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Comparing early maladaptive schemas and defense mechanisms with religious attitude: A case of obsessive-compulsive disorder

Hengameh Bolorsaz Mashhadi, Mehdi Nasiry Poor, Mehdi Malvirani, Azita Amir Fakhraei



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Background and Objective: Obsessive-compulsive disorder (OCD) is one of the most challenging clinical issues. Due to considerable expenses associated with OCD, revisiting the related literature to take up a useful therapeutic option seems necessary. The present study aimed to compare the schema of the primary defense mechanisms incompatible with religious attitude among women with OCD and healthy women.

Method: All women with OCD in Hamadan formed the participants of this causal-comparative study. Using simple random sampling, 100 women with OCD and 100 healthy women were selected based on clinical interviews, diagnostic criteria for DSM-V, and questionnaires. Research instruments were maladaptive schemas (YSQ-SF), defense mechanisms (DSQ-40) and religious attitude (RAQ). The data were analyzed using descriptive statistics and multivariate analysis of variance (MANOVA). It is worth noting that all ethical issues required were carefully observed and the authors declare no conflict of interest.

Results: The results showed a significant difference between clinical and normal groups in terms of five areas of early maladaptive schemas, namely disconnection and rejection, dysfunction, impaired limits, other-directedness, subjugation, and inhibition), (P<0.05). Furthermore, the scores of defense styles (mature, immature and neurotic) as well as religious attitude have demonstrated a significant difference (P<0.05).

Conclusion: The results highlight the importance of preventive interventions in psychological symptoms among neurotic patients and broaden the horizons of clinical interventions when it comes to religion.

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Compulsive Disorder, Defense Mechanisms, Incompatible Scheme Early, Obsessive Women, Religious Attitude


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