Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

The effectiveness of cognitive behavioral therapy on self-control, difficulty in regulating emotion, resilience and psychological flexibility in patients with obsessive-compulsive neurosis

Document Type : Research Paper

Authors
Rafoune Ghafari Cherati 1
Hoseinali Ghanadzadgan 2
Mohamadkazem Fakhri 3
1 PhD student General Psychology , Department of Psychology, Sari Branch , Islamic Azad University, Sari ,Iran.
2 Assistant Professor، Department of Psychology , Sari Branch, Islamic Azad University, Sari, Iran. )Corresponding author(
3 Assistant Professor، Department of Psychology , Sari Branch, Islamic Azad University, Sari, Iran.
10.22038/mjms.2022.63508.3723
Abstract
Introduction: This study aimed to determine the effectiveness of cognitive-behavioral therapy on self-control, difficulty in emotion regulation, resilience and psychological resilience in patients with obsessive-compulsive disorder.
 
Materials and Methods: The research was quasi-experimental with a pre-test-post-test design with control and follow-up groups. The statistical population of this study was all patients with obsessive-compulsive disorder referred to psychotherapy centers in Babol in the spring of 1400. Among the psychotherapy centers in Babol, four centers were considered and according to the clinical diagnosis with DSM5 criterion, 30 patients had obsessive-compulsive disorder. 30 patients with obsessive-compulsive disorder were purposefully selected and randomly assigned to an experimental group (15 people) and a control group (15 people). Data collection tools were a self-control questionnaire, emotion difficulty questionnaire, resilience questionnaire and psychological flexibility questionnaire. Data were analyzed using SPSS-21 software and statistical tests of analysis of variance with repeated measures and post hoc tests
 
Results: Findings showed that cognitive-behavioral therapy affects self-control, difficulty in emotion regulation, resilience and psychological flexibility in clients with practical obsession.
 
