The Effectiveness of Treatment Based on Mentalization on Psychological Distress and Alexitimia in Adolescent Girls with Obsessive-Compulsive Disorder

Document Type : Research Paper

Authors

1 Ph.D. student, Department of General Psychology, Faculty of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran

2 Associate Professor, Department of Psychology, Faculty of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran

3 Assistant Professor, Department of Psychology, Faculty of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran

Abstract

The present study was conducted to investigate the effectiveness of treatment based on mentalization on psychological distress and alexitimia in adolescent girls with obsessive-compulsive disorder. The current study was a semi-experimental application with a pre-test-post-test design with a control group and a two-month follow-up period. The statistical population of the research was made up of adolescent girls suffering from obsessive-compulsive disorder who referred to counseling centers in East Tehran in the summer of 2023 In this research, 36 adolescent girl with obsessive-compulsive disorder were selected by purposeful sampling and randomly assigned to experimental and control groups. Participants in the experimental group received the treatment based on mentalization in eight 90-minute sessions, weekly. Maudsley Obsessive Compulsive Questionnaire, Psychological Distress Questionnaire and Alexitimia Questionnaire were used in the present study. The data were analyzed through analysis of variance with repeated measures design. The results showed that treatment based on mentalization had significant effect on the psychological distress and alexitimia in the adolescent girls with obsessive-compulsive disorder. Therefore, It can be concluded that the treatment based on mentalization can be used as an efficient method to reduce the psychological distress and alexitimia of adolescent girls with obsessive-compulsive disorder.

