Comparison of the Effectiveness of Cognitive-Behavioral Therapy and Short-Term Psychodynamic Therapy on Cognitive Fusion and Obsessive-Compulsive Symptoms in Individuals with Obsessive-Compulsive Disorder

Seyed Adel  Hosseini; Maryam Nasri; Reza  Dastgerdi

doi:10.61838/kman.hn.3.1.6

Authors

Seyed Adel Hosseini Ph.D. student in Psychology, Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran

Maryam Nasri * Assistant Professor, Department of Psychology, Birjand branch, Islamic Azad University, Birjand, Iran nasri@iaubir.as.ir

Reza Dastgerdi Assistant Professor, Department of General Psychology, Birjand University of Medical Sciences, Birjand, Iran

https://doi.org/10.61838/kman.hn.3.1.6

Keywords:

Cognitive-Behavioral Therapy, Short-Term Psychodynamic Therapy, Cognitive Fusion, Obsessive-Compulsive Disorder

Abstract

The aim of this study was to compare the effectiveness of cognitive-behavioral therapy (CBT) and short-term psychodynamic therapy (STPP) in reducing cognitive fusion and obsessive-compulsive symptoms in individuals with obsessive-compulsive disorder (OCD). This semi-experimental study employed a pretest-posttest design with a follow-up phase. The statistical population included individuals with OCD who sought treatment at all counseling and psychological service centers in Birjand from April to December 2023. Sixty participants were purposively selected based on Cohen’s table and were randomly assigned to two experimental groups and one control group. The first experimental group received 10 sessions of cognitive-behavioral therapy, while the second experimental group received 11 sessions of short-term psychodynamic therapy. The control group did not receive any intervention during this period. Data were collected using the Cognitive Fusion Questionnaire by Gillanders et al. (2010) and the Obsessive-Compulsive Scale by Hodgson and Rachman (1977) at three stages: pretest, posttest, and follow-up. Repeated measures ANOVA was used for data analysis. The results indicated that both cognitive-behavioral therapy and short-term psychodynamic therapy significantly reduced cognitive fusion and obsessive-compulsive symptoms at the posttest stage (p < .05), and the therapeutic effects were maintained after three months. However, no significant difference was observed between the effectiveness of cognitive-behavioral therapy and short-term psychodynamic therapy in reducing cognitive fusion and obsessive-compulsive symptoms in individuals with OCD (p > .05). Based on the findings, there is no difference in the effectiveness of cognitive-behavioral therapy and short-term psychodynamic therapy in addressing cognitive fusion and obsessive-compulsive symptoms in individuals with OCD. Both approaches can be used to reduce and manage cognitive fusion and obsessive-compulsive symptoms in affected individuals.

Downloads

Download data is not yet available.

References

1. Pourkhiyabi M, Kafie M, Abolghasemi A. The effectiveness of Internet-based cognitive-behavioral therapy on extreme responsibility and irritability of adolescent girls with symptoms of obsessive-compulsive disorder. Research in Clinical Psychology and Counseling. 2024:-. [DOI]

2. Peeters N, van Passel B, Krans J. The effectiveness of schema therapy for patients with anxiety disorders, OCD, or PTSD: A systematic review and research agenda. British Journal of Clinical Psychology. 2022;61(3):579-97. [DOI]

3. Chini Foroushan M, Sohrabi F, Golzari M, Farrokhi N. Comparing the Effectiveness of Group and Individual Metacognitive Therapy in Treating Obsessive-Compulsive Disorder. Contemporary Psychology Journal. 2017;11(2):23-35.

4. Abramovich Enda JS. Worries and obsessions in individuals with obsessive-compulsive disorder with and without comorbid generalized anxiety disorder. Journal of Behaviour Research and Therapy. 2000;36(7):695-700. [PMID: 9682525] [DOI]

5. Enda B F. Cognitive behavioral therapy of obsessive-compulsive disorder and Terapia cognitivo conductual del trastorno obsesivo compulsivo. Journal of Dialogues in Clinical Neuroscience. 2022;12(2):199-207. [PMID: 20623924] [PMCID: PMC3181959] [DOI]

6. Guerrini Usubini A, Bottacchi M, Caroli D, Castelnuovo G, Sartorio A. Cognitive Fusion and Emotional Eating among Adolescents with Obesity: A Preliminary Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2022;19(14855). [PMID: 36429574 ] [PMCID: PMC9690408] [DOI]

