Middle Eastern Journal of Disability Studies

fa بررسی اثربخشی درمان خانواده محور بر سازگاری نوجوانان دارای اختلال وسواس فکری-اجباری شهرستان شهرکرد Investigating the effectiveness of family-based intervention on adjustment in adolescents with obsessive-compulsive disorder روانشناسی Psychology مقاله پژوهشی اصیل Original Research Article زمینه و هدف: اختلال وسواس فکری- اجباری  یک وضعیت عصبی روانپزشکی است که با وسواس ها و یا اجبارهای ناخواسته مشخص می شود. هدف این پژوهش، بررسی اثربخشی درمان خانواده محور بر سازگاری نوجوانان دارای اختلال وسواس فکری-اجباری شهرستان شهرکرد بود. روش بررسی: این پژوهش از نوع نیمه آزمایشی با پیش آزمون و پس آزمون همراه با گروه گواه بود. از بین نوجوانان دارای اختلال وسواس فکری – اجباری 12 الی 18 ساله مراجعه&rlm;کننده به کلنیک&rlm;های روانپزشکی و روانشناسی شهرکرد، 30 نفر داوطلب واجد شرایط در دسترس وارد مطالعه شدند که به صورت گمارش تصادفی 15 نفر آنها در گروه مداخله و 15 نفر در گروه گواه قرار گرفتند. امتیازات پرسشنامه <a name="_Hlk185926101">سازگاری </a>بل (1961) در دو نوبت زمانی قبل و بعد از درمان خانواده محور گروهی مورد مقایسه قرار گرفت. تحلیل داده ها با استفاده از آنالیز کوواریانس صورت پذیرفت. سطح معناداری آزمونها 05/0 بود. یافته ها: تجزیه و تحلیل داده ها نشان داد که امتیاز آزمون سازگاری در نوجوانان دارای اختلال وسواس فکری – اجباری در گروه مداخله و بعد از دریافت درمان در مقایسه با گروه گواه به طور معناداری کاهش پیدا کرد (001/0P<). نتیجه گیری: نتایج این پژوهش نشان داد که از درمان خانواده محور گروهی می توان به عنوان یک درمان موثر جهت بهبود <a name="_Hlk165971552">سازگاری </a>نوجوانان دارای اختلال وسواس فکری – اجباری استفاده کرد.   Background & Objective: Obsessive-compulsive disorder is a neuropsychiatric condition characterized by unwanted obsessions or compulsions. Obsessive-compulsive disorder affects 1–3% of the general population, making it a common psychiatric disorder. The disorder is highly disabling and consequently causes significant suffering for patients worldwide. Learning-based models that emphasize fear and compulsion and related cognitive models that highlight faulty beliefs (e.g., related to obsessive anxiety) in the pathogenesis of OCD. In addition to clinical symptoms, specific cognitive deficits have been reported in OCD. These affect areas such as cognitive flexibility, visuospatial memory, response inhibition, and goal-directed behavior and are associated with aberrant activity in cortico-striate-thalamo-cortical circuits. Adolescence is a very important period in a person's life. Obsessive-compulsive disorder can cause many psychological problems for individuals, especially adolescents. Since the prevalence of obsessive-compulsive disorder in society is high, and since there is no definitive treatment for people with obsessive-compulsive disorder and these people show great resistance to treatment, and because few studies to date have examined the effectiveness of family-centered therapy on the adjustment of adolescents with obsessive-compulsive disorder, the purpose of this study was to examine the effectiveness of family-centered therapy on the adjustment of adolescents with obsessive-compulsive disorder in Shahrekord city. Methods: This study was a quasi-experimental study with pre-test and post-test with a control group. Among adolescents with obsessive-compulsive disorder aged 12 to 18 years who referred to psychiatric and psychological clinics in Shahrekord, 30 eligible volunteers were included in the study, of which 15 were randomly assigned to the intervention group and 15 to the control group. Bell's Adaptability Questionnaire (1961) scores were compared at two time points before and after family-centered group therapy. Data analysis was performed using analysis of covariance. The significance level of the tests was 0.05. Results: Data analysis showed that the adjustment test score in adolescents with obsessive-compulsive disorder in the intervention group and after receiving treatment decreased significantly compared to the control group (P > 0.001). Conclusion: In explaining these results, it can be said that family-based therapy is a process in which family members of patients with obsessive-compulsive disorder help treat patients and is positively associated with a decrease in more severe symptoms of obsessive-compulsive disorder, a decrease in functional impairment, and an increase in quality of life. Family-centered therapy is often a successful intervention for coping with the patient in the short term because it provides a sense of relief from distress and facilitates the rapid completion of avoidance and compulsive behavior. More than 95% of families of patients with obsessive-compulsive disorder adapt to their patients' obsessive-compulsive disorder compulsions by providing reassurance, engaging in compulsive behaviors, waiting for the compulsion to end, or avoiding the triggers of obsessive-compulsive disorder and taking on a supportive role, whereas they previously had a blaming role for the patient, and this leads to improved psychological adjustment of the individual. The first line of treatment for obsessive-compulsive disorder includes cognitive behavioral therapy and drug therapy using serotonin reuptake inhibitors. Evidence suggests that family adaptation is associated with poor treatment outcomes, and this association is also observed between avoidance of response exposure and adaptation behaviors that are known to counteract treatment effectiveness. Therefore, approaches aimed at reducing family adaptation problems by promoting knowledge and promoting adaptive behavioral models are important for achieving treatment goals. It has been reported that obsessive-compulsive disorder responds positively to treatment in the short term, but has a high relapse rate. Therefore, the family in learning a supportive role in treatment and empowering them with the necessary therapeutic skills to guide response exposure should have a positive effect on the sustainability of treatment effects in patients with obsessive-compulsive disorder. The results of the present study showed that 8 sessions of family-based therapy have a significant effect on the adaptation of adolescents with obsessive-compulsive disorder in Shahrekord city, and family-based group therapy can be used as an effective treatment for the treatment of adaptation problems of adolescents with obsessive-compulsive disorder.   درمان خانواده محور, سازگاری, اختلال وسواس فکری – اجباری, نوجوانان family-based intervention, adjustment, obsessive-compulsive disorder, adolescents 0 0 http://jdisabilstud.org/browse.php?a_code=A-11-3901-1&slc_lang=fa&sid=1 Nafiseh Ghorbani dehkordi نفیسه قربانی دهکردی Nafise537@gmail.com 100319475328460067169 100319475328460067169 No Science and Arts University دانشگاه علم و هنر یزد Mohsen Saeidmanesh محسن سعیدمنش m.saeidmanesh@yahoo.com 100319475328460067170 100319475328460067170 Yes Science and Arts University