To Compare the Effectiveness of Confrontation / encontur and Response Prevention Model with the Dangerous Ideation Reduction Method on Reducing Alexithymia and Cognitive avoidance amonge obsessive disorder Patients

Document Type : Research Paper

Authors

1 M. A of rehabilitation counseling,university of social welfare and rehabilitation, Tehran. Iran.

2 Ms.c, Department of Clinical Psychology, Islamic Azad University, Semnan. Iran.

3 Department of Educational Sciences and Psychology, Farhangian University, Kermanshah, Iran.

4 Young and Elite Research, Club of Islamic Azad University. Shahrekord. Iran.

5 M. A of Psychometric. Islamic Azad University of Central Tehran Branch. Tehran. Iran.

Abstract

The purpose of the present study is to compare the efficacy of conforantation / encontur and response prevention therapeutic model and the the dangerous ideation reduction model on reducing alexithymia and cognitive avoidance in patients with obsessive disorder. This study was a semi-experimental design with pretest-posttest model with two-month follow-up and control group. The statistical population included all Patients with obsessive who were referred to shahrekord counseling centers in 2016. 48 of them were selected by voluntary sampling and then randomly assigned to three groups of 16. Patients in the first group received the danger ideation reduction therapeutic model and the patients in the second group received the exposure and response prevention model individually for 10 sessions of 60 minutes. The questionnaires of “sexton and dugas cognitive avoidance and alexithymia” were used to collect information. For analysis of data, multivariate analysis of variance and Fisher's post hoc test were used. The results showed that both therapeutic methods of exposure and response prevention and reduction of danger ideation reduction to reduce cognitive avoidance is effective, but there was a significant difference between these two therapies on the reduction of alexithymia in people with obsessive-compulsive disorder. Based on the findings of the research, it can be concluded that the treatment method of the reduction of danger ideation reduction is more effective than the therapeutic model of exposure and response prevention and cognitive avoidance of patients with obsessive disorder.

