Volume 3, Issue 4 (10-2018)                   hrjbaq 2018, 3(4): 204-210 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Jahangir A H. Effect of Schema Therapy on depression and anxiety in patients with obsessive-compulsive disorder. hrjbaq. 2018; 3 (4) :204-210
URL: http://hrjbaq.ir/article-1-79-en.html
Department of Clinical Psychology, School of Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran , (amirhoseinjahangir@gmail.com)
Abstract:   (2117 Views)

Introduction: Patients with anxiety disorders experience common fears, uncertainty and anxiety and obsessive-compulsive thoughts. The aim of this study was to investigate the effect of schema therapy on depression and anxiety in patients with obsessive-compulsive disorder.
Materials and Methods: The present study was a quasi-experimental study with control group. The research population of this study was female patients referred to the psychiatrist and general practitioner who were referred to a clinical psychologist. Of these, 16 patients with obsessive-compulsive disorder were selected and divided into two experimental and control groups. The patients were examined using a diagnostic interview and a second edition of the Beck Depression Inventory (2000), Beck Anxiety Inventory (1988) and Maudsley Obsessive-Compulsive Inventory (1977) in the pre-test, post-test and follow-up period of 2 weeks. Then, the experimental group underwent schematic therapy in 8 sessions (90 minutes), while the control group did not receive any treatment. Data were analyzed using covariance analysis.
Results: The results of this study showed that there is a significant difference between the two groups of experimental and control after the treatment in the depression and anxiety variables (P=0.01). This effect was also visible during the follow-up phase.
Conclusion: The results of this study indicate the effect of therapeutic therapy on obsessive-compulsive disorder on the reduction of obsessive-compulsive, anxiety and depression in patients with obsessive-compulsive disorder. Therefore, psychological treatments are useful in these patients.

Full-Text [PDF 456 kb]   (517 Downloads)    
Type of Study: Research | Subject: Special
Received: 2016/09/12 | Revised: 2018/12/9 | Accepted: 2016/10/31 | ePublished ahead of print: 2018/10/28 | Published: 2018/12/4

