The comparison of intolerance of uncertainty, emotion regulation in obsessive-compulsive disorder patients and normal individuals

Document Type : Research Paper

Authors

University of Mohaghegh Ardabili University

Abstract

Obsessive compulsive disorder is a debilitating disorder which makes very much adaptation problems for patients and their families. The purpose of this study was the comparison of intolerance of uncertainty and emotion regulation in obsessive compulsive dsorder-patients and normal individuals. The method was causal-comparative. The statistical population of patients included all the patients with obsessive compulsive disorder who referred to the psychiatric hospital of Razi in Tabriz during the second half of 2013. 25 participants were selected by using simple random sampling and 25 people were selected from the normal staff of the hospital as the comparison group. The instruments used in the study, were the intolerance of uncertainty questionnaire and emotion regulation questionnaire and Multivariate analysis of variance was used for analyzing the data. The results showed that among two groups, obsessive compulsive dsorder-patients and normal participants, there was significant and meaningful differences intolerance of Uncertainty; In this way that the average scores of obsessive compulsive disorder -patients in intolerance of uncertainty was Higher than normal subjects’ average. Also it was observed a significant difference in the variable of Emotion Regulation between obsessive compulsive disorder patients and normal participants, in this way that the average scores of obsessive compulsive disorder -patients in emotion regulation were lower than normal subjects’ average. The results of the current study show that tolerance of uncertainty and emotion regulation efficient variables contribute to the improvement of the condition of obsessive patients and can have implicitly be more support of these patients.

