Impact of group cognitive behavioral therapy counseling on cognitive control among college students with high obsessive-compulsive traits

QIAN Mengting; SUI Pengjiao; CAI Zhu; CHEN Lu; LIN Yanting; CHEN Lu; ZHU Chunyan

doi:10.16835/j.cnki.1000-9817.2022.04.016

Volume 43 Issue 4

Apr. 2022

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QIAN Mengting, SUI Pengjiao, CAI Zhu, CHEN Lu, LIN Yanting, CHEN Lu, ZHU Chunyan. Impact of group cognitive behavioral therapy counseling on cognitive control among college students with high obsessive-compulsive traits[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(4): 548-552. doi: 10.16835/j.cnki.1000-9817.2022.04.016

Citation:

QIAN Mengting, SUI Pengjiao, CAI Zhu, CHEN Lu, LIN Yanting, CHEN Lu, ZHU Chunyan. Impact of group cognitive behavioral therapy counseling on cognitive control among college students with high obsessive-compulsive traits[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(4): 548-552. doi: 10.16835/j.cnki.1000-9817.2022.04.016

Citation:

QIAN Mengting, SUI Pengjiao, CAI Zhu, CHEN Lu, LIN Yanting, CHEN Lu, ZHU Chunyan. Impact of group cognitive behavioral therapy counseling on cognitive control among college students with high obsessive-compulsive traits[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(4): 548-552. doi: 10.16835/j.cnki.1000-9817.2022.04.016

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Impact of group cognitive behavioral therapy counseling on cognitive control among college students with high obsessive-compulsive traits

doi: 10.16835/j.cnki.1000-9817.2022.04.016

1.
School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei (230032), China

Received Date: 2021-10-27
Rev Recd Date: 2021-12-21

Available Online: 2022-04-25

Publish Date: 2022-04-25

Abstract

Abstract

Objective To explore the effect of group cognitive behavioral therapy (GCBT) on cognitive control among college students with high obsessive-compulsive traits, to provide basic information for the psychological counseling intervention for college students. Methods From March to April 2019, 687 students were conveniently selected from 2 universities in Hefei. According to the inclusion and exclusion criteria, 58 students with high obsessive traits were selected and divided into experimental group (n=29) and control group (n=29) by random number table method. The experimental group received cognitive behavioral group counseling for 4 weeks (1.5 h each time, twice a week), while the control group receive no intervention. The Obsessive-Compulsive Inventory-Revised (OCI-R), Stroop Color-Word Test (SCWT), Digital Span Test (DST), and Wisconsin Card Sorting Test (WSCT) were used to assess in two groups at baseline and 4 weeks later. Results After 4 weeks, the scores of OCI-R in the GCBT group (10.28±7.22) was lower than that of in the control group (15.90±10.20) (t=2.42, P < 0.05). Before and after intervention, compared with the control group [(21.89±6.63, 20.52±7.37)s, (8.62±4.43, 8.04±4.84)s] in Stroop C and Stroop interfere effects (SIE), the GCBT group [(22.14±4.92, 16.81±3.43)s, (8.36±3.87, 4.82±1.86)s], the interaction of time' group was statistically significant (F=14.60, 10.54, P < 0.05). Compared with the control group (6.21±1.35, 6.55±1.45)times, the scores of DST-reverse in the GCBT group (6.31±1.44, 7.24±1.38) times were statistically significant (F=3.96, P < 0.05). Conclusion It suggests that cognitive behavioral group counseling can improve the inhibitory control and working memory of college students with high obsessive-compulsive traits, but does not change the cognitive flexibility.
- Group processes,
- Coercion,
- Cognition,
- Intervention studies,
- Students,
- Health promotion

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References(29)