Keywords

Main Subjects

References

Agha Yousefi, A. and Mohammadzadeh Adamla'i, R. (2011). Emotional Neutralization in Students with Psychological Problems. Sixth Student Mental Health Seminar, Gilan, Iran (Text in Persian).
Almardani Someeh, S., Narimani, M., Mikaeeli, N. and Basharpoor, S. (2017). The comparison of intolerance of uncertainty, emotion regulation in obsessive-compulsive disorder patients and normal individuals. Journal of Psychological Studies, 13(2): 77-94(Text in Persian).
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
Andouz, Z., Sahebi, A. and Tabatabai, S. M. (2005). Comparing Efficacy and Effectiveness of ERP and DIRT Methods in Treatment of Compulsive Washing. Iranian Journal of Psychiatry and Clinical Psychology, 11(2): 139-149(Text in Persian).
Babaee, M., Akbarzade, N., Najlerahim, A. and Pourshahriari, N. (2010). The Impact of the composed approach of cognitive -behavioral therapy and danger ideation reduction therapy on obsessive-compulsive disorder among Female university students. Journal of Psychological Studies, 6(1): 43-56(Text in Persian).
Bagby, R.M, Parker, J. D.A. and Taylor, G.J. (1994). The twenty-item Toronto alexithymia scale- I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38(1): 23-32.
Barlow, D. H. and Hofman, S. G. (1997). Efficacy and dissemination of psychological treatment. In D.M.Clark and C. Fairburn(Eds.). Science and practice of cognitive behavior therapy.Oxford:Oxford University Press.
Cannon, R. O. (2009). Microvascular angina and the continuing dilemma of chest pain with normal coronary angiograms. Journal of the American College of Cardiology, 54(1): 877-885.
Clark, D. A. and Purdon, C. (2004). Cognitive theory and therapy of obsessions and compulsions. In M. A. Reinecke, and D. A. Clark, Cognitive therapy across the lifespan: evidence and practice (pp. 90-116). Cambridge, CambridgeUniversity Press.
Duddu, V., Isaac, M. K. and Chaturvedi, S. k. (2003). Alexithymia in somatoform and depressive disorders. . Journal of Psychosomatic Research, 17(54): 435-438.
Eikenæs, I. U. (2016). Avoidant personality disorder and social phobia. Ph.D. Thesis, University of Oslo.
Foa, E.B., Steketee, G., Grayson, J.B, Turner, R.M. and Latimer, P. R. (1984). Deliberate exposure and blocking of obsessive compulsive rituals: Immediate and long-term effects. Journal of  Behavior Therapy, 15(5):450-472.
Glass, D. J. (2012). Factor Structure of OCD: Toward an Evolutionary Neuro-Cognitive Model of Obsessive-Compulsive Disorder. A Thesis Submitted to The Department of Psychology of The State University of New York At New Paltz In Partial Fulfillment of The Requirements For The Degree of Master of Arts In Psychology.
Jones, M. K. and Menzies, R.G (1998). Danger ideation reduction therapy (DIRT) for obsessive-compul compulsive disorder. In D.M.Clark, and G. Fairburn (Eds.). Science and practice of cognitive-behavior therapy. Oxford: Oxford University Press.
Jones, M. K. and Menzies, R. G. (1997). Danger ideation reduction therapy (DIRT) for obsessive–compulsive washers. A controlled trial. Journal of  Behavior Research and Therapy, 36(10): 959-970.
Jones, M. K. and Menzies, R.G. (2001). Danger ideation reduction therapy (DIRT) for treatment resistant compulsive washing. Journal of  Behaviour Research and Therapy, 39(8): 897-912.
Li, T. and Chan, D. (2012). How anxious and avoidant attachment affect romantic relationship quality differently: A meta-analytic review. European Journal of  Social Psychology, 42(4): 406-419.
Minnotte, K. L., Pedersen, D. and Mannon, S. E. (2010). The emotion terrain of parenting and marriage: Emotion work and marital satisfaction. The Social Science Journal, 47(4): 747-761.
Molaee, M., Jani, S., Hamedi, R and Jangi Gojebiglou, S.(2014). Predicting clusterc personality disorders (avoidant, dependent and obsessive- compulisive) according to behavioral activation and inhibition system. Urima  Medical Journal, 25(10): 931-939 (Text in Persian).
 Narimani, M., Maleki-Pirbazari, M., Mikaeili, N. and Abolghasemi, A. (2017). Appraisal of Effectiveness and Comparison of Exposure and Response Prevention Therapy and Acceptance and Commitment Therapy (ACT)-Based Training on Improving of Obsessive and Compulsive Disorder Patients' Components of Life Quality. Journal of Clinical Psychology, 8(1): 25-36(Text in Persian).
Ranjbar Sudejani,Y., sharifi, K., Sayyah, S. S. and.Malek Mohamadi Galeh, Z. (2017). Effectiveness of Intensive Short-Term Dynamic Psychotherapy on Correcting Irrational Beliefs and Reducing Cognitive Avoidance of People with Obsessive Compulsive Disorder.  Journal of Counseling Research, 15 (62): 140-169(Text in Persian).
Segal, D. L., Coolidge, F. L. and Rosowsky E. (2014). Personality disorders and older adults: diagnosis, assessment and treatment. New York: Wiley.
Sexton, K.A. and Dugas, M. J. (2004). An Investigation of the Factors Leading to Cognitive Avoidance in Worry. Poster Presented at the Annual Convention of Association for Advancement of Behavior Therapy, New Orleans, LA.
Shams, G., Karam Ghadiri, N., Esmaeli Torkanbori, Y. and Ebrahimkhani, N. (2004). Validation and Reliability Assessment of The Persian Version of Obsessive Beliefs Questionnaire-44. Journal of Advances in Cognitive Science, 6 (1 and 2): 23-36 (Text in Persian).
Wheaton, M. G, Abramowitz, J.S, Berman, N.C, Riemann, B. C. and Hale,  L. R (2010). The relationship between obsessive beliefs and symptom dimensions in obsess compulsive disorder. Journal of  Behaviour Research and Therapy, 48(10): 949-954.
White, K. S., Craft, J. M. and Gervino, E. V. (2010). Anxiety and hyper vigilance to Cardiopulmonary sensations in non-cardiac chest pain patients with and without psychiatric disorders. Journal of  Behavior Research and Therapy, 48(5): 394-401.
 Yaghoubzadeh, F. and Alilo, M. M. (2017). The effectiveness of treatment of obsessive-compulsive disorder (type washing) through religious preferential encoding correction with exposure and response prevention. Journal of Psychological Studies, 12(4): 49-64(Text in Persian).
Zakiee, A. (2011). Alexithymia's relationship, irrational beliefs, positive and negative affection with mental disorder. M. A. Degree Dissertation, Razi University, Kermanshah(Text in Persian).

Files

Share

How to cite

Statistics