از نرم­افزار SPSS و آزمون­های پیرسون و رگرسیون چندگانه تحلیل شد.
نتایج: نتایج ضریب همبستگی نشان داد که سازگاری زناشویی با تحمل ابهام (35/0- =r، 001/0=p) و کمال­گرایی (35/0=r، 001/0=p) همبستگی معنی­داری دارند. نتایج رگرسیون نیز نشان داد کمال گرایی با ضریب بتای 31/0 بیش از عدم تحمل ابهام با ضرب بتا 22/0 می­تواند سازگاری بیماران وسواسی را مورد پیش بینی قرار دهد و همچنین 17 درصد واریانس مربوط به سازگاری ، بر اساس تحمل ابهام و کمال­گرایی تبیین می­شود.
نتیجه‌گیری: سازگاری زناشویی بیماران مبتلا به وسواس با استفاده از عدم تحمل ابهام و کمال­گرایی قابل پیش­بینی است. بنابراین با بهبود عدم تحمل ابهام و کمال­گرایی بیماران مبتلا به وسواس، می­توان سازگاری آنها را تقویت کرد.

کلیدواژه‌ها


عنوان مقاله [English]

Predicting adjustment based on tolerance of ambiguity and perfectionism in patients with obsessive-compulsive disorder

نویسندگان [English]

  • Masomeh KhodaBakhsh Garakani 1
  • Hamid Mohammadi Frud 2
1 MA Student in psychology, Roudehen branch, Islamic Azad University, Roudehen, Iran
2 Assistant Professor in Department of psychology, Roudehen branch, Islamic Azad University, Roudehen, Iran.
چکیده [English]

Introduction: Obsessive-compulsive disorder is one of the most common psychological disorders that has a great impact on the performance and quality of life of patients. The study was conducted to predict adjustment based on tolerance for ambiguity and perfectionism among patients with obsessive-compulsive disorder.
Method: The research method was correlation with forecasting approach and regression design. From the statistical population of patients with obsessive-compulsive disorder referring to counseling centers in District 4 of Tehran, 150 people were selected as a sample using a multi-stage random method. Research tools included adaptability (Spanier, 1976), ambiguity intolerance (Freiston et al., 1994), perfectionism (Terry Short & et al., 1995). The research data were analyzed using SPSS and Pearson correlation coefficient and multiple regression.
Results: The results of correlation coefficient showed that marital adjustment with ambiguity tolerance (r = -0.35, p = 0.001) and perfectionism (r = 0.35, p = 0.001) had significant correlation. have. The results of regression also showed that perfectionism with beta coefficient of 0.31 can predict the marital adjustment of obsessive patients more than the intolerance of ambiguity with beta multiplication of 0.22 and also 17% variance related to marital adjustment, based on tolerance. Ambiguity and perfectionism are explained.
Conclusion: adjustment of patients with obsessive-compulsive disorder can be predicted using intolerance and ambiguity. Therefore, by improving the intolerance of ambiguity and perfectionism of obsessive-compulsive patients, their compatibility can be strengthened.

کلیدواژه‌ها [English]

