Examination of the Cognitive-Behavioral Model of obsessive intrusive thoughts with momentary and retrospective measures: A preliminary study of the experience sampling method

Yıl 2024, Cilt: 8 Sayı: 1, 34 - 54, 25.04.2024

Gülşah Durna , Orçun Yorulmaz

https://doi.org/10.57127/kpd.26024438m0000106

Öz

Accurate and real-time evaluation of the effective factors in the development and maintenance of Obsessive-Compulsive Disorder is very important in terms of its treatment and prevention. In this study, an Experience Sampling Form was developed in order to examine the components of the Cognitive-Behavioral Model of Obsessive-Compulsive Disorder using the ecological momentary assessment method, and whether the components of the model were related to each other was comparatively evaluated by momentary and retrospective measurements. 55 adults participated in the study through convenience sampling method. Participants first filled out the Sociodemographic Information Form and The Obsessional Intrusive Thoughts Inventory. Afterwards, they received 8 phone notifications at random times within fixed time intervals throughout a day with the application installed on their smartphones, and they were expected to fill out the Experience Sampling Form for each notification. The results of the study showed that the variables of positive and negative affect, intrusive thought intensity, emotional reactions to intrusive thoughts, difficulty in control, control strategies and compulsion, which were evaluated momentarily, were significantly correlated with each other and with the relevant sub-factors of the Obsessional Intrusive Thoughts Inventory, which was measured retrospectively. In addition, the extreme groups formed from the sub-factors of Obsessional Intrusive Thoughts Inventory were compared in terms of the momentarily measured variables and the between group differences were obtained. The research results demonstrated that the experience sampling method can be used in line with the current model to examine the precipitating and maintaining cognitive factors in Obsessive-Compulsive Disorder and to evaluate the effective variables more realistically and momentarily. This method with high ecological validity is thought to make important contributions to the evaluation and treatment of Obsessive-Compulsive Disorder.

Anahtar Kelimeler

Obsessive-compulsive disorder, experience sampling, intrusive thoughts, emotions

Etik Beyan

This study was approved by Dokuz Eylül University Social and Human Sciences Research and Publication Ethics Committee with the decision dated 16.06.2021 and numbered 17.

Destekleyen Kurum

This article reports a pilot study conducted within the scope of a doctoral dissertation study carried out at Dokuz Eylül University, Department of Psychology.

Obsesif istem dışı düşüncelerin Bilişsel-Davranışçı Modelinin anlık ve geriye dönük ölçümler ile incelenmesi: Deneyim örnekleme yöntemine dair bir ön çalışma

Öz

Obsesif-Kompulsif Bozukluğun gelişimi ve sürdürülmesinde etkin faktörlerin doğru ve gerçek zamanlı olarak değerlendirilmesi, tedavisi ve önlenmesi bakımından oldukça önemlidir. Bu çalışmada, Obsesif-Kompulsif Bozukluğun Bilişsel-Davranışçı Modeline ilişkin bileşenlerin ekolojik anlık değerlendirme yöntemi ile incelenmesi amacıyla Deneyim Örnekleme Formu geliştirilmiş ve modele ait bileşenlerin birbirleriyle ilişkili olup olmadığı anlık ve geriye dönük ölçümler ile karşılaştırmalı olarak değerlendirilmiştir. Çalışmaya, uygun örnekleme yöntemi ile 55 yetişkin birey katılmıştır. Katılımcılar, ilk olarak Sosyodemografik Bilgi Formu ve Obsesif İstem Dışı Düşünceler Envanterini doldurmuştur. Ardından katılımcıların, akıllı telefonlarına yüklenen bir cep telefonu uygulamasıyla bir gün boyunca belirli zaman aralıklarındaki seçkisiz zamanlarda 8 telefon bildirimi almaları sağlanmış ve her bildirimde telefon ekranında beliren Deneyim Örnekleme Formunu doldurmaları beklenmiştir. Araştırma bulguları öncelikle anlık olarak değerlendirilen olumlu ve olumsuz duygulanım, istem dışı düşünce yoğunluğu, bu düşüncelere yönelik duygusal tepkiler, kontrol zorluğu, kontrol stratejileri ve kompulsiyon değişkenlerinin birbirleriyle ve geriye dönük ölçüm alınan Obsesif İstem Dışı Düşünceler Envanterinin ilgili faktörleri ile anlamlı şekilde ilişkili olduğunu göstermiştir. Bunun yanı sıra, Obsesif İstem Dışı Düşünceler Envanteri alt faktörlerinden oluşturulan uç gruplar, anlık ölçümlenen değişkenler açısından karşılaştırılmış ve gruplar arası anlamlı farklar elde edilmiştir. Araştırma sonuçları, deneyim örnekleme yönteminin güncel model doğrultusunda Obsesif-Kompulsif Bozukluğu başlatan ve sürdüren bilişsel faktörleri sorgulama ve etkili değişkenleri daha gerçekçi ve anlık değerlendirme amacıyla kullanılabileceğini göstermektedir. Ekolojik geçerliği yüksek olan bu yöntemin, Obsesif-Kompulsif Bozukluğun değerlendirilmesi ve tedavisine önemli katkılar sağlayacağı düşünülmektedir.

Anahtar Kelimeler

Obsesif-kompulsif bozukluk, deneyim örnekleme, istemdışı düşünceler, duygular, Obsessive-compulsive disorder, experience sampling, intrusive thoughts, emotions

Etik Beyan

Bu çalışma, Dokuz Eylül Üniversitesi Sosyal ve Beşeri Bilimler Araştırma ve Yayın Etik Kurulu tarafından 16.06.2021 tarih 17 sayılı karar ile onaylanmıştır.

Destekleyen Kurum

Bu makalede, Dokuz Eylül Üniversitesi Psikoloji Bölümünde yürütülen doktora tez çalışması kapsamında gerçekleştirilen bir pilot çalışma aktarılmaktadır.

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