Journal of Health And Care
Volume 24, Issue 4 (winter 2023)
JHC 2023, 24(4): 342-354 |
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Ethics code: IR.IAU.DAMGHAN.REC.1399.021
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Askari S, Sotoudeh asl N, Sabahi P, Ghorbani R. Comparing the Effectiveness of Behavioral Activation Therapy with Cognitive-behavioral Therapy based on Mindfulness on Cognitive Regulation of Emotion and Executive Functions in People with Obsessive-Compulsive Disorder. JHC 2023; 24 (4) :342-354
URL: http://hcjournal.arums.ac.ir/article-1-1393-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1393-en.html
Associate Professor, Department of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran
Abstract: (1013 Views)
Background & aim: Obsessive-compulsive disorder is one of the serious psychological disorders that can hinder the normal functioning of the affected person, so it should be treated. The purpose of this study was to compare the effectiveness of behavioral activation therapy and cognitive-behavioral therapy based on mindfulness on cognitive regulation of emotion and executive functions in people with obsessive-compulsive disorder.
Methods: This semi-experimental study was a pretest-posttest design with a control group. The statistical population included 42 patients suffering from obsessive-compulsive disorder in Karaj city in 2022. The sample randomly assigned to three groups: behavioral activation therapy, cognitive-behavioral therapy based on mindfulness, and a control group. Garnevsky et al.'s (2006) and Najati's (2013) executive function questionnaires were used to measure the effectiveness of treatments. Descriptive statistics and multivariate covariance analysis were used for data analysis using SPSS-18 software.
Results: There is a statistically significant difference between the effectiveness of behavioral activation therapy and cognitive-behavioral therapy based on mindfulness on cognitive regulation strategies adapted to emotions (F=57.71, p=0.001), but these two treatment methods improve the executive functions of patients. It has not been effective.
Conclusion: It can be claimed that the treatment based on behavioral and cognitive-behavioral activation based on mindfulness has been able to increase adapted cognitive strategies in people suffering from obsessive-compulsive disorder, but it has not been effective on the executive functions of patients with obsessive-compulsive disorder. Therefore, through these two treatments, it is possible to increase cognitive regulation in patients with obsessive-compulsive disorder
Methods: This semi-experimental study was a pretest-posttest design with a control group. The statistical population included 42 patients suffering from obsessive-compulsive disorder in Karaj city in 2022. The sample randomly assigned to three groups: behavioral activation therapy, cognitive-behavioral therapy based on mindfulness, and a control group. Garnevsky et al.'s (2006) and Najati's (2013) executive function questionnaires were used to measure the effectiveness of treatments. Descriptive statistics and multivariate covariance analysis were used for data analysis using SPSS-18 software.
Results: There is a statistically significant difference between the effectiveness of behavioral activation therapy and cognitive-behavioral therapy based on mindfulness on cognitive regulation strategies adapted to emotions (F=57.71, p=0.001), but these two treatment methods improve the executive functions of patients. It has not been effective.
