Evaluating the efficacy of Danger Ideation Reduction Therapy (DIRT) on symptom severity and obsessive beliefs in individuals with obsessive-compulsive disorder

Nejati, Akram; Basharpoor, Sajjad; Atadokht, Akbar; Barahmand, Usha

doi:10.22098/jrp.2024.15059.1234

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	Evaluating the efficacy of Danger Ideation Reduction Therapy (DIRT) on symptom severity and obsessive beliefs in individuals with obsessive-compulsive disorder
Journal of Research in Psychopathology
مقاله 6، دوره 5، شماره 17، 2024، صفحه 42-49 اصل مقاله (636.05 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2024.15059.1234
نویسندگان
Akram Nejati¹؛ Sajjad Basharpoor^* ²؛ Akbar Atadokht²؛ Usha Barahmand³
¹Master of General Psychology, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
²Department of Psychology, Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardebil, Iran
³Department of Psychology, City University of New York-Queens College, New York, USA
چکیده
Obsessive-compulsive disorder (OCD) is a chronic and incapacitating condition, often characterized by severe symptoms. This study aimed to assess the efficacy of Danger Ideation Reduction Therapy (DIRT) in alleviating symptom severity and obsessive beliefs among individuals with OCD. The study employed a pre-test and post-test experimental design with a control group. Participants were individuals with OCD in Ahvaz in 2023, with 38 selected through targeted non-random sampling and randomly divided into experimental and control groups. The experimental group received eight sessions of 90-minute DIRT, while the control group remained on a waiting list. Data collection involved pre-test and post-test assessments using practical OCD measures and the Obsessive Beliefs Questionnaire. Covariance analysis in SPSS 24 software was used for data analysis. Results revealed a significant reduction in symptom severity and obsessive beliefs post-treatment in the experimental group compared to the control group, after controlling for pre-test effects. This suggests that DIRT effectively reduces symptoms and beliefs associated with OCD.
کلیدواژه‌ها
Danger ideation reduction therapy؛ Obsessive beliefs؛ Obsessive-compulsive disorder

مراجع
Angelakis, I., & Pseftogianni, F. (2021). Association between obsessive-compulsive and related disorders and experiential avoidance: A systematic review and meta-analysis. Journal of psychiatric research, 138, 228-239. doi:10.1016/j.jpsychires.2021.03.062. American Psychiatric Association, D. S. M. T. F., & American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (Vol. 5, No. 5). Washington, DC: American psychiatric association. https://www.academia.edu/download/38718268/csl6820_21.pdf Albalawy, N. S. M. (2018). The Effectiveness of danger ideation reduction therapy program in reducing Obsessive-Compulsive Disorder related to hygiene among women in Saudi Arabia. Basic Education College Magazine For Educational and Humanities Sciences, (38). https://ijone.org/scripts/IJONE_April-June%20.pdf#page=40 Andouz, Z., Sahebi, A & Tabatabaei S. (2005). Comparing the efficiency and effectiveness of "confrontation and inhibition of response "with" treatment through reduced dangerous thinking " in obsessive-compulsive disorder. Psychiatry and clinical psychology of Iran, 11 (2), 139-149.‎ https://www.noormags.ir/view/fa/magazine/number/11308 Abdi, R., Naseri, M., & Mirmohamadi, F. (2023). The relationship between alexithymia, cognitive avoidance, and distress tolerance with the dimensions of obsessive-compulsive disorder symptoms. Journal of Research in Psychopathology, 4(11), 1-9. doi: 10.22098/jrp.2022.10442.1073 Angelakis, I., Gooding, P., Tarrier, N., & Panagioti, M. (2020). Suicidality in obsessive compulsive disorder (OCD): a systematic review and metanalysis. Clinical Psychology Review, 39 (1), 1-15. doi:10.1016/j.cpr.2015.03.002 Brown, L. A., Wakschal, E., Russman-Block, S., Boisseau, C. L., Mancebo, M. C., Eisen, J. L., & Rasmussen, S. A. (2019). Directionality of change in obsessive compulsive disorder (OCD) and suicidal ideation over six years in a naturalistic clinical sample. Journal of Affective Disorders, 245 (4), 841-847. doi:10.1016/j.jad.2018.11.006 Babaee, M., Akbarzade, N., Akbarzade, N., Pourshahriari, M., Najlerahim, A., & Pourshahriari, M. (2010). The