fa گروه‌درمانی چندبعدی اختلال وسواسی- اجباری روانپزشکی و روانشناسی Psychiatry and Psychology پژوهشي اصيل Original Research <p class="a" style="LINE-HEIGHT: 20pt MARGIN: 0cm 0cm 0pt mso-line-height-rule: exactly" dir="rtl"><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">هدف</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"> هدف پژوهش حاضر بررسی تأثیر گروه­درمانی چند­بعدی بر شدت نشانه‌های اختلال وسواسی- اجباری (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">OCD</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) بود. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">روش</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"> از میان 53 فرد مبتلا به </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">OCD</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> مراجعه­کننده به بیمارستان امام حسین (ع) تهران، 12 نفر به گروه آزمایش و 12 نفر به گروه کنترل اختصاص یافتند. مبتلانبودن آزمودنی­ها به اختلال افسردگی اساسی، اختلال دوقطبی و اختلال شخصیت تأیید شد. برای گردآوری داده­ها مصاحبه بالینی بر مبنای ملاک‌های تشخیصی </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">DSM-IV-TR</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>، آزمون بالینی شخصیت کتل و مقیاس وسواسی- اجباری ییل­براون </span><span dir="ltr"></span><span dir="ltr"></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>(Y-BOCS)</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> به­کار رفت.</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">Y-BOCS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> پیش، میان و پس از درمان برای سنجش شدت نشانه­ها به­کار رفت. گروه­درمانی چندبعدی در 30 جلسه دوساعته، هماهنگ با برنامه درمانی کلارک و در چارچوب درمان چندبعدی لازاروس متناسب با فرهنگ اسلامی­ایرانی اجرا شد. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">یافته‌ها</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"> از نمره خرده­مقیاس شدت <span style="LETTER-SPACING: -0.2pt"><font size="2">نشانه­ها در طول درمان کاسته شد (001/0</font></span></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.2pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">p<</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.2pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>). </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.2pt FONT-SIZE: 8pt">نتیجه­گیری</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.2pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.2pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> گروه­درمانی</span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"> چندبعدی طراحی­شده هماهنگ با فرهنگ اسلامی توانست در درمان نشانه­های </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">OCD</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> ‌مؤثر باشد. </span></p> <p class="MsoNormal" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify LINE-HEIGHT: 14.8pt TEXT-KASHIDA: 0% MARGIN: 0cm 0cm 0pt unicode-bidi: embed DIRECTION: ltr mso-line-height-rule: exactly"><a name="OLE_LINK4"></a><a name="OLE_LINK3"><span style="mso-bookmark: OLE_LINK4"><b><u><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'B Lotus'"><font face="Times New Roman">Objectives</font></span></u></b></span></a><font face="Times New Roman"><span style="mso-bookmark: OLE_LINK3"><span style="mso-bookmark: OLE_LINK4"><b><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'B Lotus'">: </span></b></span></span><span style="mso-bookmark: OLE_LINK3"><span style="mso-bookmark: OLE_LINK4"><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'">The purpose of the current study was to <span style="LETTER-SPACING: -0.2pt">assess the effectiveness of multi-dimensional group therapy</span> <span style="LETTER-SPACING: -0.3pt">for symptoms of obsessive-compulsive</span> disorder (OCD). <b><u>Method</u>: </b>Among 53 patients with OCD <span style="LETTER-SPACING: -0.2pt">referred to a hospital in Tehran, 12 patients to experimental</span> group and 12 patients to control group<b> </b>were assigned. Not being affected to major depression, bipolar disorder and personality disorder was approved. The data was gathered using clinical interview based on Diagnostic and Statistical Manual of Mental Disorders, 4^th edition, Text Revision (DSM-IV-TR), Cattel Personality Test and Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). For evaluating the symptoms severity, Y-BOCS were executed before, during and after intervention. Multi-<span style="LETTER-SPACING: -0.2pt">dimensional group therapy was performed<i> </i>in thirty 2-hour</span> sessions based on Clark Therapeutic Program in accordance with Lazarus multi-dimensional treatment and Islamic-Iranian <span style="LETTER-SPACING: -0.3pt">culture. <b><u>Results</u></b>: The severity of symptoms </span><span style="LETTER-SPACING: -0.2pt">subscale decreased during treatment (p<0.001). <b><u>Conclusion</u></b></span>: Designed multi-dimensional group therapy based on Islamic culture was effective for treatment of OCD symptoms. <p></p></span></span></span></font></p> اختلال وسواسی- اجباری، گروه­درمانی چندبعدی، فرهنگ اسلامی، مقیاس وسواسی- اجباری ییل­- براون obsessive-compulsive disorder, multi-dimensional group therapy, islamic culture, Yale-Brown Obsessive-Compulsive Scale 289 296 http://ijpcp.iums.ac.ir/browse.php?a_code=A-10-1-448&slc_lang=fa&sid=1 Masuod Janbozorgi مسعود جان بزرگی psychjan@gmail.com 180031947532846006279 180031947532846006279 Yes of Research Institute of Hawzah & University, پژوهشگاه حوزه و دانشگاه Sepideh Rajezi Esfahani سپیده راجزی اصفهانی 180031947532846006280 180031947532846006280 No Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences. مرکز تحقیقات علوم رفتاری دانشگاه علوم پزشکی شهید بهشتی