Comparison of family functioning and thought-action fusion in patients with obsessive-compulsive disorder, bipolar disorder and normal people

Among the psychological problems, mood disorders and obsessive-compulsive disorder, due to their recurrent nature, impose exorbitant costs on society annually. In this regard, the present study was conducted to compare family functioning and thought-action fusion in obsessive-compulsive, bipolar and normal obsessive individuals.

The present study was a causal-comparative study. The statistical population of this study consists of all obsessive-compulsive and bipolar patients hospitalized and referred to Fatemi Hospital and psychiatric clinics in Ardabil in January and February 2017 and June and July 2016 who received obsessive-compulsive disorder and bipolar disorder from specialists. From this statistical population, 40 obsessive-compulsive individuals, 40 bipolar individuals and 40 normal individuals were selected by convenience sampling. The instruments of this study were Tavitian et al.'s family performance questionnaire (1987) and Rachman and Shafran (1998) thought-action fusion questionnaire. Data were analyzed using SPSS-25 software and multivariate analysis of variance.

The results showed that people with bipolar disorder and obsessive-compulsive disorder have lower family functioning than normal people. Also, the mean scores of integration of thought and action in individuals with obsessive-compulsive disorder and bipolar disorder were higher than normal individuals. (P <0/05)

. These results indicate that family dysfunction and blurring of the thought-action line increase the severity of obsessive-compulsive disorder and bipolar disorder. Therefore, paying attention to this result in psychotherapy plans and specialized interventions can be effective.