The Effect of Exposure and Response Prevention on Obsessive-Compulsive disorder and Marital Satisfaction on Married Women

Document Type : Research Paper


1 دانشجو دکتری

2 Department of Psychology, Faculty of Humanities, Islamic Azad University of Semnan

3 Department of Psychology, Faculty of Humanities, University of Semnan


Treatment of Exposure   and   Response    Prevention is known as a therapeutic approach to the physical and psychological needs of individuals. The purpose of this study is to investigate the effect of Exposure   and   Response    Prevention on obsessive-compulsive disorder and marital satisfaction. The statistical population included all married women aged 25-45 years in Tehran in 1395. Using a randomized controlled trial, samples of 60 married women were selected using available sampling method and randomly divided into two groups of 30 control and experimental groups.  The research tools included Enrich's marital satisfaction questionnaire and Madsely's obsessive-compulsive Inventory (MOCI) all subjects first completed the Madsely obsessive-compulsive Inventory (MOCI). The experimental group participated in the Exposure   and   Response    Prevention therapy (ERP), but the control group had simple appointments with the therapist.  Data were extracted from questionnaires and analyzed by covariance analysis. the results of covariance test showed that Exposure   and   Response    Prevention therapy (ERP) reduced the symptoms of obsessive-compulsive disorder and increased marital satisfaction compared with the control group.  The results showed that the slowest component had the highest reduction, the control component had the lowest reduction and Exposure   and   Response    Prevention to decrease obsessive-compulsive symptoms and increase marital satisfaction


