Determining the Effectiveness of Cognitive-Analytical Intervention of Group Obsession Treatment on Extreme Responsibility and Perfectionism in People with Symptoms of Intellectual-Practical Obsession

Alihashemi Ashtiyani, Parvane; Madani, Fatemeh; Janbozorgi, Masoud

Volume 13 - Articles-1402 MEJDS (2023) 13: 138 | Back to browse issues page

Mendeley

Zotero

RefWorks

Alihashemi Ashtiyani P, Madani F, Janbozorgi M. Determining the Effectiveness of Cognitive-Analytical Intervention of Group Obsession Treatment on Extreme Responsibility and Perfectionism in People with Symptoms of Intellectual-Practical Obsession. MEJDS 2023; 13 :138-138
URL: http://jdisabilstud.org/article-1-2996-en.html

Determining the Effectiveness of Cognitive-Analytical Intervention of Group Obsession Treatment on Extreme Responsibility and Perfectionism in People with Symptoms of Intellectual-Practical Obsession

Parvane Alihashemi Ashtiyani ^*¹

, Fatemeh Madani²

, Masoud Janbozorgi³

1- MA in Counseling and Guidance, Roudehen Branch, Islamic Azad University, Tehran, Iran
2- MA in General Psychology, Faculty of Education and Psychology, Shahr-e-Qods Branch, Islamic Azad University, Tehran, Iran
3- Professor of the Department of Psychology, the Research Institute of Hawzah and University, Tehran, Iran

Abstract: (839 Views)

Abstract
Background & Objectives: Obsessive-compulsive disorder is diagnosed based on the presence of unwanted and disturbing thoughts and repetitive behaviors. There is a strong link between dimensions of perfectionism and obsessive-compulsive disorder. In other words, perfectionism can affect the response to treatment in obsessive-compulsive disorder (7). One of the vulnerable cognitive beliefs is extreme responsibility, which is important in the experience of obsessive issues. One of the treatments whose effectiveness has been confirmed in psychological disorders is cognitive-analytical therapy. This short-term therapy adopts an approach based on increasing knowledge, effectively solving problems, and strengthening the patient's motivation to make lifestyle changes. Therefore, the present study investigated the effectiveness of the group cognitive-analytical intervention of obsessive-compulsive therapy on extreme responsibility and perfectionism in people with symptoms of intellectual-practical obsession.
Methods: This quasi-experimental research employed a pretest-posttest design and one control group. The statistical population of the current research comprised all people suffering from obsessive-compulsive disorder who were referred to Talieh Salamat Clinic in Tehran City, Iran, in 2021. In this research, the purposeful sampling method was used due to the difficulty of access. In this way, 30 people were selected from the statistical population using targeted sampling and randomly divided into experimental and control groups (each group includes 15 people). Then, both groups in the pretest and posttest responded to the Multi-Dimensional Perfectionism Scale (Besharat, 2007) and Responsibility Scale of the California Psychological Questionnaire (Gough, 1987). Obsession treatment intervention was implemented in the experimental group, and the control group was not subjected to any treatment program. The inclusion criteria included suffering from obsessive-compulsive disorder, having at least a diploma level of education, not participating in other therapeutic interventions at the same time, and not suffering from another psychological disease at the same time. The exclusion criteria also included the absence of more than three sessions and non-observance of group therapy rules. Data analysis was carried out in two parts: descriptive statistics and inferential statistics. At the level of descriptive statistics, frequency, percentage, mean, and standard deviation were used. At the level of inferential statistics, univariate covariance analysis was used. Data analysis was done in SPSS software version 24, and the significance level of the tests was considered to be 0.05.
Results: The findings showed that the cognitive-analytical intervention of obsessive-compulsive treatment decreased the scores of extreme responsibility (p<0.001) and perfectionism (p<0.001) in people with obsessive-compulsive symptoms.
Conclusion: Based on the results, the intervention of obsession treatment with a cognitive-analytical approach is effective in reducing extreme responsibility and perfectionism in people with obsessive-compulsive symptoms.

Keywords: Cognitive-analytical, Extreme responsibility, Perfectionism, Obsessive-compulsive disorder

Full-Text [PDF 347 kb] (258 Downloads)

Type of Study: Original Research Article | Subject: Psychology

References

1. Gharayeli Z, Saberi H. Relationship between metacognition and delusional beliefs with obsessive-compulsive symptoms. Thought & Behavior in Clinical Psychology. 2019;14(56):17–26. [Persian] [Article]

2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th edition. Arlington, VA: American Psychiatric Association; 2015.

3. Blair J. The role of guilt in obsessive compulsive disorder [PhD dissertation]. The Adler University; 2016.

4. Melli G, Chiorri C, Carraresi C, Stopani E, Bulli F. The role of disgust propensity and trait guilt in OCD symptoms: a multiple regression model in a clinical sample. J Obsessive Compuls Relat Disord. 2015;5:43–8. [DOI]

5. Zaidel A. Obsessive states: aesthetics, erotism, and fantasy. Psychoanal Rev. 2016;103(4):483–513. [DOI]

6. De Alvarenga PG, Mastrorosa RS, Do Rosаrio MC. Obsessive compulsive disorder in children and adolescents. In: Rey JM; editors. IACAPAP textbook of child and adolescent mental health. Sections F: anxiety disorder. Geneva: IACAPAP; 2015.