Conclusion: Conclusion: Based on the findings of the research, it can be concluded that cognitive behavioral therapy is an effective treatment for increasing self-control, reducing the difficulty of emotion regulation, increasing resilience and psychological flexibility in patients with obsessive compulsive disorder.
Keywords
cognitive behavioral therapy
self-control
emotion regulation difficulty
psychological resilience and flexibility
practical obsession
  1. Taghavizadeh, Mehdi. Akbari, Bahman. Hossein Khanzad, Abbas Ali. Haqiqi, Mohsen. (2018).
    Comparing the effectiveness of cognitive-behavioral treatments and acceptance and commitment on
    emotion regulation and extreme responsibility of obsessive-compulsive personality disorder. Quarterly
    Journal of Applied Psychological Research, 2, 10, 119-136.
    2. Hossein Esfandzad Ali, Shams Gitti, Pasha Maithami Ali, Erfan Arefe. (2015). The role of mindfulness,
    emotional regulation, distress tolerance and effective communication with others in predicting obsessivecompulsive symptoms. Iranian Journal of Psychiatry and Clinical Psychology. 22 (4):283-270
    3. Heydari, Fatima. Asgari, Parviz. Haydari, Alireza. Pasha, Reza (2017). The effectiveness of cognitivebehavioral therapy on psychological flexibility and rumination in patients with non-cardiac chest pain.
    Community Health Research Paper, Volume 12, Number 1, pp. 29-40.
    4. Dana, Amir. Soltani, Narges. Fathizadan, Azam. Rafiei, Saleh. (2018). The effectiveness of cognitivebehavioral therapy based on mindfulness on the cognitive abilities and resilience of blind athletes. Studies
    in Sport Psychology, 27, 156-143.
    5. Dehghanian, Anna. Aghazadeh, Jafar. (2016). Effectiveness of cognitive-behavioral therapy group on
    cognitive flexibility and anxiety symptoms of women referring to counseling centers in Tabriz.
    International congress of global achievements of social sciences, psychology and educational sciences.
    6. Shafii Kahani Taktam, Hosni Jafar, Shakri Mohammad. (1400). The role of self-efficacy, resilience and
    cognitive emotion regulation in predicting obsessive-compulsive symptoms in the general population.
    Scientific Research Quarterly Journal of Psychological Sciences. 20 (107): 2095-2106
    7. Sadeghi, Massoud; Sarani, conductor; Sabobar, Abbas; Askari, Morteza. (2019). Effectiveness of group
    cognitive-behavioral therapy on self-control, self-inhibition and dysfunctional attitudes in people
    suffering from substance abuse. Psychological Development, 9, 10, 78-67.
    8. Fanai, Saeeda; Habib Elahi, Azam; Ghazanfari, Ahmed. (2014). Group-based cognitive-behavioral
    therapy on mental health and psychological flexibility of overweight people. Journal of Cognitive
    Psychology and Psychiatry, 2, 2, 28-38.
    9. Ganji, Hamza. (2016). Psychopathology according to DSM5. Tehran: Savalan.
    10. Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2017). Emotion-regulation strategies across
    psychopathology: A meta-analytic review. Journal of Clinical Psychology Review. 30(2), 217-2137
    11. Benetti, C., & Kambouropoulos, N. (2016). Affect- regulated indirect effects of trait anxiety and trait
    resilience on self-esteem. Personality and Individual Differences, 41 (2), 341 –352.
    12. Berman, N. C., Shaw, A. M., & Wilhelm, S. (2018). Emotion regulation in patients with obsessive
    compulsive disorder: Unique effects for those with “taboo thoughts”. Cognitive Therapy and Research ,
    42 (5), 674 -685.
    13. Braunstein, L. M., Gross, J. J., & Ochsner, K. N. (2017). Explicit and implicit emotion regulation: a
    multi - level framework. Soc Cogn Affect Neurosci, 12 (10), 1545 –1557.
    14. Caudek, C., Sica, C., Marchetti, I., Colpizzi, I., & Stendardi, D. (2020). Cognitive inflexibility specificity
    for individuals with high levels of obsessive-compulsive symptoms. Journal of Behavioral and Cognitive
    Therapy, 30, 103-113.
    15. Darby, K.P., Castro, L., Wasserman, E.A., Sloutsky, V.M. (2018). Cognitive flexibility and memory in
    pigeons, human children, and adults. Cognition,177, 30-40.
    16. Den Ouden, L., Tiego, J., Lee, R. S., Albertella, L., Greenwood, L. M., Fontenelle, L., ... & Segrave, R.
    (2020). The role of Experiential Avoidance in transdiagnostic compulsive behavior: A structural model
    analysis. Addictive Behaviors, 108, 106464.
  2. 17. Fergus, T. A., & Bardeen, J. R. (2014). Emotion regulation and obsessive –compulsive symptoms: A
    further examination of associations. Journal of Obsessive -Compulsive and Related Disorders, 3 (3), 243
    -248.
    18. Ferreira M, Marques A, Gomes PV.(2021). Individual Resilience Interventions: A Systematic Review in
    Adult Population Samples over the Last Decade. Int J Environ Res Public Health. 2021 Jul 16;
    18(14):7564.
    19. Gentes, E. L., & Ruscio, A. M. (2011). A meta-analysis of the relation of intolerance of uncertainty to
    symptoms of generalized anxiety disorder, major depressive disorder, and obsessive–compulsive
    disorder. Clinical psychology review, 31(6), 923-933.
    20. Hunt, C. (2021). 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, 26 (17), 100533.
    21. Kashdan, J., Roitenberg, J. (2010). "Psychological flexibility as a fundamental aspect of health". Clinical
    Psychology Review. 30 (7). 865-878.
    22. Kleinstauber, M., Allwang, C., Bailer, J., Berking, M., Brunahl, C., Erkic, M., Gitzen, H., Gollwitzer,
    M., Gottschalk, J. M., Heider, J., Hermann, A., Lahmann, C., Lowe, B., Martin, A., Rau, J., Schroder,
    A., Schwabe, J., Schwarz, J., Stark, R., Weiss, F. D., & Rief, W. (2019).Cognitive Behaviour Therapy
    Complemented with Emotion Regulation Training for Patients with Persistent Physical Symptoms: A
    Randomised Clinical Trial.Psychotherapy and Psychosomatics, 88(5), 287-299.
    23. Layne, C. M., Greeson, J. K., Ostrowski, S. A., Kim, S., Reading, S., Vivrette, R. L., Briggs, E. C.,
    Fairbank, J. A., & Pynoos, R. S. (2014). Cumulative Trauma Exposure and High –Risk Behavior in
    Adolescence: Findings from the National Child Traumatic Stress Network Core Data Set. Psychol.
    Trauma -Theory Res Pract Policy, 6 (1), S40 –S49.
    24. Moreira, P.S., Marques, P., Magalhães, R., Esteves, M., Sousa, N., Soares, J.M., Morgado., P. (2019).The
    resting-brain of obsessive–compulsive disorder. Psychiatry Research: Neuroimaging. 290, 38–41.
    25. Oshio, A., Taku, K., Hirano, M., Saeed, G. (2018). Resilience and Big Five personality traits: A metaanalysis. Personality and Individual Differences, 127: 54-60.
    26. Rebekah, L. & Mark, L. (2014).Selfcontrol linked with restricted emotional extremes. The Journal of
    Personality and Individual Differences. 58 (4), 4853.
    27. Trafford, A. A., Wroe, A. L., Brown, G., & Luzon, O. (2018). What You See is What You Do: Imagery
    and the Moral Judgements of Individuals with OCD. Journal of Obsessive -Compulsive and Related
    Disorders, 16 (1), 50 -55.
    28. Wesner AC, Behenck A, Finkler D, Beria P, Guimarães LSP, Manfro GG, Blaya C, Heldt E . (2019).
    Resilience and coping strategies in cognitive behavioral group therapy for patients with panic disorder.
    Archives of psychiatric nursing, 33(4), 428‐433
    29. Zeidi IM, Divsalar S, Morshedi H, Alizadeh H.(2020). The effectiveness of group cognitive-behavioral
    therapy on general self-efficacy, self-control, and internet addiction prevalence among medical
    university students. Soc Health Behav .3:93-102
Medical Journal of Mashhad university of Medical Sciences
Volume 65, Issue 1
May and June 2022
Pages 71-85