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References

American Psychiatric Association (2005). The revised text of the Diagnostic and Statistical Manual of Mental Disorders, translated by Mohammad Reza Nikkhoo and Hamayak Avadis Yance. Tehran: Sokhan (Text in Persian).
Amstadter, A. (2008). Emotion regulation and anxiety disorders. Anxiety Disorders, 22(2): 211–221.
Arfaei, A., Besharat Gharamaleki, R., Gholizdeh, H., Hekmati, I. (2011). IU: comparison of patients with major depression and obsessive-compulsive patients, Medical journal of Tabriz University of Medical Sciences, 33 (5): 22-17 (Text in Persian).
Babaei, M., Akbarzadeh, N., Abdulrahman Njl, R., Pourshahriari, M. (2010). A combination of cognitive-behavioral treatment efficacy and reduce the risk of obsessive-compulsive disorder ideation among female students. Psychological Studies, 6 (1): 55-43 (Text in Persian).
Barlow, D. H. (2008). Clinical handbook of psychological disorders: A step-by-step treatment manual (4thed.). New York: Guilford Press.
Bargh, J., Williams, L. (2007). The case for No conscious Emotion Regulation, Guilford Press, New York, 429–445.
Buher, K., Dugas, M. J. (2002). The intolerance of uncertainty scale: Psychometric properties of the English version. Behave Research Therapy, 40(8): 931–945.
Betts, J., Gullone, E., Allen, J. S. (2009). An examination of emotion regulation, temperament, and parenting style as potential predictors of adolescent depression risk status: A correlational study. British Journal of Developmental Psychology, 27(2): 473–485.
Cruz, L. F., Landau, D., Iervolino, A. C., Santo, S., Pertusa, A., Singh, S., Mataix-Cols, D. (2013). Experiential avoidance and emotion regulation difficulties in hoarding Disorder؛ Journal of Anxiety Disorders, 27(2): 204–209.
Crino, R., Slade, T., Andrews, G. (2005). The Changing Prevalence and Severity of Obsessive-Compulsive Disorder Criteria From DSM-III to DSM-IV, The American Journal of Psychiatry, 162(5): 876–882.
Cole, P. M., Michel, M. K., Teti, L. O. (1994). The development of emotion regulation and dysregulation: A clinical perspective. Monographs of the Society for Research in Child Development; 59(2/3): 73−100.
Clark, D. A. (2004). Cognitive behavioral therapy for OCD and phenomenology of OCD. Journal of Psychiatric Annals, 19(2): 67−73.
Delavar, A. (2008). Research Methods in Psychology and Educational Sciences, Tehran: Virayesh (Text in Persian).
Dugas, M. J., Schewartz, A., Francis, K. (2004). Intolerance of uncertainty, worry, and depression. Cognitive therapy Research, 28(6): 835−842.
Dupuy, J. B., Ladouceur, R. (2008). Cognitive processes of generalized anxiety disorder in co-morbid generalized anxiety disorder and major depressive disorder. Journal of Anxiety Disorders, 22(3): 505−514.              
Ebrahimzadeh, Z. (2006). The study of cognitive beliefs perfectionism and social problem solving ability according to uncertainty levels among OCD and MDD. Dissertation in MA, Ardabil University (Text in Persian).
Eftekharzadeh, R., Hoseinian, S., Shams, J., Yazdi, S. M. (2016). Effectiveness of psychological education on expressed emotion and reduce the severity of disease in patients with obsessive-compulsive disorder, Psychological Studies, 12 (3): 68-84 (Text in Persian).
Eisenberg, N., Fabes, R. A., Guthrie, I. K., Reiser, M. (2000). Dispositional emotionality and regulation: Their role in predicting quality of social functioning. Journal of Personality and Social Psychology, 78(1):136−157.
Fahimi, S., Mahmoud Aliloo, M., Rahim Khanlari, M., Fakhari, A., Poursharifi, H. (2013). IU characteristic disorders Risk anxiety, obsessive-compulsive, panic, Journal of Research in Behavioral Sciences, 11 (4): 233-244 (Text in Persian).
Freeston, M. H., Rheauma, J., Litarte, H., Dugas, M. J., Ladouceur, R. (1994). Why Do People Worry? Personality and Individual Difference, 17(6): 791−802.
Ghassemzadeh, H., Mojtabai, R. (2005). Psychometric Properties of a Persian Language Version of Bdi- II. Depression & Anxiety, 21(4): 185−192.
Gross, J., Thompson, R. (2007). Emotion Regulation: Conceptual Foundations, Guilford Press, New York, 3–24.
Gross J. J., Levenson, R. W. (1997). Hiding feelings: the acute effects of inhibiting negative and positive emotion. Journal of Abnormal Psychology, 106(1): 95–103.
Granefski, N., Gentes, E. L., Meron Ruscio, A. (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.
Kaplan, H., Sadock, B. (2004). Summary Rvanpzshky- Behavioral Sciences, Clinical Psychiatry, translated by H. tall. And i Sobhanian, Volume II, Tehran: Arjemand (Text in Persian).
Kraaij, V. (2006). Cognitive emotion regulation strategies and depressive symptoms: A comparative study of five specific Sample. Personality and Individual Difference. 40(16): 59−69.
Hasani, J. (2011). Validity and reliability of the short form of cognitive emotion regulation questionnaire. Journal of Research in Behavioral Sciences, 9 (4): 229-240 (Text in Persian).
Hassanzadeh, A., Sharifi Daamadi, P., Sohrabi, F. (2013). Comparison of meta-cognitive components in adolescents with and without OCD. Psychological Studies, 9 (1): 107-91 (Text in Persian).
Hughes, E. K., Gullone, E., Dudley, A., Tongue, B. (2010). A case–control study of emotion regulation and school refusal in children and adolescents. Journal of Early Adolescence, 30(5): 691–706.
 Holaway, R. M., Heimberg, R. G., Coles, M. E. (2006). A comparison of intolerance of uncertainty in analogue obsessivecompulsive disorder and generalized anxiety disorder. Anxiety Disorder, 20(2): 158–174.
Jacoby, R. J., Fabricant, L. E., Leonard, R. C., Riemann, B. C., Abramowitz, J. S. (2013). Just to be certain: Confirming the factor structure of the Intolerance of Uncertainty Scale in patients with obsessive-compulsive disorder. Journal of Anxiety Disorders, 27(5): 535–542.
Lind, C. H., Boschen, M. J. (2009). Intolerance of uncertainty mediates the relationship between responsibility beliefs and compulsive checking. Journal of Anxiety Disorders, 23(8): 1047–1052.
Maina, G., Albert, U., Bogetto, F., Ravizza, L. (2003). Obsessive-compulsive syndromes in older adolescents. Acta Psychiatr Scand, 100(6): 447-450.
Rachman, S., Hodgston, R. J. (1980). Obsessions and Compulsions. Englewood Cliffs. Prentice-Hall, 7.
Sadock, B. J., Sadock, V. A. (2007). Kaplan and Sadock’s synopsis of psychiatry: Behavioral sciences/ clinical psychiatry.10th ed. Philadelphia: Lippincott Williams and Wilkins, 259.
Sarawgi, S. H., Oglesby, M. E., Cougle, J. R. (2013). Intolerance of uncertainty and obsessive-compulsive symptom expression, Journal of Behavior Therapy and Experimental Psychiatry, 44(4): 456–462.
Thompson, R. A. (1994). A theme in search of definition. Monographs of the Society for Research in Child Development, 59(2-3): 250–283.
Tong, F., Sung-ki, K., Bianca, G. (2011). Emotion regulation among individuals with obsessive-compulsive disorder, Postgraduate Thesis, University of Hong Kong.
Volz, K. G., Schubotz, R. I., Cramon, Y. V. (2004). Why am I unsure؛ Internal and external attributions of uncertainty dissociated by fMRI. NeuroImag; 21(3): 848−857.
World health organization. (1996). WHOQOL-BREF Introduction, Administration and scoring, Field, Trial version,Geneva, World Health Organization.
Whittal, M. L., Robichaud, M., Woody, S. R. (2010). Cognitive Treatment of Obsessions: Enhancing Dissemination. Cognitive and Behavioral Practice. 17(1): 1–8.
Journal of Psychological Studies
Volume 13, Issue 2 - Serial Number 47
September 2017
Pages 77-94

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