1. Sadock B, Sadock V. Comprehensive textbook of psychiatry. New York, USA: Lippincott Williams & Wilkins; 2005.
2. Association AP. Diagnostic and statistical manual of mental disorders (DSM-5®): American Psychiatric Pub; 2013.
3. M G. Abnormal psychology based on DSM-5 Tehran: Savalane pub; 2013.
4. Association AP. Diagnostic and statistical manual of mental disorders. Washington, Am Psychiatr Assoc. 1994:143-6.
5. Frost RO, Steketee G. Cognitive approaches to obsessions and compulsions: Theory, assessment, and treatment: Elsevier; 2002.
6. March I, Frances A, Carpenter D, Kahn D. The expert consensus guideline series: Treatment of Obsessive Compulsive Disorder (OCD). J clinic psychiat. 1997.
7. Foa EB, Franklin ME, Moser J. Context in the clinic: how well do cognitive-behavioral therapies and medications work in combination? Biol Psychiatry. 2002;52(10):987-97. PMID: 12437939
8. Kozak MJ, Coles ME. Treatment for OCD: Unleashing the power of exposure. Concepts and controversies in obsessive-compulsive disorder: Springer; 2005. p. 283-315.
9. Group OCCW. Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy. 1997;35(7):667-81.
10. Group OCCW. Development and initial validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory. Behaviour Research and Therapy. 2001;39(8):987-1006.
11. Group OCCW. Psychometric validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory: Part I. Behaviour Research and Therapy. 2003;41(8):863-78.
12. Group OCCW. Psychometric validation of the obsessive belief questionnaire and interpretation of intrusions inventory—Part 2: Factor analyses and testing of a brief version. Behaviour Research and Therapy. 2005;43(11):1527-42.
13. Wilhelm S, Steketee G, Reilly-Harrington NA, Deckersbach T, Buhlmann U, Baer L. Effectiveness of cognitive therapy for obsessive-compulsive disorder: An open trial. Journal of Cognitive Psychotherapy. 2005;19(2):173-9.
14. Sookman D, Abramowitz JS, Calamari JE, Wilhelm S, McKay D. Subtypes of obsessive-compulsive disorder: Implications for specialized cognitive behavior therapy. Behavior Therapy. 2005;36(4):393-400.
15. Sookman D, Pinard G. Integrative cognitive therapy for obsessive-compulsive disorder: A focus on multiple schemas. Cognitive and Behavioral Practice. 1999;6(4):351-62.
16. Arntz A, Rauner M, Van den Hout M. “If I feel anxious, there must be danger”: Ex-consequentia reasoning in inferring danger in anxiety disorders. Behav res therap. 1995;33(8):917-25.
17. Salkovskis PM. Obsessional-compulsive problems: A cognitive-behavioural analysis. Behav res therap. 1985;23(5):571-83.
18. Salkovskis PM. Cognitive-behavioural factors and the persistence of intrusive thoughts in obsessional problems. Behav res therap. 1989;27(6):677-82.
19. Matthews G, Wells A. Attention, automaticity, and affective disorder. Behav modificat. 2000;24(1):69-93.
20. Beck AT, Davis DD, Freeman A. Cognitive therapy of personality disorders: Guilford Publications; 2015.
21. Young JE. Cognitive therapy for personality disorders: A schema-focused approach, Rev: Professional Resource Press/Professional Resource Exchange; 1994.
22. Piaget J. The child’s conception of the world. Oxford England. Littlefield: Adams 1960.
23. Bowlby J. A Secure Base. Parent-Child Attachment and Healthy Human Development. New York Basic Books; 1988.
24. Liotti G. Attachment and cognition: A guideline for the reconstruction of early pathogenic experiences in cognitive psychotherapy. Cognitive Psychotherapy: Springer; 1988. p. 62-79.
25. Guidano VF, Liotti G. A constructivistic foundation for cognitive therapy. Cognition and psychotherapy: Springer; 1985. p. 101-42.
26. Hamid N, Ataie MV, Eydi BM. Comparison efficacy of three methods of cognitive behavior therapy, pharmacotherapy and cognitive behavior therapy with exposure and response prevention in obsessive-compulsive disorder symptoms. 2012.
27. Rachman SJ, Hodgson RJ. Obsessions and compulsions: Prentice Hall; 1980.
28. Dadfar M. [Study of personality disorder comorbidity in patients with obsessive-compulsive disorder and compared them with normal individuals (dissertation)]. Tehran Tehran Psychiatric Institute; 1997.
29. Beck A, Steer R, Brown G. Manual for the beck depression inventory-II. San Antonio: The psychological corporation; 2000.
30. Ashtiani F, dadsetan M. [Psychological tests: personality and mental health]. Tehran: Besat population.
31. Abolghasemi A, Narimani M. [Psychological tests]. Ardebil: Baghe rezvan; 2006.
32. Barrett P, Healy-Farrell L, March JS. Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: a controlled trial. J American Academy of Child & Adolesc Psychiat. 2004;43(1):46-62.
33. Bolton D, Perrin S. Evaluation of exposure with response-prevention for obsessive compulsive disorder in childhood and adolescence. J Behav Ther Exp Psychiatry. 2008;39(1):11-22. DOI: 10.1016/j.jbtep.2006.11.002 PMID: 17207457
34. Storch EA, Merlo LJ. Obsessive-compulsive disorder: strategies for using CBT and pharmacotherapy. J Fam Pract. 2006;55(4):329-33. PMID: 16608672
35. van Balkom AJ, van Oppen P, Vermeulen AW, van Dyck R, Nauta MC, Vorst HC. A meta-analysis on the treatment of obsessive compulsive disorder: A comparison of antidepressants, behavior, and cognitive therapy. Clinic psycho review. 1994;14(5):359-81.
36. Whittal ML, Thordarson DS, McLean PD. Treatment of obsessive–compulsive disorder: Cognitive behavior therapy vs. exposure and response prevention. Behav Res Therap. 2005;43(12):1559-76.
37. Wilhelm S, Tolin DF, Steketee G. Challenges in treating obsessive-compulsive disorder: introduction. J Clin Psychol. 2004;60(11):1127-32. DOI: 10.1002/jclp. 20077 PMID: 15389623
38. Storch EA, Merlo LJ. Obsessive-compulsive disorder: Strategies for using CBT and pharmacotherapy. J Family Practice. 2006;55(4):329-34.

Add your comments about this article : Your username or Email:

Send email to the article author

© 2020 All Rights Reserved | Health Research Journal

Designed & Developed by : Yektaweb