Volume 23, Issue 11 (3-2025)
JRUMS 2025, 23(11): 973-989 |
Back to browse issues page
Ethics code: IR.IAU.TNB.REC.1401.084
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Amighi H, Ebrahimi Moghadam2 H, Kashani Vahid L. Effectiveness of Dialectical Behavior Therapy (DBT) on Aggression, Anxiety, and Attention in Girls with Obsessive-Compulsive Disorder: A Quasi-Experimental Study. JRUMS 2025; 23 (11) :973-989
URL: http://journal.rums.ac.ir/article-1-7447-en.html
URL: http://journal.rums.ac.ir/article-1-7447-en.html
Islamic Azad university
Abstract: (490 Views)
Background and Objectives: Obsessive-compulsive disorder (OCD) is a serious and incapacitating but treatable disorder. The aim of the present study was to determine the effectiveness of dialectical behavior therapy (DBT) on aggression, anxiety, and attention in people with OCD.
Materials and Methods: This was a quasi-experimental study with a pretest-posttest design with a control group. The statistical population included girls with OCD in the junior and senior high schools in the 1st and 3rd regions of Tehran in 2022 which completed the Maudsley’s Obsessive-Compulsive Questionnaire. Among them, 30 people who had obsessive-compulsive symptoms were selected by purposive sampling and randomly assigned into two groups of 15 people, experimental and control. The experimental group underwent DBT (8 sessions of 90 minutes) and the control group did not receive any treatment. The Anxiety and Aggression Questionnaires and Continuous Performance Test were used to collect data. Data were analyzed using Repeated Measures ANOVA.
Results: The findings showed a significant difference between the experimental and control groups in terms of anxiety (F=120.993), aggression (F=257.308), and attention (F=11.058) (p<0.001). The mean of anxiety and aggression in the experimental group significantly reduced compared to the pre-test and the control group, and the mean of the attention significantly increased (p<0.01). In the follow-up period, stabilization was observed for attention and anxiety variables in the experimental group.
Conclusion: The current study showed that DBT has an effect on anxiety, aggression, and attention in girls with OCD. The results of the present study can be used to prevent and treat girls with OCD.
Key words: Anxiety, Aggression, Attention, Dialectical behavior therapy, Obsessive-compulsive disorder
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics Committee of University of Islamic Azad University of Roudehen approved the study (IR.IAU.TNB.REC.1401.084).
Authors’ contributions:
-Conceptualization: Haleh Amighi
-Methodology: Haleh Amighi, Hossein Ebrahimi Moghadam
- Data collection: Haleh Amighi
- Formal analysis: Haleh Amighi, Hossein Ebrahimi Moghadam, Leila Kashani Vahid
-Supervision: Hossein Ebrahimi Moghadam, Leila Kashani Vahid
-Project administration: Ebrahimi Moghadam
-Writing - original draft: Haleh Amighi, Hossein Ebrahimi Moghadam, Leila Kashani Vahid
-Writing - review & editing: Haleh Amighi, Hossein Ebrahimi Moghadam, Leila Kashani Vahid
Materials and Methods: This was a quasi-experimental study with a pretest-posttest design with a control group. The statistical population included girls with OCD in the junior and senior high schools in the 1st and 3rd regions of Tehran in 2022 which completed the Maudsley’s Obsessive-Compulsive Questionnaire. Among them, 30 people who had obsessive-compulsive symptoms were selected by purposive sampling and randomly assigned into two groups of 15 people, experimental and control. The experimental group underwent DBT (8 sessions of 90 minutes) and the control group did not receive any treatment. The Anxiety and Aggression Questionnaires and Continuous Performance Test were used to collect data. Data were analyzed using Repeated Measures ANOVA.
Results: The findings showed a significant difference between the experimental and control groups in terms of anxiety (F=120.993), aggression (F=257.308), and attention (F=11.058) (p<0.001). The mean of anxiety and aggression in the experimental group significantly reduced compared to the pre-test and the control group, and the mean of the attention significantly increased (p<0.01). In the follow-up period, stabilization was observed for attention and anxiety variables in the experimental group.
Conclusion: The current study showed that DBT has an effect on anxiety, aggression, and attention in girls with OCD. The results of the present study can be used to prevent and treat girls with OCD.
