Determining the Effectiveness of Schema Therapy on the Distress and Ambiguity Tolerance in People with Obsessive-Compulsive Disorder

Mokhtari Far, Ahmad; Nouhi, Shahnaz; Taher, Mahboobe; Rafiei Nia, Parvin

Volume 13 - Articles-1402 MEJDS (2023) 13: 80 | Back to browse issues page

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Mokhtari Far A, Nouhi S, Taher M, Rafiei Nia P. Determining the Effectiveness of Schema Therapy on the Distress and Ambiguity Tolerance in People with Obsessive-Compulsive Disorder. MEJDS 2023; 13 :80-80
URL: http://jdisabilstud.org/article-1-3156-en.html

Determining the Effectiveness of Schema Therapy on the Distress and Ambiguity Tolerance in People with Obsessive-Compulsive Disorder

Ahmad Mokhtari Far¹

, Shahnaz Nouhi ^*²

, Mahboobe Taher²

, Parvin Rafiei Nia³

1- PhD Student in Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran
2- Assistant Professor, Department of Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran
3- Assistant Professor, Department of Psychology, Semnan University, Semnan, Iran

Abstract: (1100 Views)

Abstract
Background & Objectives: Obsessive–compulsive disorder (OCD) is a common psychological disorder causing a severe disturbance in an individual's life. One of the areas in OCD that has drawn so much attention in recent years is the concept of ambiguity tolerance, a psychological trait characterized by a person's tendency to perceive ambiguous situations as threatening or distressing. Another concept is distress tolerance, which refers to tolerating and managing distressing feelings, thoughts, and problems without resorting to harmful or ineffective behaviors. Due to the limitations of drug therapy, much attention has been paid to the treatment of OCD in the psychological field, and various therapies have been suggested to effectively deal with the symptoms and emotions related to obsession, including schema therapy. So, this research aimed to determine the effectiveness of schema therapy on distress tolerance and ambiguity tolerance in people with OCD.
Methods: The current research was quasi–experimental with a pretest–posttest design with one control group and one experimental group. The statistical population included people with OCD referred to counseling and psychology clinics in Mashhad City, Iran, in 2022. Since the number of subjects in groups in quasi–experimental studies is considered to be at least 15 people, 30 qualified volunteers were recruited using the available sampling and were randomly assigned to the experimental and control groups (each group included 15 people). The inclusion criteria comprised patients who obtained a higher–than–average score on the Yale–Brown Obsessive–Compulsive Scale (Y–BOCS), had at least a diploma level of education, and did not simultaneously participate in other therapeutic interventions. The exclusion criteria comprised the absence of more than three sessions from the intervention program and disobeying the rules of group therapy. Both groups completed the Ambiguity Tolerance Questionnaire (Mclain, 1993) and Distress Tolerance Scale (Simons & Gaher, 2005) in the pretest and posttest. The experimental group received schema therapy in 13 ninety–minute sessions, one session per week. No treatment program was provided for the control group. 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, multivariate covariance analysis and univariate covariance analysis were used. Data analysis was done in SPSS version 24. The significance level of the tests was considered 0.05.
Results: The schema therapy has significant effects on increasing the ambiguity tolerance variable (p<0.001) and increasing the subscales of the distress tolerance variable, including tolerance of emotional distress (p<0.001), absorption by negative emotions (p<0.001), mental estimation of distress (p<0.001) and regulation of efforts to relieve distress (p<0.001) in the experimental group with OCD.
Conclusion: According to the results, schema therapy improves distress tolerance and ambiguity tolerance in people with OCD by correcting dysfunctional thoughts, improves the distress tolerance and ambiguity tolerance in people with obsessive-compulsive disorder.

Keywords: Schema therapy, Distress tolerance, Ambiguity tolerance, Obsessive–Compulsive disorder

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Type of Study: Original Research Article | Subject: Psychology

References

1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, D.C: American Psychiatric Association; 2013.

2. Blair J. The role of guilt in obsessive compulsive disorder [PhD dissertation]. [Chicago, Il]: Adler university; 2016.

