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The Efficacy of Cognitive Behavioral Therapy of Obsessive Compulsive Disorder O.C.D

فاعلية العلاج الاستعرافي- السلوكي للوسواس القهري

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 Publication date 2011
and research's language is العربية
 Created by Shamra Editor




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The Study is directed to reveal how effective the behavioral-cognitive therapy in reducing the symptoms of obsession through a program applied on individuals with compulsive behavior and/or obsessive thinking involved in the study. The study uses cognitive therapy techniques and the (intense) exposure and response prevention technique (ERP) that has proved to be efficient in many researches and clinical studies so as to know whether the statistically significant. Differences between the averages of the means of the sample to be studied on a scale for measuring the obsession symptoms before and after applying the therapeutically program on the individuals involved in the sample are attributed to the effect of the program designed. In this study, the sample involves individuals with obsessive compulsive disorder according to Yale Brown Scale, and it includes 12 patients (3) males and (9) females aging (20-25) who were supervised by psychiatrists. The researcher uses the one-group system; i.e., premeasurement – therapy or intervention – post-measurement.

References used
American Psychiatric Association (2000).Diagnostic and statistical manual of mental disorders, text revision DSM-IV-TR). Washington, DC: American Psychiatric Association
Burns, D. (1991). Feeling Good, William Morrow, New York
Barlo ,2002, Clinical Handbook Of Psychological Disorders Second Edition

Artificial intelligence review:
Research summary
تهدف الدراسة إلى تقييم فعالية العلاج الاستعرافي-السلوكي في تخفيف أعراض اضطراب الوسواس القهري باستخدام برنامج علاجي موجه. اعتمدت الباحثة على تقنية التعرض المكثف ومنع الاستجابة (ERP) التي أثبتت فعاليتها في أبحاث سابقة. تكونت عينة الدراسة من 12 مريضاً (9 إناث و3 ذكور) تتراوح أعمارهم بين 20-25 عاماً. استخدمت الباحثة مقياس ييل براون للوسواس القهري لقياس الأعراض قبل وبعد العلاج. أظهرت النتائج فروقاً دالة إحصائياً بين القياس القبلي والبعدي لصالح القياس البعدي، مما يشير إلى فعالية البرنامج العلاجي. كما لم تظهر فروق دالة إحصائياً بين القياس البعدي وقياس المتابعة، مما يدل على استمرارية تأثير العلاج. أوصت الدراسة بإجراء دراسات مماثلة بمتغيرات أخرى مثل مستوى التعليم وعمر المريض عند بدء الأعراض، وأكدت على أهمية دور الأسرة في دعم المرضى.
Critical review
تعتبر الدراسة إضافة قيمة لمجال العلاج النفسي لاضطراب الوسواس القهري، حيث استخدمت تقنية ERP التي أثبتت فعاليتها في أبحاث سابقة. ومع ذلك، هناك بعض النقاط التي يمكن تحسينها. أولاً، حجم العينة صغير نسبياً (12 مريضاً)، مما قد يؤثر على تعميم النتائج. ثانياً، لم يتم تناول الفروقات بين الجنسين بشكل كافٍ، حيث كانت العينة غير متوازنة (9 إناث و3 ذكور). ثالثاً، لم يتم ذكر أي تفاصيل حول الخلفية الثقافية والاجتماعية للمشاركين، والتي قد تؤثر على نتائج العلاج. وأخيراً، كان من المفيد تضمين مجموعة ضابطة لتقييم فعالية العلاج بشكل أكثر دقة.
Questions related to the research
  1. ما هي تقنية التعرض ومنع الاستجابة (ERP) المستخدمة في الدراسة؟

    تقنية التعرض ومنع الاستجابة (ERP) هي تقنية علاجية تتضمن تعريض المريض للمواقف التي تثير لديه القلق والتوتر، ومنعه من القيام بالأفعال القهرية التي تخفف من هذا القلق، بهدف تقليل الأعراض الوسواسية على المدى الطويل.

  2. ما هي النتائج الرئيسية التي توصلت إليها الدراسة؟

    أظهرت الدراسة وجود فروق دالة إحصائياً بين القياس القبلي والبعدي لصالح القياس البعدي، مما يشير إلى فعالية البرنامج العلاجي في تخفيف أعراض الوسواس القهري. كما لم تظهر فروق دالة إحصائياً بين القياس البعدي وقياس المتابعة، مما يدل على استمرارية تأثير العلاج.

  3. ما هي التوصيات التي قدمتها الدراسة؟

    أوصت الدراسة بإجراء دراسات مماثلة بمتغيرات أخرى مثل مستوى التعليم وعمر المريض عند بدء الأعراض، وأكدت على أهمية دور الأسرة في دعم المرضى. كما أوصت بزيادة الوعي بأهمية العلاج النفسي إلى جانب العلاج الدوائي.

  4. ما هي الأدوات التي استخدمتها الباحثة لقياس فعالية العلاج؟

    استخدمت الباحثة مقياس ييل براون للوسواس القهري لقياس الأعراض قبل وبعد العلاج، بالإضافة إلى استمارات خاصة بالعلاج الاستعرافي واستمارتي التقويم الذاتي.

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