Evaluation of an acceptance and commitment therapy with religious content to control obsessive-compulsive disorder, dysfunctional beliefs, feeling guilty, scrupulosity, and thought control among Muslims in Iran.

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Journal of Education and Health Promotion Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI:10.4103/jehp.jehp_760_23
Ashraf Akbari Dehaghi, Behrooz Dolatshahi, Farhad Taremian, Abbas Pourshahbaz, Hasan Ansar
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Abstract

Background: The present study aimed to develop an integrated protocol by combining religious content and acceptance and commitment therapy (ACT) and evaluate its effectiveness in controlling obsessive-compulsive disorder (OCD), dysfunctional beliefs, feeling guilt, scrupulosity, and thought control among Muslims in Tehran, Iran.

Materials and methods: An exploratory mixed-method research design was applied in this study. In the qualitative stage, the document analysis method was used to extract components related to ACT with religious content. Also, the content and face validity of the intervention were confirmed by experts. Subsequently, a semi-experimental, pretest-posttest, control-group design was performed to evaluate the effectiveness of the adapted protocol with a 3-month follow-up. In the quantitative stage, the inclusion criteria were meeting the diagnostic criteria for OCD based on the diagnostic interview of a psychiatrist, having religious purity/impurity obsessions, not receiving minimum psychological treatment for at least one month before entering the study, religious commitment; minimum age of 18 years and maximum age of 50 years; and having at least a high school diploma. The exclusion criteria from the research were as follows: age over 50 years; educational level of less than a high school diploma; having a personality disorder; receiving other treatments, inability to participate in sessions; and being introduced by a family member. The experimental and control groups participated in 25 individual treatment sessions based on the adapted protocol and 8 conventional ACT sessions.

Results: According to the results, the effectiveness of the religion-adapted ACT intervention on the severity of obsession and dysfunctional religious beliefs was higher in patients with OCD compared to the control group in the posttest.

Conclusion: The present study showed that adding religious components to the ACT protocol can increase its effectiveness in reducing the severity of purity/impurity obsessions compared to the conventional ACT in the Muslim Iranian population.

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评估一种包含宗教内容的接受与承诺疗法,以控制伊朗穆斯林的强迫症、功能失调性信念、内疚感、忌惮感和思想控制。
研究背景本研究旨在结合宗教内容和接纳与承诺疗法(ACT)制定一套综合方案,并评估其在控制伊朗德黑兰穆斯林强迫症(OCD)、功能失调性信念、内疚感、忌惮感和思想控制方面的有效性:本研究采用了探索性混合方法研究设计。在定性研究阶段,采用文献分析法提取与宗教内容的 ACT 相关的成分。此外,干预的内容有效性和表面有效性也得到了专家的确认。随后,研究人员采用半实验、前测-后测、对照组的设计方法,对调整后的方案进行了为期 3 个月的随访,以评估其有效性。在定量研究阶段,纳入标准为:根据精神科医生的诊断面谈,符合强迫症的诊断标准;有宗教纯洁/不纯洁强迫症;在进入研究前至少一个月未接受最低限度的心理治疗;有宗教信仰;年龄最小为 18 岁,最大为 50 岁;至少有高中文凭。研究的排除标准如下:年龄超过 50 岁;学历低于高中文凭;患有人格障碍;正在接受其他治疗;无法参加治疗;由家庭成员介绍。实验组和对照组分别参加了 25 次基于适应方案的个人治疗和 8 次常规 ACT 治疗:结果显示,与对照组相比,宗教适应型 ACT 干预对强迫症患者强迫症严重程度和宗教信仰功能障碍的疗效在事后测试中更高:本研究表明,与传统的 ACT 相比,在 ACT 方案中加入宗教元素可以提高其在降低伊朗穆斯林人群的纯洁/不纯洁强迫症严重程度方面的有效性。
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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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