اثربخشی درمان روان‌پویشی کوتاه‌مدت بر اضطراب و تحمل ابهام در زنان مبتلا به وسواس فکری–عملی

نویسندگان
فرشته رضا
جوانشیر اسدی
ارسطو میرانی
افسانه خواجوند خوشلی
چکیده
هدف پژوهش حاضر، بررسی اثربخشی درمان روان‌پویشی کوتاه‌مدت بر کاهش اضطراب و افزایش توانایی تحمل ابهام در زنان مبتلا به اختلال وسواس فکری–عملی (OCD) بود. این مطالعه با طرح نیمه‌آزمایشی از نوع پیش‌آزمون-پس‌آزمون با گروه کنترل انجام شد. جامعه آماری شامل کلیه زنان مبتلا به OCD مراجعه‌کننده به مرکز مشاوره سروهانا در تهران در سال 1404 بود. نمونه‌ای به حجم 30 نفر به شیوه هدفمند انتخاب و به‌صورت تصادفی در دو گروه آزمایش و کنترل (هر گروه 15 نفر) جای‌دهی شدند. گروه آزمایش در ده جلسه درمان روان‌پویشی کوتاه‌مدت شرکت کرد؛ در حالی که گروه کنترل مداخله‌ای دریافت نکرد. ابزارهای گردآوری داده شامل پرسشنامه اضطراب آشکار و پنهان اشپیل‌برگر، پرسشنامه وسواس فکری–عملی مادزلی و مقیاس تحمل ابهام فریستون بود. نتایج تحلیل کوواریانس نشان داد که درمان روان‌پویشی کوتاه‌مدت موجب کاهش معنادار اضطراب آشکار و پنهان و افزایش توانایی تحمل ابهام در گروه آزمایش نسبت به گروه کنترل شد (p < 0.01). این یافته‌ها از اثربخشی درمان روان‌پویشی کوتاه‌مدت در بهبود مؤلفه‌های هیجانی و شناختی مرتبط با OCD در زنان حمایت می‌کند و بر کاربرد بالینی این رویکرد در تنظیم هیجانی، پذیرش ابهام و کاهش نشخوار فکری در این گروه تأکید دارد.
کلیدواژه‌ها
درمان روان‌پویشی کوتاه‌مدت
اختلال وسواس فکری-عملی
اضطراب
تحمل ابهام
مؤلفه‌های شناختی-هیجانی

عنوان مقاله English

The Effectiveness of Short-Term Psychodynamic Psychotherapy on Anxiety and Intolerance of Uncertainty in Women with Obsessive-Compulsive Disorder

نویسندگان English

feresheh reza
javanshir asadi
arastoo mirani
afsaneh Khajevand Khoshli
چکیده English

The present study aimed to investigate the effectiveness of short-term psychodynamic psychotherapy in reducing anxiety and enhancing tolerance of uncertainty in women with Obsessive-Compulsive Disorder (OCD). This research employed a quasi-experimental pretest-posttest design with a control group. The statistical population included all women diagnosed with OCD who referred to the Sarvahana Counseling Center in Tehran in 2025. A purposive sample of 30 participants was selected and randomly assigned to experimental and control groups (15 participants in each). The experimental group received ten sessions of short-term psychodynamic psychotherapy, while the control group received no intervention. Data were collected using the Spielberger State-Trait Anxiety Inventory (STAI), the Maudsley Obsessive-Compulsive Inventory (MOCI), and the Freeston Intolerance of Uncertainty Scale. The results of covariance analysis indicated that short-term psychodynamic psychotherapy significantly reduced both state and trait anxiety and increased tolerance of uncertainty in the experimental group compared to the control group (p < 0.01). These findings support the effectiveness of short-term psychodynamic psychotherapy in improving emotional and cognitive components associated with OCD in women, and highlight its clinical utility in enhancing emotion regulation, uncertainty acceptance, and reducing rumination in this population.

کلیدواژه‌ها English

short-term psychodynamic psychotherapy
Obsessive-compulsive disorder
anxiety
intolerance of uncertainty
cognitive-emotional components
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