References

[1]	DIAMOND A. Executive functions[J]. Ann Rev Psychol, 2013, 64: 135-168. doi: 10.1146/annurev-psych-113011-143750
[2]	ASKARI S, MOKHTARI S, SHARIAT S V, et al. Memantine augmentation of sertraline in the treatment of symptoms and executive function among patients with obsessive-compulsive disorder: a double-blind placebo-controlled, randomized clinical trial[J]. BMC Psychiatry, 2022, 22(1): 34. doi: 10.1186/s12888-021-03642-z
[3]	FINEBERG N A, DAY G A, KOENIGSWARTER N D, et al. The neuropsychology of obsessive-compulsive personality disorder: a new analysis[J]. CNS Spectr, 2015, 20(5): 490-499. doi: 10.1017/S1092852914000662
[4]	MORREALE M, HOLINGUE C, SAMUELS J, et al. Long-term physical health outcomes of obsessive-compulsive personality disorder traits[J]. J Clin Psychol, 2021, 77(11): 2626-2637. doi: 10.1002/jclp.23207
[5]	BOWEN R, RAHMAN H, DONG L Y, et al. Suicidality in people with obsessive-compulsive symptoms or personality traits[J]. Front Psychiatry, 2019, 9: 747. doi: 10.3389/fpsyt.2018.00747
[6]	BERNARDES E T, SARAIVA L C, MARCO M, et al. Cognitive performance in children and adolescents at high-risk for obsessive-compulsive disorder[J]. BMC Psychiatry, 2020, 20(1): 380. doi: 10.1186/s12888-020-02751-5
[7]	单海迪, 王永明, 蒋淑瑶, 等. 高强迫特质大学生的执行功能特征[J]. 中国心理卫生杂志, 2020, 34(2): 129-133. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202002010.htm SHAN H D, WANG Y M, JIANG S Y, et al. Executive function characteristics in college students with high obsessive-compulsive traits[J]. Chin Ment Health J, 2020, 34(2): 129-133. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202002010.htm
[8]	保宏翔, 苗丹民. 强迫症高危人群"特质-症状"筛查范式探究[J]. 医学与哲学, 2021, 42(4): 48-52, 73. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZX202104013.htm BAO H X, MIAO D M. An exploration of "traits-symptoms" screening paradigm for high-risk population of obsessive-compulsive disorder[J]. Med Philos, 2021, 42(4): 48-52, 73. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZX202104013.htm
[9]	CAVEDINI P, RIBOLDI G, D'ANNUCCI A, et al. Decision-making heterogeneity in obsessive-compulsive disorder: ventromedial prefrontal cortex function predicts different treatment outcomes[J]. Neuropsychologia, 2002, 40(2): 205-211. doi: 10.1016/S0028-3932(01)00077-X
[10]	SULKOWSKI M, MARIASKIN A, STORCH E. Obsessive-compulsive spectrum disorder symptoms in college students[J]. J Am Coll Health, 2011, 59(5): 342. doi: 10.1080/07448481.2010.511365
[11]	刘国华. 15 000名大学生强迫症状调查[J]. 中国健康心理学杂志, 2017, 25(3): 330-334. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201703004.htm LIU G H. Research on the obsessive-compulsive symptoms of college students[J]. Chin J Health Psychol, 2017, 25(3): 330-334. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201703004.htm
[12]	KATHMANN N, JACOBI T, ELSNER B, et al. Effectiveness of individual cognitive-behavioral therapy and predictors of outcome in adult patients with obsessive-compulsive disorder[J]. Psychother Psychosom, 2022, 91(2): 123-135. doi: 10.1159/000520454
[13]	POZZA A, DÈTTORE D. Drop-out and efficacy of group versus individual cognitive behavioural therapy: what works best for obsessive-compulsive disorder? A systematic review and Meta-analysis of direct comparisons[J]. Psychiatry Res, 2017, 258: 24-36. doi: 10.1016/j.psychres.2017.09.056
[14]	CORDIOLI A V, HELDT E, BOCHI D B, et al. Cognitive-behavioral group therapy in obsessive-compulsive disorder: a randomized clinical trial[J]. Psychother Psychosom, 2003, 72(4): 211-216. doi: 10.1159/000070785