Keywords

Main Subjects

References

اصلی­آزاد، مسلم.، خاکی، سعیده.، فرهادی، طاهره. (1400). اثربخشی واقعیت‌درمانی آنلاین بر اضطراب و پریشانی روان‌شناختی بیماران بهبودیافتگان کووید-19. مجلۀ دستاوردهای روان‌شناختی، 28(2)، 20-1. https://doi.org/10.22055/psy.2021.35651.2620
شمس، سارا، قلیچ‌خان، ناهید، یوسفی، نفیسه، علیجانی، ساره. (1401). مقایسۀ اثربخشی روان‌درمانی پویشی فشرده کوتاه مدت و درمان مبتنی بر ذهنی‌سازی بر بدتنظیمی هیجانی، مکانیسم‌های دفاعی و سبک‌های دلبستگی ناایمن در زنان دارای تجربۀ ترومای خیانت زناشویی. روان‌پرستاری، 10(1): 121-106. http://ijpn.ir/article-1-1964-fa.html
صباغی، سمیه.، مهدی زادگان، ایران. (1399). مقایسه مقبولیت اجتماعی و ناگویی طبعی در بین دانش‌آموزان دارای اختلال رفتار درونی‌سازی شده و دانش‌آموزان عادی. فصلنامۀ علوم روان‌شناختی، ۱۹(۹۰)، ۷۶۵-۷۷۲. http://psychologicalscience.ir/article-1-355-fa.html
عالی ساری نصیرلو، کریم. (1402). مقایسه اثربخشی درمان مبتنی بر ذهنی‌سازی و رفتاردرمانی دیالکتیکی بر عاطفه خودآگاه، هیجان ابراز شده و کیفیت زندگی در مادران دارای کودک کم‌توانی ذهنی. رساله دوره دکتری تخصصی، دانشگاه آزاد اسلامی، واحد شهرکرد.
عبدزاده، سیما.، آزموده، معصومه.، عبداله پور، محمدآزاد.، و لیوارجانی، شعله. (1399). نقش واسطه‌ای آشفتگی روان‌شناختی در رابطه طرحواره‌های ناسازگار اولیه و تنظیم هیجان منفی با گرایش به رفتارهای پرخطر در دانش‌آموزان. اعتیادپژوهی، 14(58): 143-170. http://etiadpajohi.ir/article-1-2446-fa.html
قرایلی، زهرا.، و صابری، هایده. (1399). رابطه فراشناخت و باورهای هذیانی با نشانه‌های وسواس. اندیشه و رفتار در روانشناسی بالینی، 14(56): 17-26. https://www.sid.ir/paper/366478/fa
قنبری، فاطمه.، نظیری، قاسم.، امیدوار، بنفشه. (1401) اثربخشی درمان مبتنی بر ذهنی سازی بر همدلی کودکان مبتلا به اختلال کم توجهی/ بیش‌فعالی. مجلۀ علوم پزشکی رازی، ۲۹(۴)، ۱۲۵-۱۳۴. http://rjms.iums.ac.ir/article-۱-۷۴۳۶-fa.html
یاراحمدی، محبوبه.، اورکی، محمود.، سعادت، سیدحسن.، اسحاقیان، محمد.، مومنی، آریا. (1399). اثربخشی درمان مبتنی بر تعهد و پذیرش بر تحمل پریشانی و شدت وسواس فکری عملی در بیماران وسواس. مجلۀ روان‌شناسی و روا‌ن‌پزشکی شناخت، ۷(6): 79-66. http://shenakht.muk.ac.ir/article-1-905-fa.html
یعقوبی، حمید. (1394). ویژگی‌های روان‌سنجی نسخه 10 سؤالی پرسشنامۀ پریشانی روان‌شناختی کسلر (10-K). فصلنامۀ پژوهش‌های کاربردی روان‌شناختی، 6(4): 45-57. 10.22059/japr.2016.57963
یوسفی، نفیسه.، منیرپور، نادر. (1400). پیش‌بینی نشانگان وسواس بر اساس ناگویی هیجانی و باورهای غیرمنطقی در افراد مبتلا به اختلال وسواسی-جبری. رویش روان‌شناسی، ۱۰ (۱۲)، ۱۵۹-۱۶۸. http://frooyesh.ir/article-1-3102-fa.html
Abdzadeh, S., Azemode, M., Abdullah Poor, M.A., Livarjani, S. (2021). The mediating role of psychological distress in the relations of early maladaptive schemas and negative emotion regulation to the tendency to high-risk behaviors in students. Etiadpajohi, 14(58), 143-170. http://etiadpajohi.ir/article-1-2446-fa.html (Text in Persian)
Ali Sari Nasirlu, K. (2023). Comparing the effectiveness of treatment based on mentalization and dialectical behavior therapy on self-conscious emotion, expressed emotion and quality of life in mothers with intellectually disabled children. Dissertation for doctorate course, Islamic Azad University, Shahrekord branch. (Text in Persian)
Asli Azad, M., Khaki, S., Farhadi, T. (2021). Efficiency of online reality therapy on anxiety and psychological distress in the covid-19 improved. Psychological Achievements, 28(2), 1-20. https://doi.org/10.22055/psy.2021.35651.2620 (Text in Persian)
Bagby, R.M., Parker, J.D.A., & 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, 23-32. https://doi.org/10.1016/0022-3999(94)90005-1
Bateman, A., Campbell, C., Luyten, P., Fonagy, P. (2018). A mentalization-based approach to common factors in the treatment of borderline personality disorder. Current Opinion in Psychology, 21, 44-49. https://doi.org/10.1016/j.copsyc.2017.09.005
Fang, M., Hu, W., Xie, Z. (2024). Relationships among self-disclosure, social support and psychological distress in caregivers of patients with advanced lung cancer: A mediating model. European Journal of Oncology Nursing, 72, 1026-1030. https://doi.org/10.1016/j.ejon.2024.102677
Ferra, I., Bragança, M., Moreira, R. (2024). Exploring the clinical features of postpartum obsessive-compulsive disorder- a systematic review. The European Journal of Psychiatry, 38(1), 1002-1006. https://doi.org/10.1016/j.ejpsy.2023.100232
Ghanbari, F., Naziri, G., Omidvar, B. (2022). The Effectiveness of Mentalization-Based Treatment on Empathy among children with Attention Deficit- Hyperactivity Disorder. Razi Journal of Medical Sciences, 29(4), 125-134. http://rjms.iums.ac.ir/article-1-7436-fa.html (Text in Persian)
Hauschild, S., Kasper, L., Volkert, J., Sobanski, E., Taubner, S. (2023). Mentalization-based treatment for adolescents with conduct disorder: a feasibility study. Europen Children and Adolescent Psychiatry, 32, 2611–2622. https://doi.org/10.1007/s00787-022-02113-4
Hermida-Barros, L., Primé-Tous, M., García-Delgar, B., Forcadell, E., Lera-Miguel, S., de la Cruz, L.F., Vieta, E., Radua, J., Lázaro, L., Fullana, M.A. (2024). Family accommodation in obsessive-compulsive disorder: an updated systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, 161, 1056-1061. https://doi.org/10.1016/j.neubiorev.2024.105678
