مقایسه اثربخشی درمان شناختی- رفتاری و فراشناخت درمانی بر بهبود تاب‌آوری و کیفیت زندگی بیماران مبتلا به اختلال وسواسی-اجباری

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری تخصصی، گروه روان‌شناسی، واحد بروجرد، دانشگاه آزاد اسلامی، بروجرد، ایران

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

3 استادیار، گروه ریاضی، واحد بروجرد، دانشگاه آزاد اسلامی، بروجرد، ایران

چکیده

هدف: هدف پژوهش حاضر مقایسه اثربخشی درمان شناختی- رفتاری و فراشناخت درمانی بر بهبود تاب‌آوری و کیفیت زندگی بیماران مبتلا به اختلال وسواسی-جبری (OCD) بود.
 
روش: روش پژوهش نیمه آزمایشی با طرح پیش‌آزمون-پس‌آزمون-پیگیری با گروه کنترل بود. جامعۀ آماری پژوهش کلیۀ بیماران مبتلا به OCD مراجعه‌کننده به چند مرکز مشاوره شهر تهران بود. از میان آنان 45 بیمار دارای نمرات پایین در تاب‌آوری و کیفیت زندگی انتخاب و به‌صورت تصادفی در سه گروه درمان شناختی رفتاری (CBT)، درمان فراشناختی (MCT) و گروه کنترل به‌صورت تصادفی جایگزین شدند. برای گروه آزمایش اول CBT و برای گروه آزمایش دوم MCT اجرا شد و گروه کنترل در زمان اجرای پژوهش هیچ‌گونه مداخله‌ای را دریافت نکردند. برای گردآوری داده‌ها از مقیاس‌های تاب‌آوری کانر و دیدویدسون (2003) و کیفیت زندگی وار و شربورن (1992) استفاده شد. برای تحلیل داده‌ها از تحلیل واریانس با اندازه‌گیری مکرر استفاده شد.
 
یافته‌ها: نتایج نشان داد که  CBT و MCT بر بهبود تاب‌آوری و کیفیت زندگی بیماران مبتلا به OCD اثربخش بودند  و اثربخشی CBT در بهبود تاب‌آوری بیشتر از MCT بوده است (01/0>p).
 
نتیجه‌گیری: بر اساس یافته‌ها، استفاده از CBT و MCT برای بهبود تاب‌آوری و کیفیت زندگی بیماران مبتلا به OCD توصیه می‌شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Comparing the Effectiveness of Cognitive-Behavioral Therapy and Metacognitive Therapy on Resilience and Quality of Life in Patients with Obsessive-Compulsive Disorder

نویسندگان [English]

  • Reza Sadeghzadeh 1
  • Mohsen Razani 2
  • Hasan Piriaei 3
1 Ph.D. student, Department of Psychology, Borujerd Branch, Islamic Azad University, Borujerd, Iran.
2 Assistant Professor, Department of Psychology, Borujerd Branch, Islamic Azad University, Borujerd, Iran
3 Assistant Professor, Department of Mathematics, Borujerd Branch, Islamic Azad University, Borujerd, Iran.
چکیده [English]

Aim: The purpose of the present study was to compare the effectiveness of cognitive-behavioral therapy (CBT) and metacognitive therapy (MCT) on resilience and quality of life in patients with Obsessive-Compulsive Disorder (OCD).
 
Method: The research method was quasi-experimental with a pre-test, post-test, and follow-up design with a control group. The statistical population of the research was all patients with OCD referring to several counseling centers in Tehran. Among them, 45 patients with low scores in resilience and quality of life were selected and randomly assigned to three groups: CBT, MCT, and a control group. For the first experimental group, CBT was implemented, and for the second experimental group, MCT was applied. The control group did not undergo any intervention during the research. Connor and Resilience Scale (2003) and Ware and Sherbourne Quality of Life Scale (2003) were used to collect data. Analysis of variance with repeated measures was used to analyze the data.
 
Results: The results showed that both CBT and MCT were effective in increasing resilience and quality of life in patients with OCD (p<0.01), and the effectiveness of CBT in improving resilience was higher than that of MCT.
 
Conclusion: Based on the findings, the use of CBT and MCT is recommended to increase resilience and quality of life in patients with OCD.

کلیدواژه‌ها [English]

  • CBT
  • MCT
  • OCD
  • Quality of Life
  • Resilience
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