شهلا آکوچکيان, فاطمه صالحي, مصطفي نجفي, آسيه الماسي,
Volume 14, Issue 1 (11-2016)
Abstract
Aim and Background: A separate chapter of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) distributed in 2013 has been allocated to Obsessive-compulsive disorder (OCD). It is defined as unwanted, repeated, and obtrusive beliefs, images, thoughts, and anxiety or repetitive mental behaviors and actions. Clinical evaluation of patients with OCD has revealed their complaints regarding urology symptoms. Therefore, it has been theorized that OCD is correlated with urology symptoms such as urination frequency. Methods and Materials: This study was conducted on 100 patients with OCD referred to the OCD Clinic affiliated to Isfahan University of Medical Sciences, Iran, in 12013. In order to determine the severity of the disorder, the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was used. The Hospital Anxiety and Depression Scale (HADS) was used for the assessment of the degree of anxiety and depression. In addition, the Lower Urinary Tract Symptoms-Questionnaire (LUTS-Q) and a 25-item checklist were used for the evaluation of urinary symptoms. The data were analyzed using Student's t-distribution, one way ANOVA, chi-square test, and the Pearson coefficient in SPSS. Findings: The average of urinary symptoms score was 11 ± 6.8 and ranged from 0 to 27. There was a direct correlation between urinary symptoms and OCD symptoms (P = 0.022). Moreover, there was direct correlation between anxiety and depression score and urinary symptoms (P < 0.001). On the other hand, there was a direct correlation between the Y-BOCS score and anxiety and depression score (P = 0.049). Conclusions: In more than half of the participants, OCD was accompanied with urinary symptoms. In addition, 74% of patients had anxiety and depression disorder. Thus, these disorders require attention in the evaluation and treatment of patients with OCD and must be considered in their treatment interventions.
شهلا آکوچکيان, ابراهيم حقيقيزاده, ويكتوريا عمراني فرد, مهسا سيرويي نژاد, آسيه الماسي,
Volume 14, Issue 2 (12-2016)
Abstract
Aim and Background: Obsessive-compulsive disorder (OCD) is kind of anxiety disorder that can manifest in religious practices in religious individuals. Stress plays a role in the worsening of the symptoms of OCD. Appropriate coping strategies can reduce the effects of this factor on the patient. The aim of the present study was to investigate the effects of religious cognitive behavioral therapy (RCBT) on stress coping strategies in patients with OCD with religious content. Methods and Materials: This randomized clinical trial (non-pharmacological methods) was conducted with a before-after the intervention design. The subjects received psychotherapy in 10 sessions (1.5 hour session weekly). A psychiatrist and a clergyman, who was familiar with fiqh and the scientific aspects of OCD, managed the meetings. A Yale-Brown Obsessive Compulsive Scale (Y-BOCS) score of higher than 17 was the primary inclusion criteria. Before the intervention and at the end of the intervention (10 th session), a clinical psychologist completed a demographic characteristic questionnaire, and the Y-BOCS and Coping Scale-Revised (CS-R). The collected data were analyzed using the Wilcoxon and Mann-Whitney U tests and Spearman correlation coefficient in SPSS software. Findings: The average Y-BOCS score of the 15 patients changed from 29.39 ± 6.00 before the intervention to 24.1 ± 5.6 after the intervention (P = 0.012). The average CS-R score of the subjects changed from 36.5 ± 12.9 before the intervention to 35.3 ± 12.0 after the intervention (P = 0.442). Conclusions: The results of this study showed that CBT with a religious approach can have a significant impact on obsession in individuals with OCD, but these meetings did not affect the stress coping strategies of these patients.