مقايسه اثربخشي درمان تلفيقي الكترومغناطيس با درمان شناختي رفتاري واحدپردازه اي بر نشانگان باليني وسواس شست وشو

Comparison of Effectiveness of Integrated Therapy of Electromagnetic with Modular Cognitive Behavioral Therapy on Clinical Symptoms of Obsessive Washing Disorder

مقدمه اختلال وسواس فكري - عملي از اختلالات رواني است كه تاثير زيادي بر كيفيت زندگي و كاهش مقاومت فرد در برابر اختلال مي گذارد؛ از اين رو، پژوهش حاضر با هدف مقايسه ميزان اثربخشي درمان الكترومغناطيس درماني با درمان شناختي- رفتاري واحدپردازه اي بر نشانگان باليني وسواس شست وشو انجام شد. مواد و روش ها پژوهش از نوع نيمه آزمايشي با طرح پيش آزمون- پس آزمون چهار گروهي با آزمون پيگيري بود. جامعه آماري، شامل كليه زنان جوان مبتلا به وسواس شست وشو بود كه طي سه ماهه نخست سال 1398 به مراكز مشاوره و روان شناختي شهر نيشابور مراجعه كرده بودند. از بين آن ها 80 نفر به تصادف انتخاب و پس از اجراي اوليه پيش آزمون پرسشنامه وسواس شست وشوي ييل براون، تعداد 60 نفر كه داراي تراز متوسط اختلال بودند، انتخاب و به تصادف در چهار گروه (سه گروه آزمايشي و يك گروه كنترل) جايگزين شدند. داده ها از طريق تحليل واريانس با اندازه گيري مكرر و آزمون تعقيبي توكي مورد تحليل قرار گرفتند. يافته ها نتايج نشان داد هر سه روش مداخلاتي شناختي رفتاري واحدپردازه اي (0.05

Introduction Obsessive-compulsive disorder is one of the mental disorders that has a great impact on the quality of life and decreases a person's resistance against disorder. Therefore, the aim of this study was to compare the effectiveness of electromagnetic therapy with modular cognitive-behavioral on the clinical syndrome of obsessive washing disorder. Materials and Methods The research was quasi-experimental with pre-test and post-test four groups with Follow-up test. The statistical population was included of all young women with obsessive washing disorder who were referred to counseling and psychological centers in Neyshabur during the first quarter of 1398. Among them, 80 people were randomly selected and after the initial pre-test of the Yale-Brown Obsessive-Compulsive Scale, 60 people with the medium level of disorder were selected and randomly assigned to four groups (three experimental and one control group). Data were analyzed by ANOVA with repeated measure and Tukey post hoc test. Results The results showed that all three intervention methods of modular cognitivebehavioral therapy (P<0.05), electromagnetic therapy (p<0.05), and integrative therapy (p <0.05) significantly reduced the obsessive washing disorder. However, integrative therapy was more effective than other interventions on reducing this disorder (p<0.05). Conclusion Based on the results, integration of cognitive-behavioral therapy with electromagnetic therapy can be suggested as an effective intervention in the treatment of obsessive-compulsive disorder symptoms.