The Effect of the Variables of Multidimensional Spiritual Pattern on Obsessive-Compulsive Disorder with the Mediation of Dysfunctional Beliefs

The present research was conducted with the aim of examining the effect of the variables of multidimensional spiritual treatment on the intensity and symptoms of obsessive-compulsive disorder with the mediation of dysfunctional cognitive beliefs using the path analysis. This descriptive research applied the structural equation modeling. The population included all patients with the obsessive-compulsive disorder referring to the counseling centers in the city of Qom in 2021. 240 patients were selected by the judgmental sampling as the sample. The sample members were selected by replying to the Yale-Brown obsessive-compulsive scale with the obsession intensity score of higher than 9 based on the standardized cut line. They replied to the following questionnaires: psychological-spiritual transformation, religious adherence, self-image and God-image (Janbozorgi), guilt inventory (Kugler and Jones), and dysfunctional cognitive beliefs. The data were analyzed by the path analysis using LIZREL and SPSS. According to the results, there is a negative and significant relationship among the intensity of psychological-spiritual transformation, religious adherence, and God-concept, and there is a positive and significant relationship between the variable of God-image and the variable of the symptoms of obsessive-compulsive disorder. With the mediation of dysfunctional cognitive beliefs, the religious adherence has a negative and significant relationship and guilt has a positive and significant relationship with the symptoms of obsessive-compulsive disorder. In addition, the present model has a good fit. As a result, if the intensity of psychological-spiritual transformation, religious adherence, and God-concept increases and the intensity of God-image, guilt, and dysfunctional cognitive beliefs decreases, the symptoms of obsessive-compulsive disorder will be reduced.