Impact of the Composed approach of Cognitive -Behavioral Therapy and Danger Ideation Reduction Therapy on Obsessive-Compulsive disorder among Female university students. Journal of Psychological Studies, 6(1), 43-56. doi: 10.22051/psy.2010.1562 Basile, B., Luppino, O. I., Mancini, F., & Tenore, K. (2018). A theoretical integration of schema therapy and cognitive therapy in OCD treatment: experiential techniques and cognitive-based interventions in action (Part III). Psychology, 9(09), 2296. doi:10.4236/psych.2018.99131 Clark, D. A. (2000). Cognitive behavior therapy for obsessions and compulsions: New applications and emerging trends. Journal of Contemporary Psychotherapy, 30, 129-147. doi:10.1023/A:1026562628287 Calkins, A. W., Berman, N. C., & Wilhelm, S. (2013). Recent advances in research on cognition and emotion in OCD: a review. Curr Psychiatry Rep, 15(5), 357. doi:10.1007/s11920-013-0357-4 Clark, D. A. (2019). Cognitive-behavioral therapy for OCD and its subtypes. Guilford Publications. https://books.google.com/books?hl=en&lr=&id Drummond, L. M., & Kolb, P. (2008). Obsessive–compulsive contamination fears and anorexia nervosa: The application of the new psycho-educational treatment of danger ideation reduction therapy (DIRT). Behaviour Change, 25(1), 44-50. doi:10.1375/bech.25.1.44. Doron, G., Derby, D., Szepsenwol, O., Nahaloni, E., & Moulding, R. (2016). Relationship Obsessive- Compulsive Disorder: Interference, Symptoms, and Maladaptive Beliefs. Front Psychiatry, 7, 58. doi:10.3389/fpsyt.2016.00058 Ferrando, C., & Selai, C. (2021). A systematic review and meta-analysis on the effectiveness of exposure and response prevention therapy in the treatment of Obsessive-Compulsive Disorder. Journal of Obsessive-Compulsive and Related Disorders, 31, 100684. doi:10.1016/j.jocrd.2021.100684 Gangi, M. (2021). Psychological pathology based on DSM-5. Tehran, savalan publishing. Gordon, O. M., Salkovskis, P. M., Oldfield, V. B., & Carter, N. (2013). The association between obsessive compulsive disorder and obsessive compulsive personality disorder: prevalence and clinical presentation. British Journal of Clinical Psychology, 52(3), 300-315. doi:10.1111/bjc.12016 Hodgson, R.J., & Rachman, S. (1977). Obsessional-Compulsive complaints. Behavior Research and Therapy, 15, 389-395. doi:10.1016/0005-7967(77)90042-0 Jones, M. K., & Menzies, R. G. (1998). Danger ideation reduction therapy (DIRT) for obsessive–compulsive washers. A controlled trial. Behaviour research and therapy, 36(10), 959-970. doi:10.1016/S0005-7967(98)00057-6 Julien, D., O'Connor, K. P., & Aardema, F. (2007). Intrusive thoughts, obsessions, and appraisals in obsessive-compulsive disorder: a critical review. Clinical Psychology Rev, 27(3), 366-383. doi:10.1016/j.cpr.2006.12.004 Jones, P. J., Mair, P., Riemann, B. C., Mugno, B. L., &et al. (2018). A network perspective on comorbid depression in adolescents with obsessive compulsive disorder. Journal of Anxiety Disorders, 53,1-8. doi:10.1016/j.janxdis.2017.09.008 Jones, M. K., Menzies, R. G., Walter, G., O'Brien, M., Denshire, E., & Crain, L. M. (2022). Danger Ideation Reduction Therapy: a new treatment for Obsessive Compulsive Disorder. The Canadian Child Psychiatry Review.Templer DI. The construction and validation of a death anxiety scale. The Journal of General Psychology, 82(2), 165-77. https://opus.lib.uts.edu.au/handle/10453/166611 Krochmalik A, Jones MK, Menzies RG. (2001). Danger ideation reduction therapy (DIRT) for treatmentresistant compulsive washing. Behavior Research Ther, 39(8), 897-912. doi:10.1016/S0005-7967(00)00063-2 Krochmalik, A., Jones, M. K., Menzies, R. G., & Kirkby, K. (2004). The superiority of danger ideation reduction therapy (DIRT) over exposure and response prevention (ERP) in treating compulsive washing. Behaviour Change, 21(4), 251-268. doi:10.1375/bech.21.4.251.66103 Kim, S. K., McKay, D., Taylor, S., Tolin, D., Olatunji, B., Timpano, K., & Abramowitz, J. (2016). The structure of obsessive compulsive symptoms and beliefs: A correspondence and biplot analysis. Journal of anxiety disorders, 38, 79-87. doi:10.1016/j.janxdis.2016.01.003 Karami, S., Janbozorgi, M., Aghayousefi, A., & Namvar, H. (2022). Providing a structural model for