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Shima Khajevand, Abdolmagid Bahreinian, Maryam Nasri, Fatemeh Shahabizadeh,
Volume 12, Issue 1 (Volume12, Issue 1 2024)
Abstract

Research and clinical observations demonstrate that anxiety is a prevalent mental health issue in children, impacting various aspects of their lives throughout different developmental stages. The aim of this study was to compare the effectiveness of mentalization-based therapy and parent-child relationship-based therapy in addressing executive functions and anxiety symptoms in anxious children. This research employed a semi-experimental design with pre-test, post-test, and follow-up assessments. The study's statistical population consisted of mothers of anxious children from the Bandar Abbas Oil Refining Company in 1402, with 45 eligible participants selected through available sampling and randomly assigned to two experimental groups and a control group. Assessment tools included Giova et al.'s behavioral rating questionnaires (2000) and the Spence-Parent Form children's anxiety scale (1998) administered at pre-test, post-test, and follow-up stages. Data analysis utilized SPSS 26 software, incorporating descriptive and inferential statistics. The results of the mixed variance analysis indicated a significant difference between the control group and the mentalization-based and relationship-based treatment groups regarding executive functions and anxiety symptoms in anxious children (P < 0.05). Both mentalization and parent-child relationship interventions contributed to reduced anxiety symptoms and improved executive functions in anxious children. Furthermore, parent-child relationship therapy demonstrated greater efficacy in alleviating anxiety symptoms compared to mentalization-based therapy. Consequently, based on the study's outcomes, it is plausible to consider mentalization and parent-child relationship interventions as appropriate strategies for enhancing executive functions and alleviating anxiety symptoms in anxious children.

 

Feresheh Reza, Javanshir Asadi, Arastoo Mirani, Afsaneh Khajevand Khoshli,
Volume 13, Issue 1 (Volume 13, Issue 1, Spring 2025 2025)
Abstract

The aim of the present study was to investigate the effect of cognitive-behavioral therapy on reducing perfectionism and cognitive error of thought-action equivalence in women with obsessive-compulsive disorder. The study was conducted using a quasi-experimental method with a pre-test-post-test design with a control group. The statistical population included all women with obsessive-compulsive disorder referring to Sarohana Clinic in Pasdaran district of Tehran in 1404. The research sample was selected using an accessible and purposeful method and included 45 people who were randomly assigned to three groups (cognitive-behavioral therapy, short-term psychodynamic therapy, and control). The data collection tools included the revised cognitive error of thought-action equivalence scale of Shafran et al. (1996), the Ahvaz Perfectionism Questionnaire, and the Maudsley Obsessive-Compulsive Disorder Questionnaire (1977). The cognitive-behavioral therapy intervention was implemented in eight group sessions, once a week for 40 minutes for the experimental group. Data were analyzed using multivariate analysis of covariance and post hoc tests. The findings showed that cognitive-behavioral therapy significantly reduced perfectionism and cognitive error of thought-action equivalence (moral dimensions, probability for self and probability for others) compared to the control group. The results of this study indicate the effectiveness of cognitive-behavioral therapy in reducing harmful cognitive variables in women with obsessive-compulsive disorder and can be used as an effective intervention in improving the symptoms of this disorder.

Hava Mahmoudzadeh Kenari, Dr Afsaneh Khajevand Khoshli, Dr Javanshir Asadi,
Volume 13, Issue 2 (Volume 13, Issue 1, Summer 2025 2025)
Abstract

Obsessive–compulsive disorder (OCD) in adolescents is associated with maladaptive cognitive–emotional patterns, including thought–action fusion and intolerance of uncertainty, which can impair academic performance and interpersonal relationships. This study aimed to compare the effectiveness of emotion-focused therapy and metacognitive therapy on these constructs in adolescent girls with OCD. The quasi-experimental study employed a pretest–posttest design with a control group and included 45 high school girls in Babolsar, selected through purposive sampling and randomly assigned to three groups of 15 participants each. Interventions consisted of eight weekly 90-minute group sessions. Data were collected using the Thought–Action Fusion Scale and the Intolerance of Uncertainty Questionnaire and analyzed using multivariate analysis of covariance (MANCOVA). Results indicated that both interventions significantly reduced thought–action fusion and intolerance of uncertainty compared to the control group, and pairwise comparisons showed that metacognitive therapy was more effective in reducing thought–action fusion, whereas emotion-focused therapy was relatively more effective in reducing outcomes related to intolerance of uncertainty. These findings suggest that targeted psychotherapeutic interventions can improve maladaptive cognitive–emotional patterns associated with OCD in adolescents and reduce anxiety and compulsive behaviors. The results provide guidance for selecting tailored treatments based on individual clinical needs and for designing school- and clinic-based intervention programs.


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