response prevention therapy

 Obsessive-compulsive disorder is a chronic and debilitating disorder. Therefore, the aim of this study was to comparing the effectiveness of emotional efficacy therapy and exposure and response prevention therapy on perfectionism in people with obsessive-compulsive disorder.

Methods and Materials: 

The current study was a semi-experimental with a pre-test, post-test and three month follow-up design with a control group. The research statistical population was all people with obsessive-compulsive disorder who referred to counseling centers of Tehran city in 2021 year (about 500 people). The research sample was 51 people who were selected by purposeful sampling method and randomly assigned to three groups. The first and second experimental groups underwent 8 sessions of 60 minutes, respectively by emotional efficacy therapy and exposure and response prevention therapy and the control group remained on the waiting list for therapy. The tools of the current research were the perfectionism inventory (Hill et al., 2004) and the Yale-Brown obsessive-compulsive scale (Goodman et al., 1989). The data of this research were analyzed with the methods of analysis of variance with repeated measures and Bonferroni post hoc test in SPSS-22 software.

 The results showed that both intervention methods of emotional efficacy therapy and exposure and response prevention therapy in compared to the control group led to decrease the perfectionism in people with obsessive-compulsive disorder and the results were maintained in the follow-up stage (P<0.001), but there was no significant difference between the post-test and follow-up stages and between the two intervention methods in reducing their perfectionism (P>0.05).

 According to the mentioned results, counselors and therapists can use both methods of emotional efficacy therapy and exposure and response prevention therapy to reduce perfectionism in people with obsessive-compulsive disorder.

The present study aimed to compare of effectiveness the exposure and response prevention therapy with mindfulness-based cognitive therapy on guilt feeling. This was a semi-experimental study with two experimental groups and one control group. The design was conducted using the pre-test, post-test and two months follow-up method. Based on this, 45 people with obsessive-compulsive disorder who referred to counseling and psychotherapy service centers in Tehran in 2023, were selected on purposeful sampling and randomly assigned to three groups (15 people in each group). In order to collect information, Yale-Brown obsessive-compulsive scale and guilt feelings questionnaire were used. At first, the participants were pre-tested, then, the experimental groups underwent 10 sessions of 90 minutes of exposure and response prevention therapy and 8 sessions of 90 mins mindfulness-based cognitive therapy. The post-test was conducted on all participants. Two months later, the follow–up test was completed by 3 groups. The analysis of variance with repeated measurements were applied to data. The results showed that both methods were suitable, but the exposure and response prevention therapy had a greater and more meaningful effect.

Treatment of Exposure   and   Response    Prevention is known as a therapeutic approach to the physical and psychological needs of individuals. The purpose of this study is to investigate the effect of Exposure   and   Response    Prevention on obsessive-compulsive disorder and marital satisfaction. The statistical population included all married women aged 25-45 years in Tehran in 1395. Using a randomized controlled trial, samples of 60 married women were selected using available sampling method and randomly divided into two groups of 30 control and experimental groups.  The research tools included Enrich's marital satisfaction questionnaire and Madsely's obsessive-compulsive Inventory (MOCI) all subjects first completed the Madsely obsessive-compulsive Inventory (MOCI). The experimental group participated in the Exposure   and   Response    Prevention therapy (ERP), but the control group had simple appointments with the therapist.  Data were extracted from questionnaires and analyzed by covariance analysis. the results of covariance test showed that Exposure   and   Response    Prevention therapy (ERP) reduced the symptoms of obsessive-compulsive disorder and increased marital satisfaction compared with the control group.  The results showed that the slowest component had the highest reduction, the control component had the lowest reduction and Exposure   and   Response    Prevention to decrease obsessive-compulsive symptoms and increase marital satisfaction