Conclusion: It can be claimed that the treatment based on behavioral and cognitive-behavioral activation based on mindfulness has been able to increase adapted cognitive strategies in people suffering from obsessive-compulsive disorder, but it has not been effective on the executive functions of patients with obsessive-compulsive disorder. Therefore, through these two treatments, it is possible to increase cognitive regulation in patients with obsessive-compulsive disorder
Keywords: Behavioral Activation Therapy, Cognitive-behavioral Therapy based on Mindfulness, Cognitive Emotion Regulation, Executive Functions, Obsessive-compulsive
Type of Study: article |
Subject:
Psychiatric Nursing
Received: 2022/09/5 | Accepted: 2023/03/1 | Published: 2023/03/1
Received: 2022/09/5 | Accepted: 2023/03/1 | Published: 2023/03/1
References
1. Hong RY, Tan YL. DSM-5 personality traits and cognitive risks for depression, anxiety, and obsessive-compulsive symptoms. Personality and Individual Differences. 2021;169(1):672-84. [DOI:10.1016/j.paid.2020.110041]
2. Mandelli L, Draghetti S, Albert U, De Ronchi D, Atti A-R. Rates of comorbid obsessive-compulsive disorder in eating disorders: a meta-analysis of the literature. Journal of Affective Disorders. 2020;277(1):927-39. [DOI:10.1016/j.jad.2020.09.003] [PMID]
3. Cludius B, Landmann S, Rose N, Heidenreich T, Hottenrott B, Schröder J, et al. Long-term effects of mindfulness-based cognitive therapy in patients with obsessive-compulsive disorder and residual symptoms after cognitive behavioral therapy: twelve-month follow-up of a randomized controlled trial. Psychiatry Research. 2020;291(2):1-31. [DOI:10.1016/j.psychres.2020.113119] [PMID]
4. Abramowitz JS, Jacoby RJ. Obsessive‐compulsive disorder in the DSM‐5. Clinical Psychology: Science and Practice. 2014;21(3):221-35. [DOI:10.1111/cpsp.12076]
5. Leahy RL. Emotional schemas, emotion regulation, and psychopathology. International Journal of Cognitive Therapy. 2012;5(4):359-61. [DOI:10.1521/ijct.2012.5.4.359]
6. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: a meta-analytic review. Clinical Psychology Review. 2010;30(2):217-37. [DOI:10.1016/j.cpr.2009.11.004] [PMID]
7. Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences. 2001;30(8):1311-27. [DOI:10.1016/S0191-8869(00)00113-6]
8. Aldao A, Nolen-Hoeksema S. When are adaptive strategies most predictive of psychopathology? Journal of Abnormal Psychology. 2012;121(1):276-81. [DOI:10.1037/a0023598] [PMID]
9. Samani S, Sadeghi L. Psychometric properties of the cognitive emotion regulation questionnaire. Psychological Methods and Models. 2010;1(1):51-62 [Persian].
10. Garnefski N, Kraaij V. Relationships between cognitive emotion regulation strategies and depressive symptoms: a comparative study of five specific samples. Personality and Individual differences. 2006;40(8):1659-69. [DOI:10.1016/j.paid.2005.12.009]
11. Hong D, Zhu Y, Chen R, Xiao B, Huang Y, Yu M. The bidirectional effects of obsessive-compulsive symptoms and difficulties in emotion regulation in Chinese adults during the COVID-19 pandemic-a dynamic structural equation model. BMC Psychology. 2022;10(1):1-9. [DOI:10.1186/s40359-022-00841-5] [PMID] []
12. Abolghasemi A, Soltani Shal R. A comparison of brain behavioral systems and emotional regulation in women with compulsive hoarding and other obsessive-compulsive disorders. Feyz. 2019;23(1):75-82 [Persian].
13. Antikchi E, Bigdeli I, Sabahi P. The comparison of neuropsychological index related to executive functions in antisocial personality disorder, obsessive-compulsive personality disorder and normal people. Advances in Cognitive Sceince. 2017;19(1):4-61 [Persian].
14. Zhong S, Wang Y, Lai S, Liu T, Liao X, Chen G, et al. Associations between executive function impairment and biochemical abnormalities in bipolar disorder with suicidal ideation. Journal of Affective Disorders. 2018;241(1):282-90. [DOI:10.1016/j.jad.2018.08.031] [PMID]
15. Askari S, Mokhtari S, Shariat SV, Shariati B, Yarahmadi M, Shalbafan M. Memantine augmentation of sertraline in the treatment of symptoms and executive function among patients with obsessive-compulsive disorder: a double-blind placebo-controlled, randomized clinical trial. BMC Psychiatry. 2022;22(1):1-3. [DOI:10.1186/s12888-021-03642-z] [PMID] []
16. Mak C, Whittingham K, Cunnington R, Boyd RN. Efficacy of mindfulness-based interventions for attention and executive function in children and adolescents-a systematic review. Mindfulness. 2018;9(1):59-78. [DOI:10.1007/s12671-017-0770-6]
17. Huguet A, Ruiz DM, Haro JM, Alda JA. A pilot study of the efficacy of a mindfulness program for children newly diagnosed with attention-deficit hyperactivity disorder: impact on core symptoms and executive functions. International Journal of Psychology & Psychological Therapy. 2017;17(3):305-16.