Hodgson, R. J., & Rachman, S. (1977). Obsessional compulsive complains. Behaviour Research and Therapy, 15, 389-395. https://doi.org/10.1016/0005-7967(77)90042-0
Jørgensen, M.S., Storebø, O.J., Bo, S., Poulsen, S., Gondan, M., Beck, E., Chanen, A.M., Bateman, A., Pedersen, J., Simonsen, E. (2021). Mentalization-based treatment in groups for adolescents with Borderline Personality Disorder: 3- and 12-month follow-up of a randomized controlled trial. European Children and Adolescent Psychiatry, 30, 699–710. https://doi.org/10.3390/children10010093
Kessler, R.C., Andrews, G., Colpe, L.J., Hiripi, E., Mroczek, D.K., Normand, SL.T., Walters, E.E. & Zaslavsky, A.M. (2002). Short screening scales to monitor population prevalence’s and trends in nonspecific psychological distress. Psychological Medicine, 32(6), 959-976. https://doi.org/10.1017/S0033291702006074
Lochner, C., Maré, K.T., Stein, D.J. (2024). Structured clinical interview for diagnosing obsessive-compulsive spectrum disorders. Comprehensive Psychiatry, 133, 1524-1528. https://doi.org/10.1016/j.comppsych.2024.152494
Malberg, N.T. (2021). Working with Autistic Children and their Families from a Mentalization Based Therapy for Children (MBT-C) Approach. Psychoanalytic Perspectives, 18(1), 22-42. https://doi.org/10.1080/1551806X.2021.1845033
Pischiutta, L., Garzitto, M., Zamparutti, G., Moratti, E., Albert, U., Colizzi, M., Balestrieri, M. (2023). Mentalization in young patients undergoing opioid agonist treatment: Implications for clinical management. Addictive Behaviors Reports, 17, 1004-1009. https://doi.org/10.1016/j.abrep.2023.100497
Polnay, A., McIntosh, L.G., Burnett, A., Williams, A., Cahill, C., Wilkinson, P., Mohammad, F., Patrick, J. (2021). Examining the factor structure, reliability, and validity of the main outcome measure used in mentalization-based therapy skills training, Health Science Reports, 4(1), 245-254. https://doi.org/10.1002/hsr2.245
Qaraili, Z., Saberi, H. (2019). The relationship between metacognition and delusional beliefs with obsessive symptoms. Thought and Behavior in Clinical Psychology, 14(56), 17-26. https://www.sid.ir/paper/366478/fa (Text in Persian)
Sabaghi, S., Mahdi Zadegan, I. (2020). Compare social desirability and alexithymia among students with internalized behavioral disorder and normal students. Journal of Psychological Science, 19(90), 765-772. http://psychologicalscience.ir/article-1-355-fa.html (Text in Persian)
Schneider, R.L., Petersen, J.M. (2024). Preliminary feasibility, acceptability, and effectiveness of a pilot telehealth-based intensive outpatient program incorporating acceptance and commitment therapy for adolescents with obsessive compulsive disorder.
Journal of Contextual Behavioral Science, 31, 1007-1011. https://doi.org/10.1016/j.jcbs.2023.100716
Shams, S., Ghelichkhan, N., Yousefi, N., Alijani, S. (2022). Comparison of the effectiveness of short-term intensive dynamic psychotherapy and mentalization-based therapy on emotional dysregulation, defense mechanisms and insecure attachment styles in women who have experienced the trauma of marital infidelity. Iranian Journal of Psychiatric Nursing, 10 (1), 106-121. [Text in Persian]
http://ijpn.ir/article-1-1964-fa.html
Simonsen, S., Popolo, R., Juul, S., Frandsen, F.W., Sørensen, P., Dimaggio, G. (2022). Treating Avoidant Personality Disorder With Combined Individual Metacognitive Interpersonal Therapy and Group Mentalization-Based Treatment: A Pilot Study. The Journal of Nervous and Mental Disease, 26, 213-219. DOI: 10.1097/NMD.0000000000001432
Tsegay, L., Ayano, G. (2024). Psychological Distress and Associated Factors Among Medical Students in Addis Ababa, Ethiopia: A Cross-Sectional Study (May 2018). Journal of Affective Disorders Reports, 16, 1007-1011. https://doi.org/10.1016/j.jadr.2024.100783
Williams, L.L., Fleisher, C., Muir, O.S., MacMillan, C., Grimes, C., Bleiberg, WE. (2023). Basic Concepts in Mentalizing-Based Therapy for Adolescents With Mood Dysregulation. Journal of the American Academy of Child & Adolescent Psychiatry, 62(2), 426-430. https://doi.org/10.1016/j.jaac.2023.07.984
Yaghobi, H. (2015). Psychometric properties of the 10 questions Version of the Kessler Psychological Distress Scale (K-10). Journal of Applied Psychological Research, 6(4), 45-57. 10.22059/japr.2016.57963 (Text in Persian)
Yarahmadi, M., Oraki, M., Saadat, S.H., Eshaghian, M., Momeni, A. (2021). The effectiveness of acceptance and commitment therapy (ACT) on distress tolerance and the severity of obsessive-compulsive symptoms. Shenakht Journal of Psychology and Psychiatry, 7(6), 66-79. http://shenakht.muk.ac.ir/article-1-905-fa.html (Text in Persian)
Yousefi, N., Monirpoor, N. (2022). The role of alexithymia and irrational beliefs in predicting obsessive-compulsive disorder in people with obsessive-compulsive disorder. Rooyesh, 10(12), 159-168. http://frooyesh.ir/article-1-3102-fa.html (Text in Persian)

Files

Share

How to cite

Statistics