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Comparing the effectiveness of treatment based on mentalization and treatment based on parent-child relationship on executive functions and anxiety symptoms of anxious children.
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.

 

The Effect of Cognitive-Behavioral Therapy on Reducing Perfectionism and the Cognitive Error of Thought-Action Fusion in Women with Obsessive-Compulsive Disorder
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 thought-action fusion in women with obsessive-compulsive disorder with a two-month follow-up. The research method was a quasi-experimental design with a pretest-posttest-follow-up and control group. Among the women referring to Sarohana Clinic in Pasdaran district of Tehran, 30 were purposively selected and randomly assigned to two groups of 15 (cognitive-behavioral therapy and control). The research instruments included the Ahvaz Perfectionism Questionnaire, the Thought-Action Fusion Scale (TAFS), Spielberger's Overt and Covert Anxiety Questionnaire, and the Maudsley Checklist. The cognitive-behavioral therapy intervention was implemented in 8 weekly 90-minute group sessions. The post-test was conducted immediately and the follow-up was conducted two months after the end of the sessions. The data were analyzed by multivariate and univariate analysis of covariance. The findings showed that cognitive-behavioral therapy significantly reduced perfectionism, thought-action fusion (moral dimensions, possibility for self and others), and anxiety at post-test and two-month follow-up, and these effects remained stable until the follow-up stage. The present study showed that cognitive-behavioral therapy can be used as an effective and sustainable intervention in reducing harmful cognitive variables in women with obsessive-compulsive disorder.

A Comparison of the Effectiveness of Emotion-Focused Therapy and Metacognitive Therapy on Cognitive-Emotional Constructs (Thought-Action Fusion and Intolerance of Uncertainty) in Female Students with Obsessive–Compulsive Disorder
Hava Mahmoudzadeh Kenari, Dr Afsaneh Khajevand Khoshli, Dr Javanshir Asadi,
Volume 13, Issue 2 (Volume 13, Issue 2, September 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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