predicting symptoms of practical obsessive compulsive disorder based on religious adherence the mediating role of personality function. Shenakht Journal of Psychology and Psychiatry, 9(3), 1-15. doi:10.32598/shenakht.9.3.1 Molaee, M., Jani, S., Hamedi, R., & Jangi Gojebiglou, S. (2014). Predicting cluster c personality disorders (avoidant, dependent and obsessive-compulsive) according to behavioral activation and inhibition systems. Studies in Medical Sciences, 25(10), 931-939. https://sid.ir/paper/64154/en Mosalman, M., narimani, M., Didehban, R., Asghari Ganji, A., Ahmadian, S. M., Mehrabanaski, H., & Mahdavi, A. (2023). Predicting corona anxiety based on Obsessive compulsive and health literacy. Journal of Research in Psychopathology, (), -. doi: 10.22098/jrp.2023.10290.1061 Menzies, R. E., Zuccala, M., Sharpe, L., & Dar-Nimrod, I. (2020). Subtypes of obsessive-compulsive disorder and their relationship to death anxiety. Journal of Obsessive-Compulsive and Related Disorders, 27, 100572. doi:10.1016/j.jocrd.2020.100572 Osland, S., Arnold, P. D., & Pringsheim, T. (2018). The prevalence of diagnosed obsessive compulsive disorder and associated comorbidities: A population-based Canadian study. Psychiatry Research, 268 (3), 137-142. doi:10.1016/j.psychres.2018.07.018 O'Connor K. (2009). DIRT—danger ideation reduction therapy for obsessive–compulsive washers: A comprehensive guide to treatment. Clinical Psychology Psychother, 16(5), 463-5. doi:10.1002/cpp.621 Obsessive Compulsive Cognitions Working Group. (2005). Psychometric validation of the Obsessive Belief Questionnaire And Interpretation Of Intrusions Inventory—part 2: factor analyses and testing of a brief version. Behavior and research therapy, 43(11), 1527–42. doi:10.1016/j.brat.2004.07.010 Pouyanasab, B., Imani, M., Taghavi, M. R., & Goodarzi, M. A. (2024). Comparing the effectiveness of metacognitive therapy and emotion-focused therapy in improving thought fusions and stop signals in people with obsessive-compulsive disorder. Journal of Research in Psychopathology, 5(16), -. doi: 10.22098/jrp.2024.14431.1219. Pakravan, M., Ghalehbandi, M., Alavi, K., & Afkhan, E. A. (2007). Comparing Maudsley Obsessive-compulsive Inventory Usage with DSM-IV-based Structural Clinical Interview (SCID) to Detect Obsessive-compulsive Disorder in Patients with Schizophrenia. https://www.sid.ir/paper/16841/en Roemer, L & Orsillo, S.M. (2007). An Open trial of an acceptance – based behavior therapy for generalized anxiety Disorder. Journal of Behaviour Therapy. doi:10.1016/j.beth.2006.04.004 Sarmad, Z, Hejazi, E., & Bazargan, A. (2011). Research methodology in Behavioral Sciences, informed publications. https://www.agahbookshop.com/ Salkovskis, P. M., & Kobori, O. (2020). Reassuringly calm? Self-reported patterns of responses to reassurance seeking in obsessive compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry, 49 (4), 203-208. doi:10.1016/j.jbtep.2015.09.002 Shams, G., Esmaili, Y., Karamghadiri, N., Ebrahimhkani, N., Yousefi, Y., & McKay, D. (2014). Psychometric properties of the Persian language version of Obsessive Beliefs Questionnaire (OBQ-44) in Iranian general population. Acta Med Iran, 52(1), 66–75. https://acta.tums.ac.ir/index.php/acta/article/view/4729/4577 Van Westen, M., Rietveld, E., Bergfeld, I. O., de Koning, P., Vullink, N., Ooms, P., ... & Denys, D. (2021). Optimizing deep brain stimulation parameters in obsessive–compulsive disorder. Neuromodulation: Technology at the Neural Interface, 24(2), 307-315. doi:10.1111/ner.13243 Vaccaro, L. D., Jones, M. K., Menzies, R. G., & Wootton, B. M. (2010a). Danger ideation reduction therapy for obsessive–compulsive checking: Preliminary findings. Cognitive Behaviour Therapy, 39(4), 293-301. doi:10.1080/16506073.2010.512643 Vaccaro, L. D., Jones, M. K., Menzies, R. G., & Clare, T. S. (Eds.). (2010b). Danger Ideation Reduction Therapy for obsessive-compulsive checkers: A comprehensive guide to treatment. Australian Academic Press. https://www.amazon.com/Ideation-Reduction-Obsessive-Compulsive-Checkers/dp/1921513284
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Evaluating the efficacy of Danger Ideation Reduction Therapy (DIRT) on symptom severity and obsessive beliefs in individuals with obsessive-compulsive disorder