7. Fang S, Ding D, Ji P, Huang M, Hu K. Cognitive Defusion and Psychological Flexibility Predict Negative Body Image in the Chinese College Students: Evidence from Acceptance and Commitment Therapy. International Journal of Environmental Research and Public Health. 2022;19(16519). [PMID: 36554399] [PMCID: PMC9778665] [DOI]

8. Lee D, Lee SJ, Park CS, Kim BJ, Lee CS, Cha B, et al. The Mediating Effect of Impulsivity on Resilience and Depressive Symptoms In Korean Conscripts. Psychiatry Investigation. 2019;16:773-6. [PMID: 31587533] [PMCID: PMC6801321] [DOI]

9. Chen N, Xi J, Fan X. Correlations among Psychological Resilience, Cognitive Fusion, and Depressed Emotions in Patients with Depression. Behavioral Sciences. 2023;13(100). [PMID: 36829329 ] [PMCID: PMC9951929] [DOI]

10. Van Noppen B, Sassano-Higgins S, Appasani R, Sapp F. Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder. Journal of Emergency Psychiatry. 2022;21(1):1-.

11. Zerdziński M, Burdzik M, Zmuda R, Debski P, Witkowska-Berek A, Plader A, et al. Olfactory Obsessions: A Study of Prevalence and Phenomenology in the Course of Obsessive-Compulsive Disorder. Journal of Clinical Medicine. 2023;12(3081). [PMID: 37176522 ] [PMCID: PMC10179591] [DOI]

12. Guazzini A, Gursesli MC, Serritella E, Tani M, Duradoni M. Obsessive-Compulsive Disorder (OCD) Types and Social Media: Are Social Media Important and Impactful for OCD People? European Journal of Investigative Health Psychology and Education. 2022;12:1108-20. [PMID: 36005227] [PMCID: PMC9407245] [DOI]

13. Alcázar Ángel R, Sánchez-Meca J, Rubio-Aparicio M, Bernal-Ruiz C, RosaAlcázar AI. Cognitive-Behavioral Therapy and Anxiety and Depression Level in Pediatric Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis. Journal of Psicothema. 2018;34(3):353-64. [PMID: 35860997] [DOI]

14. Aghamiri Z, Mashayekh M, Tashvighi M, editors. Effectiveness of Cognitive Behavioral Therapy on Self-Concept in Children with Reading Learning Disabilities. 6th International School Psychology Conference; 2021.

15. Monirpour N, Hosseini S. Effectiveness of Cognitive-Behavioral Therapy with a Rational-Spiritual Approach on Reducing Symptoms of Obsessive-Compulsive Disorder in Women. Islamic Women and Family Studies Quarterly. 2020;7(14):103-18.

16. Di Salvo G, Bianco M, Teobaldi E, Maina G, Rosso G. A Psychoanalytic-Derived Brief Psychotherapeutic Approach in the Treatment of Major Depression: Monotherapy Studies. Medicina. 2022;58(1335). [PMID: 36295496 ] [PMCID: PMC9609679] [DOI]

17. Korsgaard HO, Ulberg R, Hummelen B, Midgley N, Thorén A, Dahl HSJ. Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents. International Journal of Environmental Research and Public Health. 2022;19(10952). [PMID: 36078667 ] [PMCID: PMC9518348] [DOI]

18. Moazami Goudarzi B, Monirnejad N, Mirzahaasani H. Effectiveness of Intensive and Short-Term Dynamic Psychotherapy on Reducing Symptoms and Defense Mechanisms in Obsessive-Compulsive and Avoidant Personality Disorders. Mashhad University of Medical Sciences Quarterly. 2021;64(1):68-83.

19. Shokari H, Hossein Sabet F, BarjAli A. Effectiveness of Managing Tactical Defenses Based on Intensive Short-Term Dynamic Psychotherapy (ISTDP) on Interpersonal Conflicts. Quarterly Journal of Clinical Psychology and Counseling Research. 2018;7(2):23-37.

20. Vahedi A, Mokondhosseini S, Bigdeli I. Diagnosing Surface-Level Personality Injuries Through Short-Term Dynamic Psychotherapy. Quarterly Journal of Clinical Psychology. 2016;4(3):75-85.

21. Lundström L, Flygare O, Andersson E, Enander J, Bottai M, Ivanov VZ, et al. Effect of Internet-Based vs Face-to-Face Cognitive Behavioral Therapy for Adults With Obsessive-Compulsive Disorder: A Randomized Clinical Trial. JAMA Network Open. 2022;5(3). [PMID: 35285923 ] [PMCID: PMC9907343] [DOI]