ارزیابی کارایی درمان مواجهه مبتنی بر واقعیت مجازی برنشانه های رفتاری و شناختی اختلال وسواسی- اجباری(مطالعه موردی)

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی، گروه روانشناسی، دانشکده علوم‌تربیتی و روانشناسی، دانشگاه تبریز، تبریز، ایران.

2 استاد، گروه روانشناسی، دانشکده علوم‌تربیتی و روانشناسی، دانشگاه تبریز، تبریز، ایران.

چکیده

زمینه: پژوهش حاضر با هدف ارزیابی کارایی درمان مواجهه مبتنی بر واقعیت مجازی بر نشانه­­ های رفتاری و شناختی اختلال وسواسی-اجباری صورت گرفت.
روش: این پژوهش در چارچوب طرح تجربی تک موردی با خط پایه چندگانه انجام شد. 3 شرکت­ کننده زن با استفاده از روش نمونه گیری هدفمند، از طریق مصاحبه ساختاریافته مبتنی بر DSM-5 انتخاب شدند. از مقیاس وسواسی اجباری ییل-براون، پرسشنامه اطمینان­خواهی کبری و سالکوسکیس، نسخه نرم ­افزاری آزمون کارت های ویسکانسین و بازداری پاسخ استروپ به­ منظور سنجش متغیرها استفاده شد. برای تحلیل داده ­ها، از تحلیل نمودار خطی شاخص تغییر پایا (RCI) و درصد بهبودی استفاده شد.
یافته‌ها: نتایج یافته ­ها کاهش معنادار نشانه‌های رفتاری و شناختی را نشان داد که در مرحله پیگیری نیز پایدار ماند. تحلیل‌ها با شاخص تغییر پایا (1/96<RCI) و درصد بهبودی بالای 50% کارایی درمان را تأیید کرد. این اثرات در مرحله پیگیری پایدار باقی ماندند.
نتیجه­ گیری: این روش نه‌تنها به بهبود نشانه‌های ظاهری مانند شست‌وشو و اطمینان‌خواهی کمک کرد؛ بلکه با تأثیر بر فرآیندهای شناختی مانند بازداری پاسخ و انعطاف‌پذیری روانشناختی به ارتقای کیفیت زندگی بیماران منجر شد. تداوم اثرات درمانی در مرحله پیگیری نیز نشان‌دهنده پایداری این روش بوده که آن را به گزینه‌ای جذاب در درمانگران و بیماران تبدیل می­کند.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

evaluating efficiently exposure therapy based on virtual reality on the symptoms of behavioral and cognitive of obsessive-compulsive disorder(Case study)

نویسندگان [English]

  • Saeideh Jabbari 1
  • Touraj Hashemi 2
  • Zeynab Khanjani 2
1 Ph.D Candididate in Psychology, Department of Psychology, Faculty of Educational Science and Psychology, University of Tabriz, Tabriz, Iran.
2 Professor, Department of Psychology, Faculty of Educational Science and Psychology, University of Tabriz, Tabriz, Iran.
چکیده [English]

Abstract
Background: The present study aimed to examine the effectiveness of Virtual Reality Exposure Therapy (VRET) in alleviating behavioral and cognitive symptoms in individuals with OCD.
Method: This study employed a single-case experimental design with multiple baselines (three baseline phases, nine intervention sessions, and two follow-up assessments). Three female participants diagnosed with OCD based on the Structured Clinical Interview for DSM-5 were selected through purposive sampling. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Kobori and Salkovskis' Reassurance-Seeking Questionnaire, the Wisconsin Card Sorting Test (WCST), and the Stroop Response Inhibition Task were used to assess target variables. Data were analyzed using visual inspection of time-series graphs, the Reliable Change Index (RCI), and percentage of clinical improvement.
Results: Findings revealed a clinically significant reduction in both behavioral and cognitive symptoms, which persisted through the follow-up period (RCI ≥ 1.96). Clinical improvement exceeding 50% supported the efficacy of the intervention. These outcomes were maintained post-treatment.
Conclusion: The intervention proved effective not only in reducing overt OCD symptoms such as compulsive washing and reassurance-seeking, but also in enhancing underlying cognitive functions including response inhibition and psychological flexibility. The persistence of treatment gains at follow-up highlights the stability and clinical value of VRET as a promising therapeutic approach for OCD.

کلیدواژه‌ها [English]

  • Virtual Reality Exposure Therapy
  • Behavioral Symptoms
  • Reassurance-Seeking
  • Response Inhibition
  • Psychological Flexibility

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سابقه مقاله

  • تاریخ دریافت: 27 تیر 1404
  • تاریخ بازنگری: 29 مرداد 1404
  • تاریخ پذیرش: 01 شهریور 1404
  • تاریخ اولین انتشار: 13 خرداد 1405
  • تاریخ انتشار: 01 تیر 1405

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