Comparing the Effectiveness of Exposure and Response Prevention Therapy and Acceptance and Commitment Therapy in interaction with heredity factor in Improving of the Quality of Life and Reducing Symptoms in Patients with Obsessive-Compulsive Disorder

Maleki Pirbazari, Masoume and Narimani, Mohammad and Mikaeili, nilofar and Abolghasemi, Abbas (2016) Comparing the Effectiveness of Exposure and Response Prevention Therapy and Acceptance and Commitment Therapy in interaction with heredity factor in Improving of the Quality of Life and Reducing Symptoms in Patients with Obsessive-Compulsive Disorder. Doctoral thesis, university of Mohaghegh Ardabili.

Text (مقایسه اثربخشی درمان مواجهه و بازداری از پاسخ (ERP) و درمان مبتنی بر پذیرش و تعهد (ACT) در تعامل با عامل وراثت در بهبود کیفیت زندگی و کاهش علائم مبتلایان به اختلال وسواسی-اجباری) Masoume Maleki Pirbazari.pdf Download (407kB)

Abstract

This study performed to compare the efficacy of exposure and response prevention (ERP) and acceptance and commitment therapy (ACT) in interaction with heredity factor in improving quality of life (QoL) and reducing symptoms in patients with obsessive-compulsive disorder. The present study is an experimental one with a pre-test, post-test and a control group and follow up. The statistical population included all OCD patients older than 18 years visiting private counseling centers and urban and rural health centers in Rasht city. Statistical sample involved 90 OCD patients that were selected among visitors that had experiment conditions and randomly assigned in one of experimental (ERP with heredity factor, ERP without heredity factor, ACT with heredity factor, ACT without heredity factor) and control groups (control with heredity factor and control without heredity factor). The experimental groups each received eight forty-five-minute treatment sessions (ERP or ACT) and control groups didn’t receive any treatment. In order to collect data, Clinical interview based on DSM-V criteria, Yale-Brown Obsessive and Compulsive Scale, brief form of The World Health Organization quality of life assessment were used. To analyze the data, analysis of variance with repeated measures and two-factor analysis of variance were used. The results showed that ERP and ACT had created a significant reduction in severity of obsessive and compulsive symptoms and a significant increase in QoL and efficacy of ACT was more and these results were independent of heredity factor. According to results of this research can be concluded that ACT is a very effective treatment in reducing OCD symptoms and improving Qol in patients with OCD and all OCD patients regardless of hereditary history could benefit from it.

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