Key words: Anxiety, Aggression, Attention, Dialectical behavior therapy, Obsessive-compulsive disorder
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics Committee of University of Islamic Azad University of Roudehen approved the study (IR.IAU.TNB.REC.1401.084).
Authors’ contributions:
-Conceptualization: Haleh Amighi
-Methodology: Haleh Amighi, Hossein Ebrahimi Moghadam
- Data collection: Haleh Amighi
- Formal analysis: Haleh Amighi, Hossein Ebrahimi Moghadam, Leila Kashani Vahid
-Supervision: Hossein Ebrahimi Moghadam, Leila Kashani Vahid
-Project administration: Ebrahimi Moghadam
-Writing - original draft: Haleh Amighi, Hossein Ebrahimi Moghadam, Leila Kashani Vahid
-Writing - review & editing: Haleh Amighi, Hossein Ebrahimi Moghadam, Leila Kashani Vahid
|
Citation: Amighi H, Ebrahimi Moghadam H, Kashani Vahid L. Effectiveness of Dialectical Behavior Therapy (DBT) on Aggression, Anxiety, and Attention in Girls with Obsessive-Compulsive Disorder: A Quasi-Experimental Study. J Rafsanjan Univ Med Sci 2025; 23 (11): 973-89. [Farsi]
|
Keywords: Anxiety, Aggression, Attention, Dialectical behavior therapy, Obsessive-compulsive disorder
Type of Study: Research |
Subject:
روانپزشكي
Received: 2024/07/18 | Accepted: 2025/02/5 | Published: 2025/03/20
Received: 2024/07/18 | Accepted: 2025/02/5 | Published: 2025/03/20
References
1. Basharpoor S, Ahmadi S. Comparison of EEG Brainwave Asymmetry in Frontal Areas between People with Obsessive-Compulsive Disorder, Major Depression, and Normal. JAPR 2022; 13(1): 147-62. [Farsi]
2. Taube-Schiff M, Rector NA, Young R, Larkin P, Richter MA. Filling the gap for obsessive-compulsive disorder services in Canada: Implementing an intensive care program. JNMD 2020; 208(1): 38-47.
3. Monaco MRL, Di Stasio E, Zuccalà G, Petracca M., Genovese D, Fusco D, et al. Prevalence of ObsessiveCompulsive Symptoms in Elderly Parkinson Disease Patients: A Case-Control Study. AJGP 2020; 28(2): 167-75.
4. Pajouhinia S, Abavisani Y, Rezazadeh Z. Explaining the Obsessive-compulsive Symptoms Based on Cognitive Flexibility and Social Cognition. PCP 2020; 8 (3):233-242. [Farsi]
5. Jani S, Hajloo N, Narimani M. Comparing the Effectiveness of Internet Based Cognitive-Behavioral Therapy and Emotion-Focused Therapy on Ambiguity Tolerance and Threat Sensitivity in Married Women with Obsessive-Compulsive Disorder Authors. JCPP 2022; 20(2): 77-89. [Farsi]
6. Karami S, Janbozorgi M, Aghayousefi A, Namvar H. Providing a structural model for predicting symptoms of practical obsessive compulsive disorder based on religious adherence the mediating role of personality function. Shenakht J Psychology and Psychiatry 2022; 9 (3) :1-15. [Farsi]
7. Stein DJ, Fineberg NA, Bienvenu OJ, Denys D, Lochner C, Nestadt G, et al. Should OCD be classified as an anxiety disorder in DSM-V?. J Depress Anxiety 2019; 27(6): 495-506.
8. Wheaton MG, Deacon BJ, McGrath PB, Berman NC, Abramowitz JS. (2012). Dimensions of anxiety sensitivity in the anxiety disorders: Evaluation of the ASI -3. J Anxiety Disord 2012; 26(3): 401 -408.