Abedi MR, Mokammeli Z., (2007) Efficacy of Group Exposure and Prevention Therapy to reduce Symptoms of Obsessive and Compulsive Disorder. Couns Res Dev. 6(22): 57-72. [In Persian].
Abedi A, Movallali G, Dadkhah A, Rostami M, Rostami P R, (2015) The effect of a life skills training program component Enrich marital satisfaction of Iranian Deaf Women, Applied Psychological Research Quarterly, 6(3),115-131 [In Persian].
Amani M, Abolghasemi A, Ahadi B, Narimani M, (2015). The Relationship of Obsessive-Compulsive Subgroups, Inferential Confusion and Emotion Regulation Strategies with Obsessive Beliefs in Women, Applied Psychological Research Quarterly, 6(1), 137-150 [In Persian].
  Abramowitz ,Jonathan S. 1. Baucom, Donald H. Wheaton, Michael G. Boeding, Sara . Fabricant, Laura E. Paprocki, Christine. Fischer, Melanie S.( 2013). Enhancing Exposure and Response Prevention for OCD. On the Evolving Nature of Exposure TherapyBehav Modif March 1, 2013 37: 243-256.
Abramowitz, J. S., Whiteside, S., Lynam, D., & Kalsy, S. (2003). Is thought-action fusion specific to obsessive-compulsive disorder?: A mediating role of negative affect. Behaviour Research and Therapy, 41, 1069–1079.
Abramowitz, J., Huppert, J., Cohen, A., Tolin, D., Cahill, S. (2002). Religious obsessions and compulsions in a non-clinical sample: The Penn Inventory of Scrupulosity (PIOS). Behav Res Ther 40, 825–838.
 Abramowitz JS. Variants of exposure and response prevention in the treatment of obsessive-compulsive disorder: A meta-analysis. Behav Ther. 1996; 27: 583-600.
Aksaray, G., Yelken, B., Kaptanoǧlu, C., Oflu, S., Özaltin, M, Sexuality in women with obsessive compulsive disorder, Journal of Sex and Marital Therapy, Volume 27, Issue 3, Pages.(2010) 273-277.
Abelson, J. L., Gartis, G. C., Sagner, T., Albucher, R. C., Harrigen, M Taylor, S. F., Maltis, B., & Giardan, B. (2014). Deep Brain Stimulatin for Refractory OCD.
Abolghasemi A, Narimani M. Psychological tests. Ardebil: Razvand Garden Publishing, 2005. )Text in Persian(
Barlow, D. H. (2012). Clinical hand book of Psychological disorder ( 3 rd.ed) New York: Guilford press.
Beck, AT,. Freeman, A,. Davis ,D.D. & Associates (2004). Cognitive therapy of personality disorders (2 rd.ed). New York: : Guilford press.
Beck, A. T. (2010). A social beliefs as predictors of antisocial behavior in schizophrenia. Journal of psychiatry research, 177(1): 65-70.
Belloch, A., Morillo, C., Lucero, M., Cabedo, E., & Carrio , C . (2004). Intrusive thoughts in nonclinical subjects: the role of frequency and unpleasantness on appraisal ratings and control strategies. Clinical Psychology and Psychotherapy, 11, 100–110.
- kardatzked, K. N. (2009). Perceived stress, adalt attachment, dyadic cophng, and marital satital satisfaction of counseling araduate student. Unpublished doctora dissertation, north Carolina.
Clark DA. Cognitive Behavioral Therapy for OCD. New York: The Guilford Press. 2004.
Clark, D. A. (2004). Cognitive-behavioral therapy for OCD. New York: Guilford Press.
Clark, D. A., & O’Connor, K. (2005). Thinking is believing: ego-dystonic intrusive thoughts in obsessive-compulsive disorder. In: D. A. Clark (Ed.), Intrusive thoughts in clinical disorders: theory, research, and treatment (pp. 145–174). New York: Guilford Press
Clark, D. M., Winton, E., & Thynn, L. (1993). A further experimental investigation of thought suppression. Behaviour Research & Therapy, 31(2), 207-210.
Clark, D. A., Purdon, C., & Byers, E. S. (2000). Appraisal and control of sexual and non-sexual intrusive thoughts in university students. Behaviour research & therapy, 38 (5), 439-455.
 Foa EB, Steketee G, Grayson JB. Treatment of obsessive compulsives: When do we fail? In: Foa EB, Emmelkamp PM editors. Failures in behavior therapy. New York: Wiley; 1983: 10−34.(PP.189-239). New York: The Guilford Press; 1993.
 Foa EB, Steketee G, Grayson JB, Turner RM, Latimer PR. Deliberate exposure and blocking of obsessive compulsive rituals: Immediate and long-term effects. Behav Ther. 1984; 15, 450-72.
Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., & Hajcak, G., et al. (2002). The Obsessive-Compulsive Inventory: Development and validation of a short version. Psychological Assessment, 14,4, 485- 496.
Foa EB, Franklin ME, Kozak MJ. Psychosocial treatments for obsessive compulsive disorder: Literature review. In: Swinson RP, Anthony MM, Rachman S, Richter A, editors. Obsessive-compulsive disorder: Theory, research, and treatment. New York: The Guilford Press; 1998: 258−76.
Holbert, J. M.; The relationship of involvement in a support group. Communication patterns. And marital satisfaction in couples with a genetic mutation for breast and ovarian cancer (BRCA). This sertation of doctor of philosophy. The university of akron(2011).
Hoover CF, Insel TR. Families of origin in obsessive-compulsive disorder. The Journal of nervous and mental disease. 1984; 172(4):207- 15
Moin al-ghorabaaiee F, Karamloo S, Nearest A, (2015) Problem Solving Styles among Patients with Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Dysthymic Disorder and Normal Individuals, Applied Psychological Research Quarterly, 5(4), 131-143[In Persian].
Monfared M, Study of the dimensions of self-concept and marital satisfaction and informed education, PhD thesis, Allame Tabatabai University (Text in Persian). Riggs D, Foa E. Obsessive-compulsive disorder. In D.H. Barlow (Ed.), Clinical Handbook of psychotherapy: A step-by-step treatment manual -Rachman, S. (1998). A cognitive theory of obsessions: Elaborations. Behaviour Research and Therapy, 36, 385–401.
Rachman, S. (1997). Cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793–802
Rachman, S. (2002). A cognitive theory of compulsive checking. Behaviour Research & Therapy, 40, 625-639.
Rachman, S. (2003). The treatment of obsessions. Part of series of cognitive behaviour therapy: science and practice. Oxford: Oxford University Press.
Salkovskis, P.(1996). Cognitive-behavioral approaches to the understanding of obsessional problems. New York: Guilford- South SC, Turkheimer E, Oltmanns TF. Personality disorder symptom and marital functioning. J Consult Psychol. 2008; 76(5): 769
Young, J, E., Klosko. J . S & Weishaar M. E(2014). Schema Therapy, A practitioner’s guid. New York : Guilford press.