7. Sarlati M, Saadat S, Eivazi A, Bigdeli I, Gol A. The relationship between perfectionism and anxiety with sensory phenomena in patients with obsessive-compulsive disorder in Lahijan city, Iran. Health System Research. 2020;16(1):7–14. [Persian] [Article]

8. Brandt VC, Hermanns J, Beck C, Bäumer T, Zurowski B, Münchau A. The temporal relationship between premonitory urges and covert compulsions in patients with obsessive-compulsive disorder. Psychiatry Res. 2018;262:6–12. [DOI]

9. Zhu Y, Xu W, Fu Z, Yu M, Xu Q, Wang J, et al. Thought-action fusion mediates the relation between inflated responsibility and obsessive-compulsive symptoms in China: a cross-sectional structural equation model. J Obsessive Compuls Relat Disord. 2017;12:23–8. [DOI]

10. Salkovskis PM. Obsessional-compulsive problems: a cognitive-behavioural analysis. Behav Res Ther. 1985;23(5):571–83. [DOI]

11. McKay D, Sookman D, Neziroglu F, Wilhelm S, Stein DJ, Kyrios M, et al. Efficacy of cognitive-behavioral therapy for obsessive–compulsive disorder. Psychiatry Res. 2015;225(3):236–46. [DOI]

12. Hepple J. Cognitive‐analytic therapy in a group: reflections on a dialogic approach. Br J Psychother. 2012;28(4):474–95. [DOI]

13. Boschen MJ, Drummond LM. Community treatment of severe, refractory obsessive-compulsive disorder. Behav Res Ther. 2012;50(3):203–9. [DOI]

14. Ryle A, Kerr IB. Introducing cognitive analytic therapy: principles and Practice. New York, NY: John Wiley & Sons Ltd; 2002.

15. Yousefi A, Boogar-Rahimian I, Rezaei AM. The effectiveness of cognitive analytic therapy on mental health of patients with obsessive-compulsive disorder. Journal of Clinical Psychology. 2012;5(3):1–12. [Persian] [Article]

16. Delavar A. Educational and psychological research. Tehran: Virayesh Pub; 2015. [Persian]

17. Besharat M. Sakht va etebar yabi meghyas kamal geraei chand bodi Tehran [Development and validation of the Tehran multidimensional perfectionism scale]. Psychological Research. 2007;10(2):49–67. [Persian]

18. Gough HG. California Psychological Inventory administrator's guide. Palo Alto, CA: Consulting Psychologists Press; 1987.

19. Marnat GG. Rahnamaye sanjesh ravani: baraye ravanshenasan moshaveran va pezeshkan [Psychological assessment guide: for clinical psychologists, counselors and psychiatrists]. Tehran: Roshd Pub; 1995.

20. Hamidi F, Gheytasi M. Comparison of perfectionism, procrastination and responsibility in students of Ahvaz teacher training centers by gender. The Women & Families Cultural Educational. 2011;18(18):159–93. [Persian] [Article]

21. Janbozorgi M, Rajezi Esfahani S. Multi-dimensional group therapy for obsessive-compulsive disorder. Iranian Journal of Psychiatry and Clinical Psychology. 2012;17(4):289–96. [Persian] [Article]

22. Nazemi MJ, Tabatabaei SS, Moeeni F, Goodarzi N, Tatari E. Effectiveness of cognitive analytic therapy on reducing guilt fleeing and doubt in people with obsessive-compulsive disorder. Paramedical Sciences and Military Health. 2020;15(2):10–18. [Persian] [Article]

23. Bateman AW, Ryle A, Fonagy P, Kerr IB. Psychotherapy for borderline personality disorder: mentalization based therapy and cognitive analytic therapy compared. Int Rev Psychiatry. 2007;19(1):51–62. [DOI]

24. Riley C, Lee M, Cooper Z, Fairburn CG, Shafran R. A randomised controlled trial of cognitive-behaviour therapy for clinical perfectionism: a preliminary study. Behav Res Ther. 2007;45(9):2221–31. [DOI]

25. Sadeghiyan A, Fallah M, Zareei H, Zare M. Effectiveness of cognitive training on self-esteem and life satisfaction of female perfectionist students. Toloo-e-Behdasht. 2015;14(2):57–68. [Persian] [Article]

26. PourMohammed Ghouchani K. The effectiveness of cognitive-analytical therapy on improving uncertainty tolerance and reducing anxiety and avoiding experiences of patients with obsessive-compulsive disorder. Clinical Psychology. 2022;13(4):65–76. [Persian] [Article]

27. Izadi R, Abedi M. Comparison of the effectiveness of treatment based on correcting of secondary control appraisals and treatment based on correcting of inflated responsibility in patients with obsessive-compulsive disorder. Clinical Psychology. 2013;5(1):21–34. [Persian] [Article]

28. McCutcheon LK, Kerr IB, Chanen AM. Cognitive analytic therapy: a relational approach to young people with severe personality disorder. In: Kramer U; editor. Case formulation for personality disorders. Elsevier; 2019. [DOI]