  • Obsession Disorder
  • Marital compatibility
  • Tolerance of Ambiguity
  • Perfectionism
  1. Ghaffari M, Rezaei A. Correlation of marital
    satisfaction and quality of life with life skill and
    obsessive -compulsive tendency among
    Payam-e-Noor University students.
    MEDICAL SCIENCES. 2013; 23 (2) :140-
    147.
    2. Glass D. Factor structure of OCD: toward an
    evolutionary neuro-cognitive model of
    obsessive-compulsive disorder (Doctoral
    dissertation). 2012.
    3. Aydın A, Boysan M, Kışlak ŞT, Kalafat T,
    Selvi Y, Beşiroğlu L. The Predictive Value of
    Interpersonal Schemas, Perfectionism, and
    Thought Action-Fusion in Obsessive
    Compulsive Disorder. Dusunen Adam The
    Journal of Psychiatry and Neurological
    Sciences. 2012;25(2):108.
    4. Muhlbauer JE, Ferrão YA, Eppingstall J,
    Albertella L, do Rosário MC, Miguel EC,
    Fontenelle LF. Predicting marriage and
    divorce in obsessive-compulsive disorder.
    Journal of Sex & Marital Therapy. 2020 Aug
    8:1-9.
    5. Vulink NC, Denys D, Bus L, Westenberg HG.
    Sexual pleasure in women with obsessivecompulsive disorder?. Journal of affective
    disorders. 2006 Mar 1;91(1):19-25.
  2. 6. Aksaray, Berkant Yelken, Cem Kaptanoğlu,
    Süleyman Oflu, Murat Özaltin G. Sexuality in
    women with obsessive compulsive disorder.
    Journal of Sex &Marital Therapy. 2001 May
    1;27(3):273-7.
    7. Biswas A, Sanyal N, Dasgupta M.
    Interpersonal Relationship Matrix, Marital
    Quality and Loneliness Pattern of Parents of
    Clients with Borderline Personality Disorder,
    Obsessive-Compulsive Disorder and Normal
    Controls: A Comparative Exploration. SIS
    Journal of Projective Psychology and Mental
    Health. 2019;26(2):107-17.
    8. Delsol C, Margolin G. The role of family-oforigin violence in men's marital violence
    perpetration. Clinical psychology review. 2004
    Mar 1;24(1):99-122.
    9. Sandra AJ. John Gottman's research on the
    behavioral differences between distressed and
    non distressed couples (dissertation).
    Salisbury: Salisbury State University. 2000.
    10. Heyrat A, Fatehizadeh M, Ahmadi A, Etemadi
    O, Bahrami F. The role of couple lifestyle
    dimensions in predicting marital adjustment.
    Journal of Women and Society, 2015; 5 (18),
    145-158.
    11. Schrodt P. Religious Conversations and
    Relational Uncertainty in Romantic
    Relationships as Mediators of Family
    Communication Patterns and Young Adults’
    Mental Well-being. Western Journal of
    Communication. 2020 Jul 19:1-21.
    12. Whittal ML, Robichaud M, Woody SR.
    Cognitive treatment of obsessions: enhancing
    dissemination with video components.
    Cognitive and Behavioral Practice. 2010 Feb
    1;17(1):1-8.
    13. Narimani M, Alimardani S, Mikaeili N,
    Basharpour S. Comparison of uncertainty
    intolerance, emotion regulation and marital
    satisfaction in people with obsessivecompulsive disorder and normal. Clinical
    Psychology. 2015; 4 (6): 21-32.
    14. Dugas MJ, Schewartz A, Francis K.
    Intolerance of uncertainty, worry, and
    depression. J Cogn Ther Res. 2014; 28: 835-42.
    15. Buhr K, Dugas MJ. The role of fear of anxiety
    and intolerance of uncertainty in worry: An
    experimental manipulation. Behav Res Ther.
    2002; 47: 215- 230.
    16. Steketee G, Frost RO, Cohen I. Beliefs in
    obsessive-compulsive disorder. J Anxiety
    Disord. 2008; 12: 525-37.
    17. Boelen PA, Reijntjes A, Carleton RN.
    Intolerance of Uncertainty and Adult
    Separation Anxiety. J Cogn Behav Ther. 2014;
    23: 130-5.
    18. Bouchard S, Sabourin S, Lussier Y, Villeneuve
    E. Relationship quality and stability in couples
    when one partner suffers from borderline
    personality disorder. Journal of Marital and
    Family Therapy. 2009 Oct;35(4):446-55.
    19. Mokhtari, S., Bahrami, F., Padash, Z.,
    Hoseinian, S., Soltanizadeh, M. (2012). The
    Effect of Schema Therapy on marital
    satisfaction of couples with Obsessivecompulsive personality disorder (OCPD).
    Interdisciplinary Journal of Contemporary
    Research in Business, 12(3), 207-225.
    20. South SC, Turkheimer E, Oltmanns TF.
    Personality disorder symptoms and marital
    functioning. Journal of consulting and clinical
    psychology. 2008 Oct;76(5):769.
    21. Soltani M, Shoeyri M, Roshan R. The effect of
    emotion-focused couple therapy on increasing
    the marital adjustment of infertile couples.
    Journal of Behavioral Sciences, 2014; 6 (4):
    383-389.
    22. Arfaei A, Besharat Garamaleki R, Gholizadeh
    H, Hekmati I. Intolerance of Uncertainty:
    Comparison between Patients with Major
    Depression Disorder and ObsessiveCompulsive Disorder. Med J Tabriz Univ Med
    Sci Health Serv. 2011; 23(5): 17-22.
    23. Besharat M. Investigating the relationship
    between parental perfectionism and students'
    test anxiety. Journal of Psychology and
    Educational Sciences, 2015; 34: 1-19.
    24. Staebler CR, Pollard CA, Merkel WT. Sexual
    history and quality of current relationships in
    patients with obsessive compulsive disorder: a
    comparison with two other psychiatric
    samples. Journal of sex & marital therapy.
    1993 Jun 1;19(2):147-53.
    25. Eisen JL, Mancebo MA, Pinto A, Coles ME,
    Pagano ME, Stout R, Rasmussen SA. Impact of
    obsessive-compulsive disorder on quality of
    life. Comprehensive psychiatry. 2006 Jul
    1;47(4):270-5.
    26. Kazemi Rezaei A, Saeidpoor S, Samimi Z,
    Parooi M, Afzoon J. The Comparison of the
    Intolerance of Uncertainty and Short-Term
    Memory Capacity in Patients with Obsessive
    Compulsive Disorder and Normal Individuals Journal of Cognitive Psychology. 2017;5(3).