نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری رشته سنجش واندازه گیری دانشگاه علامه طباطبائی

2 دانشیار گروه سنجش و اندازه گیری دانشگاه علامه طباطبائی

3 استادیار گروه مطالعات خانواده دانشگاه شهید مدنی آذربایجان

4 دانشجوی دکتری رشته روانشناسی تربیتی دانشگاه آزاد اسلامی واحد گرمسار

چکیده

هدف پژوهش حاضر تعیین اثربخشی درمان‌های شناختی-رفتاری، مواجهه و پیشگیری از پاسخ و دارویی در درمان اختلال وسواس فکری-عملی با استفاده از روش فرا تحلیل و همچنین مقایسه کارایی این روش‌ها در درمان اختلال وسواس فکری-عملی بود. برای انتخاب پژوهش­های مورد نیاز از روش مرور ساختاریافته بهره گرفته شد. بدین ترتیب 28 مطالعه، مشتمل بر رساله‌های کارشناسی ارشد، دکتری و مقاله (داخلی و خارجی) که از روش‌های درمانی فوق‌الذکر برای درمان اختلال وسواس فکری-عملی بهره برده بودند، به‌عنوان نمونه پژوهشی مورداستفاده قرار گرفتند. عامل مهم در مناسب تشخیص دادن این پژوهش‌ها، روش‌های آماری مورداستفاده برای تجزیه‌وتحلیل داده‌های آن‌ها بوده است. برای محاسبه اندازه‌های اثر، تفاوت استاندارد بین میانگین‌ها مورداستفاده قرارگرفته است. بر اساس نتایج به‌دست‌آمده، درمان شناختی-رفتاری دارای اندازه اثری برابر با 611/1 هست. همچنین روش‌های مواجهه و پیشگیری از پاسخ و درمان‌های دارویی نیز به ترتیب اندازه اثر­هایی برابر با 59/1 و 617/0 را نشان داده اند­­­­­که نشان‌دهنده تأثیرگذار بودن درمان‌های نامبرده است. از طرفی دیگر، مقایسه کارایی این درمان‌ها نشان داد که درمان شناختی-رفتاری بیشترین میزان اثربخشی را برای درمان اختلال وسواس فکری-عملی داراست. همچنین درمان دارویی در مقایسه با درمان‌های روان‌شناختی از کارایی کمتری برخوردار­ است.

کلیدواژه‌ها

عنوان مقاله [English]

Investigating the Impact of Psychological and Medicinal Treatments on Obsessive-Compulsive Disorder: A Meta-analysis

نویسندگان [English]

  • Ali tayarani rad 1
  • Noorali farrokhi 2
  • Esmail keirjoo 3
  • Nafiseh sarihi 4

1 PhD student at allameh tabataba'i university

2 Associate university allameh tabataba'i university

3 Asistant university azarbaijan shahid madani university

4 PhD student azad university branch of garmsar

چکیده [English]

This study deals with the effect of cognitive-behavioral therapy, response prevention and exposure and medicinal treatments on OCD using a meta-analysis and by means of drawing a comparison between such techniques and OCD treatment. The structured review method was adopted for the purpose of selecting the required surveys; therefore, 28 surveys, including master's degree and doctoral theses and local and foreign papers and articles drawing upon the foregoing methods in OCD treatment, were selected as the research sample. The important factor in determining suitability of the studies and surveys was the statistical methods employed for their data analyses. In order to compute effect sizes, the standard difference between means was used. According to the ensuing results, CBT has an effect size of 1.611. Moreover, effect sizes of response prevention and exposure techniques and medicinal treatments were put at 1.59 and 0.617 respectively, suggesting effectiveness of the foregoing treatments. A comparison of efficiency of such therapies and treatments demonstrated, on the other hand, that CBT has the highest level of effect in OCD treatment. Furthermore, medicinal care is less effective than psychological therapies and treatments. 

کلیدواژه‌ها [English]

  • Obsessive-Compulsive Disorder (OCD)
  • Psychological Treatment
  • medicinal treatment
  • Meta-analysis
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