[15]	葛丽君, 葛玲, 栗艳, 等. 团体心理训练对大学生强迫倾向的干预研究[J]. 教育理论与实践, 2019, 39(30): 31-33. https://www.cnki.com.cn/Article/CJFDTOTAL-JYLL201930011.htm GE L J, GE L, LI Y, et al. Study on the intervention of group psychological training on college students' compulsive tendencies[J]. Theory Pract Educ, 2019, 39(30): 31-33. https://www.cnki.com.cn/Article/CJFDTOTAL-JYLL201930011.htm
[16]	FOA E B, HUPPERT J D, LEIBERG S, et al. The obsessive-complusive inventory: development and validation of a short version[J]. Psychol Assess, 2002, 14(4): 485-495. doi: 10.1037/1040-3590.14.4.485
[17]	何庆欢, 彭子文, 苗国栋. 强迫症症状分类量表(修订版)中文版的信效度研究[J]. 临床精神医学杂志, 2012, 22(1): 33-36. https://www.cnki.com.cn/Article/CJFDTOTAL-LCJS201201016.htm HE Q H, PENG Z H, MIAO G D. Reliability and validity of Chinese version of obsessive-compulsive inventory-revised[J]. J Clin Psychiatry, 2012, 22(1): 33-36. https://www.cnki.com.cn/Article/CJFDTOTAL-LCJS201201016.htm
[18]	KELLEY T L. The selection of upper and lower groups for the validation of test items[J]. J Educ Psychol, 1939, 30(1): 17-24. doi: 10.1037/h0057123
[19]	朱敏敏, 孙中传. Stroop色词测验在识别主观认知功能障碍中的作用[J]. 安徽医科大学学报, 2015, 50(9): 1316-1319. https://www.cnki.com.cn/Article/CJFDTOTAL-YIKE201509026.htm ZHU M M, SUN Z C. Appliation of Stroop color-word test on Chinese elderly patients with subjective cognitive impairment[J]. Acta Univ Med Anhui, 2015, 50(9): 1316-1319. https://www.cnki.com.cn/Article/CJFDTOTAL-YIKE201509026.htm
[20]	胡盼盼, 周珊珊, 吴兴启, 等. HKU-AHMU成套量表在不同年龄健康人群中的应用[J]. 中国现代神经疾病杂志, 2021, 21(12): 1046-1056. doi: 10.3969/j.issn.1672-6731.2021.12.005 HU P P, ZHOU S S, WU X Q, et al. Age-related differences in HKU-AHMU neuropsychological assessment among healthy crowds[J]. Chin J Contemp Neurol Neurosurg, 2021, 21(12): 1046-1056. doi: 10.3969/j.issn.1672-6731.2021.12.005
[21]	NYHUS E, BARCELÓ F. The Wisconsin Card Sorting Test and the cognitive assessment of prefrontal executive functions: a critical update[J]. Brain Cogn, 2009, 71(3): 437-451. doi: 10.1016/j.bandc.2009.03.005
[22]	怀特. 学习认知行为治疗图解指南[M]. 武春艳, 张新凯, 译. 北京: 人民卫生出版社, 2010. WRIGHT J H. Learning cognitive-behavior therapy: an illustrated guide[M]. WU C Y, ZHANG X K, translate. Beijing: People's Medical Publishing House, 2010.
[23]	OZCAN H, OZER S, YAGCIOGLU S. Neuropsychological, electrophysiological and neurological impairments in patients with obsessive compulsive disorder, their healthy siblings and healthy controls: Identifying potential endophenotype(s)[J]. Psychiatry Res, 2016, 240(1): 110-117.
[24]	KANG D H, JANG J H, JI Y H, et al. Neural correlates of altered response inhibition and dysfunctional connectivity at rest in obsessive-compulsive disorder[J]. Prog Neuropsychopharmacol Biol Psychiatry, 2013, 40(1): 340-346.
[25]	BARZILAY R, PATRICK A, CALKINS M E, et al. Obsessive-compulsive symptomatology in community youth: typical development or a red flag for psychopathology?[J]. J Am Acad Child Adolesc Psychiatry, 2019, 58(2): 277. doi: 10.1016/j.jaac.2018.06.038
[26]	MUSCATELLO M, BRUNO A, PANDOLFO G, et al. Effect of aripiprazole augmentation of serotonin reuptake inhibitors or clomipramine in treatment-resistant obsessive-compulsive disorder: a double-blind, placebo-controlled study[J]. J Clin Psychopharmacol, 2011, 31(2): 174-179. doi: 10.1097/JCP.0b013e31820e3db6
[27]	HYBEL K A, MORTENSEN E L, LAMBEK R, et al. Executive function predicts cognitive-behavioral therapy response in childhood obsessive-compulsive disorder[J]. Behav Res Ther, 2017, 99: 11-18. doi: 10.1016/j.brat.2017.08.009
[28]	DAJANI D R, UDDIN L Q. Demystifying cognitive flexibility: implications for clinical and developmental neuroscience[J]. Trends Neurosci, 2015, 38(9): 571-578. doi: 10.1016/j.tins.2015.07.003
[29]	FRANCES B, JULIA K. Development and plasticity of cognitive flexibility in early and middle childhood[J]. Front Psychol, 2017(8): 1040.