مقایسه اثربخشی درمانی و شناخت درمانی مبتنی برذهن آگاهی بر دشواری تنظیم هیجان در بیماران مبتلا به وسواس فکری و عملی

زمینه و هدف: پژوهش حاضر با هدف مقایسه اثربخشی درمانی و شناخت درمانی مبتنی بر ذهن آگاهی بر دشواری تنظیم هیجان در بیماران مبتلا به وسواس فکری و عملی انجام شد. روش کار: بدین منظور تعداد 45 بیمار مبتلا به اختلال وسواس فکری - عملی، از بین بیماران وسواسی مراجعه‌کننده به مراکز روان‌شناختی و روان پزشکی شهر مشهد انتخاب و به صورت تصادفی در سه گروه (15 نفر در گروه کنترل، 15 نفر در گروه درمانی و 15 نفر در گروه شناخت درمانی مبتنی بر ذهن آگاهی) جایگزین شدند برای تجزیه و تحلیل داده ها از روش آماری تحلیل واریانس با اندازه‌گیری‌های مکرر و آزمون تعقیبی استفاده شد. یافته‌ها: نتایج حاکی از اثربخشی درمانی و درمان شناختی مبتنی بر ذهن آگاهی (در مقایسه با گروه کنترل) بر دشواری تنظیم هیجان در بیماران مبتلا به وسواس فکری و عملی بود. همچنین نتایج نشان داد تفاوت معناداری در میزان اثربخشی این دو نوع درمان بر دشواری تنظیم هیجان افراد مبتلا به وسواس فکری عملی نمونه مورد مطالعه وجود نداشته و هر دو درمان به یک اندازه باعث بهبودی شدند.نتیجه‌گیری: بر مبنای یافته‌های حاصل از پژوهش، شناخت درمانی مبتنی بر ذهن آگاهی و درمانی به مراجعین مبتلا به وسواس فکریعملی کمک می‌کند تا بتوانند به شکل موثری هیجانات خود را تنظییم و مدیریت کنند. لذا با توجه به اینکه هیجان‌ها نقشی اساسی در دوام و تشدید این اختلال دارد، درمانگران می‌توانند با استفاده از هر یک از این روش‌های درمانی، اثربخشی جلسات درمانی را افزایش دهند. 

comparison of the effectiveness of mindfulness-based therapy and cognitive therapy on the difficulty of emotion regulation in patients with obsessive-compulsive disorder

background & aims: obsessivecompulsive disorder (ocd) is a very serious psychological disorder characterized by obsessive thoughts and compulsive behaviors and can vary greatly in different geographical areas  so that its prevalence ranges from one percent to four percent. it has been recorded in different geographical areas obsessions are anxious, unwanted, and stubborn thoughts, as well as impulses or images that are inconsistent with them, in the sense that they are disturbing, disturbing, and inappropriate and do not actually correspond to the person’s apparent and perceived feelings. practical obsessions are created in response to obsessions aimed at reducing anxiety; which includes repetitive behaviors (such as washing or reviewing) or mental actions (such as counting) the main feature of these obsessions and compulsions (thoughts and behaviors) is that they are not pleasurable for the sufferer, but the patient continues to chew thoughts and repeat actions. to perhaps alleviate the inconvenience to him. obsessivecompulsive disorder causes major problems in various areas for the individual. among these problems and disabilities is the disorder in the emotional regulation of this group of patients. problems with emotion regulation strategies are present in almost all patients, and ocd appears to be characterized by a wide range of emotion regulation problems, particularly fear of emotion or fear of accepting emotion emotional regulation includes awareness, understanding and acceptance of emotions, the ability to control impulsive behaviors, behavior in accordance with personal goals in situations where negative emotions are experienced, and the ability to use flexible and appropriate emotional strategies appropriate to the situation. the absence of any of these can lead to disruption of this process. in fact, emotion regulation involves all the conscious and unconscious strategies that a person has to increase, maintain or decrease one or more components of the emotional response (experimental, behavioral). and physiological).the aim of this study was to compare the effectiveness of schema therapy and mindfulnessbased cognitive therapy on the difficulty of emotion regulation in patients with obsessivecompulsive disorder. methods: for this purpose, 45 patients with obsessivecompulsive disorder were selected from obsessivecompulsive patients referred to psychological and psychiatric centers in mashhad and randomly divided into three groups (15 in the control group, 15 in the schema therapy group). and 15 patients were replaced in the cognitive therapy group based on mindfulness). analysis of variance with repeated measures and post hoc test were used to analyze the data. the results showed the effectiveness of mindfulnessbased schema therapy and cognitive therapy (compared to the control group) on the difficulty of emotion regulation in patients with obsessivecompulsive disorder. results: the results also showed that there was no significant difference in the effectiveness of these two types of treatments on the difficulty of emotion regulation in people with obsessivecompulsive disorder in the study sample and both treatments were equally effective.