3. 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]

4. Barlow DH, Farchione TJ, Bullis JR, Gallagher MW, Murray-Latin H, Sauer-Zavala S, et al. The unified protocol for transdiagnostic treatment of emotional disorders compared with diagnosis-specific protocols for anxiety disorders: a randomized clinical trial. JAMA Psychiatry. 2017;74(9):875. [DOI]

5. Furnham A, Marks J. Tolerance of ambiguity: a review of the recent literature. PSYCH. 2013;4(9):717–28. [DOI]

6. Esfand Zad AH, Shams G, Meysami AP, Erfan A. The role of mindfulness, emotion regulation, distress tolerance and interpersonal effectiveness in predicting obsessive-compulsive symptoms. Iranian Journal of Psychiatry and Clinical Psychology. 2017;22(4):270–83. [Persian] [DOI]

7. McKay M, Wood JC, Brantley J. The dialectical behavior therapy skills workbook: practical DBT exercises for learning mindfulness, interpersonal effectiveness, emotion regulation & distress tolerance (A New Harbinger Self-Help Workbook). Oakland, CA: New Harbinger Publications; 2019.

8. Garey L, Smit T, Mayorga NA, Peraza N, Nizio P, Otto MW, et al. Differential effects of anxiety sensitivity on E‐cigarettes processes: the importance of e‐cigarette quit attempt history. American J Addict. 2019;28(5):390–7. [DOI]

9. Matheny NL, Summers BJ, Macatee RJ, Harvey AM, Okey SA, Cougle JR. A multi-method analysis of distress tolerance in body dysmorphic disorder. Body Image. 2017;23:50–60. [DOI]

10. Del Casale A, Sorice S, Padovano A, Simmaco M, Ferracuti S, Lamis DA, et al. Psychopharmacological treatment of obsessive-compulsive disorder (OCD). Curr Neuropharmacol. 2019;17(8):710–36. [DOI]

11. Salkovskis PM, Wahl K. Treating obsessional problems using cognitive-behavioral therapy. In: Reinecke MA, Clark DA; editors. Cognitive therapy across the lifespan: evidence and practice. Cambridge: Cambridge University Press; 2004.

12. Khasho DA, Van Alphen SPJ, Heijnen-Kohl SMJ, Ouwens MA, Arntz A, Videler AC. The effectiveness of individual schema therapy in older adults with borderline personality disorder: Protocol of a multiple-baseline study. Contemp Clin Trials Commun. 2019;14:100330. [DOI]

13. Young JE, Klosko JS, Weishaar ME. Schema therapy: a practitioner's guide. New York: Guilford Press; 2003.

14. Mclain DL. The Mstat-I: a new measure of an individual's tolerance for ambiguity. Educ Psychol Meas. 1993;53(1):183–9. [DOI]

15. Simons JS, Gaher RM. The Distress Tolerance Scale: development and validation of a self-report measure. Motiv Emot. 2005;29(2):83–102. [DOI]

16. Feizi A, Mahbobi T, Zare H, Mostafaei A. The relationship of cognitive intelligence and ambiguity tolerance with entrepreneurship among students of West Azarbayjan Payam Noor university, Iran. Research in Behavioral Sciences. 2012;10(4):276–84. [Persian]

17. Tofangchi M, Raeisi Z, Ghamarani A, Rezaei H. The psychometric properties of Distress Tolerance Scale (DTS) in women with tension-type headaches. Journal of Anesthesiology and Pain. 2021;12(4):34–43. [Persian]

18. Golavari M, Khayatan F. The effectiveness of schema therapy on ambiguity tolerance and resilience of mothers of children with attention deficit hyperactivity disorder. Clinical Psychology & Personality. 2022;20(1):125–38. [Persian] [Article]

19. Mohammadi F, Mirzaei M, Soltani N, Fadaei M. The effectiveness of schema therapy on mental rumination and anxiety in obsessive-compulsive patients. Medical Journal of Mashhad University of Medical Sciences. 2020;6(62):1945–59. [Persian]

20. Michaeli-Manee F. Structural relations between psychological well-being with perceived emotional intelligence, depression and negative thought control abilities in mothers having children with intellectual disability. Journal of Exceptional Children. 2009;9(2):103–20. [Persian] [Article]

21. Roediger E, Zarbock G. Schema therapy for personality disorders: a critical review. Nervenarzt. 2015;86(1):60–71. [DOI]

22. Bakhshipour A, Mahmoud Aliloo M, Fahimi S. Schema therapy for patients with symptoms obsessive–compulsive personality disorder (OCPD): a single case series study. Journal of Psychological Science. 2022;21(112):677–92. [Persian] [DOI]