9. Shahreza Gulabi M, Akrami, N, Parhehi, HR. Analyzing the relationship between covert aggression and obsessive-compulsive disorder in Isfahan women. The first international conference on modern researches in the field of educational sciences, psychology and social studies of Iran, Qom 2015; 97. [Farsi]
10. Ostad Mohammad Ali F, Pirkhaefi AR. Relationship between Aggression & Obsessive-Compulsive Disorder in students (with emphasis on Freud’s super ego theory). JACP 2017; 8(29): 23-32. [Farsi]
11. Delaquis PC, Joyce MK, Zalewski M., Katz L., Roos L. Dialectical behaviour therapy skills training groups for common mental health disorders: A systematic review and meta-analysis. J Affect Disord 2021; 300(2).
12. Yasfard G, Abaspour Azar Z, Hosseini Almadani S A. Comparing the Effectiveness of group Dialectical Behavior Therapy and Solution-Focused Brief Therapy on Self-Esteem, Cognitive-Emotional Regulation and Non-Suicidal Self-Injury in daughters. Iran J Health Educ Health Promot 2020; 7 (4): 343-358.[Farsi]
13. Levy N. Obsessive–compulsive disorder as a disorder of attention. Mind & Language 2018; 33(1): 3-16.
14. Hallion LS, Tolin D F, Diefenbach G J. Enhanced cognitive control over task-irrelevant emotional distractors in generalized anxiety disorder versus obsessive-compulsive disorder. J Anxiety Disord 2019; 64: 71-78.
15. VanDijk S. Dialectical behavior therapy: A stepby-step guide. Translation, Najafabadi J, Piraman MJ. 2 edition, Tehran, Arasbaran Publishing. 2018;185. [Farsi].
16. Tomlinson MF, Hoaken PN. The potential for a skills-based dialectical behavior therapy program to reduce aggression, anger, and hostility in a canadian forensic psychiatric sample: a pilot study. Int J Forensic Ment Health 2017; 16(3): 215-226.
17. Mohseni A, Yazdkhasti F. The efficacy of dialectical behavior therapy in reducing attentional bias and rumination in patients with OCD-Isfahan. J Community Health 2017; 11(2): 48-57.[Farsi]
18. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. BRM 2007; 39(2): 175
19. Beck AT. Steer RA. Beck Anxiety Inventory Manual. San Anto: Psychological Corporation.1990;52.
20. Rafiee M, Seif A. An Investigation into the Reliability and Validity of Beck Anxiety Inventory among the University Students. JTBCP 2013; 8(27): 37-46. [Farsi]
21. Buss AH, Perry M. The Aggression Questionnaire. J Pers Soc Psychol 1992; 63(3): 452–459.
22. Mohamadi N. A Perliminary Study of the Psycometric Propertice of Buss and Perry Aggression Quastionnaire. J Social Scince & Humanities 2007; 25(4 (49)): 135-51. [Farsi]
23. Rosvold H E, Mirsky A F, Sarason I, Bransome Jr ED, Beck LH. A continuous performance test of brain damage. J Consult Psychol 1956; 20(5), 343.
24. Leark RA, Greenber LM, Kindschi CL, Dupuy TR, Hughes SJ. T.O.V.A. Professional Manual Test of Variables of Attention Continuous Performance Test. No edition, The TOVA Company. 2007; 58
25. Hadian Fard H, Najarian B, Shukarkan H, Mehrabizadeh Honarmand M. Constriction and validation of the continuous performance test. J Psychology 2001; 4(4 (16)): 388-404. [Farsi]
26. Linehan, M. Cognitive-behavioral treatment of borderline personality disorder. 1 edition, Guilford Press; 1993; 87.
27. Ghahari S. Dialectical behavioral therapy techniques. 3 edition, Tehran, ghatreh Publications. 2020;180. [Farsi]
28. Bannink FP.Positive CBT: From reducing distress to building success. J Contemp Psychother 2014; 44(4): 18-36.
29. Moody TD, Morfini F, Cheng G, Sheen C, Tadayonnejad R, Reggente N, Feusner JD. Mechanisms of cognitive-behavioral therapy for obsessive-compulsive disorder involve robust and extensive increases in brain network connectivity. Transl Psychiatry 2017; 7(9): 1230.
30. Basel D, Hallel H, Dar R, Lazarov, A. Attention allocation in OCD: A systematic review and meta-analysis of eye-tracking-based research. J Affect Disord 2023; 324: 539-50.
31.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