18. Shirinzadeh-Dastgiri S, Beshlide K, Hamid N, Marashi A, Hashemi-Sheykhshabani E. The study of the effectiveness of mindfulness-based cognitive therapy on rumination, depression and executive functions in depressed patients. Journal of Clinical Psychology. 2015;7(3):37-48 [Persian].
19. Esbensen AJ, Hoffman EK, Shaffer RC, Patel LR, Jacola LM. Relationship between parent and teacher reported executive functioning and maladaptive behaviors in children with down syndrome. American Journal on Intellectual and Developmental Disabilities. 2021;126(4):307-23. [DOI:10.1352/1944-7558-126.4.307] [PMID] []
20. Ottenbreit ND, Dobson KS. Avoidance and depression: the construction of the cognitive-behavioral avoidance scale. Behaviour Research and Therapy. 2004;42(3):293-313. [DOI:10.1016/S0005-7967(03)00140-2] [PMID]
21. Esmaeilian N, Dehghani M, Akbari F, Hasanvand M. Evaluation of psychometric and factor structural properties of experiential avoidance multidimensional questionnaire (short form). Thoughts and Behavior in Clinical Psychology. 2016:10(39):57-66.
22. Dimaggio G, Shahar G. Behavioral activation as a common mechanism of change across different orientations and disorders. Psychotherapy. 2017;54(3):221-24. [DOI:10.1037/pst0000117] [PMID]
23. Santiago J, Akeman E, Kirlic N, Clausen A, Cosgrove K, McDermott T, et al. Protocol for a randomized controlled trial examining multilevel prediction of response to behavioral activation and exposure-based therapy for generalized anxiety disorder. Trials. 2020;21(1):1-14. [DOI:10.1186/s13063-019-3802-9] [PMID] []
24. Parvaneh P, Khalatbari J, Saeedpoor F. Comparison of the effectiveness of dialectical-behavioral and cognitive-behavioral therapy on irrational beliefs, emotion regulation, and impulsive behaviors of high school female students. Community Health Journal. 2021;15(2):69-81.
25. Taheri E. The effectiveness of cognitive therapy based on mindfulness on anxiety sensitivity and emotion regulation. Research in Clinical Psychology and Counseling. 2018;7(2):105-22.
26. Taylor R, Bodoukhin N, Botros M, Luca L. A behavioral activation technique used in the treatment of late-life depression associated with hopelessness during the COVID-19 pandemic. The Primary Care Companion for CNS Disorders. 2021;23(1):1-10. [DOI:10.4088/PCC.20l02817]
27. Başkaya E, Özgüç S, Tanrıverdi D. Examination of the effectiveness of mindfulness-based cognitive therapy on patients with obsessive-compulsive disorder: systematic review and meta-analysis. Issues in Mental Health Nursing. 2021:42(11):998-1009. [DOI:10.1080/01612840.2021.1920652] [PMID]
28. Alem Dianati F, Moheb N. Effectiveness of mindfulness-based cognitive therapy on reducing negative strategies of cognitive emotion regulation in patients with obsessive-compulsive disorder. Journal of Instruction and Evaluation. 2018:10(40):171-88.
29. Taheri E. The effectiveness of cognitive therapy based on mindfulness on anxiety sensitivity and emotion regulation. Research in Clinical Psychology and Counseling. 2018;7(2):105-22 [Persian].
30. Kaya S. The factors predicting students' participation in online english courses. Eurasian Journal of Educational Research. 2021;91:301-20. [DOI:10.14689/ejer.2021.91.14]
31. Lejuez CW, Hopko DR, Hopko SD. A brief behavioral activation treatment for depression: treatment manual. Behavior Modification. 2001;25(2):255-86. [DOI:10.1177/0145445501252005] [PMID]
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