مقایسه درمان مبتنی بر پذیرش و تعهد با دارو درمانی در بهبود روابط بین فردی و تفکر کمال گرایانه به وسواس شهر یزد

زمینه و هدف: اختلال وسواس- اجبار یکی از مشکلات جدی سلامت روان شناختی بوده که بر همه جوانب روابط بین فردی تاثیرگذار می باشد؛ بنابراین هدف از پژوهش حاضر مقایسه درمان مبتنی بر پذیرش و تعهد با دارو درمانی در بهبود روابط بین فردی و تفکر کمال گرایانه مبتلایان به وسواس شهر یزد بود. روش کار: روش پژوهش آزمایشی با طرح پیش آزمون- پس آزمون با گروه کنترل و دوره پیگیری دو ماهه بود. جامعه آماری پژوهش حاضر شامل کلیه‌ بیماران وسواسی شهر یزد بود که با شیوه نمونه گیری در دسترس 45 نفر از بیماران وسواس بر اساس ملاک های ورود و خروج پژوهش انتخاب و در دو گروه آزمایشی (15 نفر تحت درمان دارویی و 15 نفر تحت درمان مبتنی بر پذیرش و تعهد) و گروه کنترل (15 نفر) به طور تصادفی گمارده شدند. ابزار پژوهش پرسشنامه وسواس فکری- عملی مادزلی (1977) و روابط بین فردی رمپل و هولمز (1986) بود. داده‌ها با استفاده از تحلیل واریانس با اندازه گیری مکرر تجزیه و تحلیل شدند. یافته‌ها: یافته‌ها نشان داد که درمان مبتنی بر پذیرش و تعهد و دارو درمانی در بهبود روابط بین فردی و تفکر کمال گراینه مبتلایان به وسواس شهر یزد تاثیر معنی داری را دارد (0.01>p). همچنین یافته ها نشان داد بین درمان مبتنی بر پذیرش و تعهد و دارو درمانی تفاوت معنادار وجود دارد (0.01>p). نتیجه‌گیری: به طور کلی می توان نتیجه گرفت که درمان مبتنی برپذیرش و تعهد اثر بخشی بیشتری را نسبت به دارو درمانی در بهبود روابط بین فردی و تفکر کمال گرایانه دارد.

comparison of treatment based on acceptance and commitment with drug therapy in the study of interpersonal relationships and perfectionistic thinking in the city of yazd

background & aims: obsessive-compulsive disorder is one of the serious psychological health problem and imposes huge economic and social costs on society every year. problems associated with obsession and its debilitating symptoms disrupt interpersonal functioning, job, and life. in obsessive-compulsive disorder, a person's mind is filled with uncontrollable and persistent thoughts and is forced to repeat specific actions that cause helplessness and disruption in his daily functioning. excessive and negative perfectionism can become the basis of obsessive-compulsive disorder. perfectionism is motivated by the fear of failure, and as a result, perfectionists are almost always worried about achieving high-level and unrealistic goals. treatment studies about this disorder are generally focused on three areas: drug therapy, behavioral therapy, cognitive therapy, and the combination of cognitive-behavioral therapy with drug therapy. therapy based on acceptance and commitment is basically context-oriented therapy and tries to change the socio-verbal context of the behavior instead of changing the clinical content of the behavior. in this treatment, instead of changing cognitions and challenging them, it is tried to increase the psychological connection of the person with his thoughts and feelings. it means that painful thoughts and feelings should be changed from the old form, i.e. abnormal traumatic symptoms that prevent a meaningful and rich life, to a newer form, i.e. natural human experiences that are parts of a rich and meaningful life. the main goal of treatment is to create psychological flexibility. acceptance and commitment therapy directly targets emotional distress by accepting unpleasant thoughts and emotions. the goal of treatment based on acceptance and commitment is to improve a person's performance and reduce his emotional distress by increasing psychological flexibility. psychological flexibility, from the point of view of this psychotherapy approach, means the ability to fully communicate with the present and change or maintain behavior in the service of valuable and important life goals. therapy based on acceptance and commitment has six central processes that lead to psychological flexibility. each of these processes affects a person's language act. some of these processes weaken the function of verbal regulation of cognition and some others increase the function of behavioral activation. these processes are related to each other and have a mutual effect on each other for psychological flexibility. commitment and acceptance of therapy is an approach based on mindfulness. mindfulness-based approaches increase the acceptance of internal experiences such as thoughts, emotions, perceptions, and physiological feelings that can strengthen and sustain many complaints and clinical problems. in this regard, studies have shown that acceptance and commitment therapy has been effective in reducing the severity of symptoms of obsessive-compulsive disorder and depression. despite the many types of research that have been conducted regarding the effectiveness of acceptance and commitment therapy in the field of obsession and other related disorders and its effectiveness has been confirmed; however, there has been no research comparing this intervention with drug therapy, so in this research, the researcher is looking for an answer to the question of whether there is a difference between the effectiveness of acceptance and commitment-based therapy with drug therapy in improving interpersonal relationships and perfectionism of patients with is there a significant difference?