Romantik İlişki İçerikli Obsesif Kompulsif Bozukluk: Sistematik Derleme

Obsesif Kompulsif Bozukluk (OKB) obsesyonlar ve kompulsiyonlarla karakterize olan ve bireylerin işlevselliğini olumsuz yönde etkilediği bilinen bir bozukluktur. Alanyazında son 10 yıldır romantik ilişki içeriğine sahip OKB semptomları araştırılmaya başlanmıştır. Romantik ilişki içerikli OKB semptomları, ilişki merkezli ve partner odaklı olmak üzere iki türe ayrılmaktadır. Bu sistematik gözden geçirme çalışmasında, romantik ilişki içerikli OKB semptomlarının bireysel ve ilişkisel değişkenlerle ilişkilerinin incelenmesi amaçlanmıştır. Romantik ilişki içerikli OKB semptomlarının bireysel ve ilişkisel faktörlerle ilişkilerine ilişkin sonuçları değerlendirmek amacıyla alanyazındaki çalışmalar detaylı bir şekilde taranmıştır. Ulusal ve uluslararası alanyazında bu konuyla ilgili yayınlanmış bir sistematik derleme çalışmasına rastlanılmamıştır. Bu doğrultuda, “relationship obsessive compulsive disorder”, “relationship centered obsessive compulsive symptoms” ve “partner focused obsessive compulsive symptoms” terimleri kullanılarak uluslararası kabul gören elektronik veri tabanlarında 2012-2022 yılları arasında yayınlanmış olan çalışmalar taranmıştır. Yapılan tarama sonucunda dahil etme kriterlerine göre romantik ilişki içerikli OKB ile bireysel ve ilişkisel değişkenlerin ilişkilerine dair tam metin erişimi sağlanabilen ve yazım dili İngilizce olan görgül 12 araştırma g incelenmiştir. Dahil edilen 12 araştırmanın yöntemsel özellikleri ve sonuçlarına ilişkin bilgiler bu sistematik derleme çalışmasında sunulmuştur. Araştırmaların sonuçlarına göre, romantik ilişki içerikli semptomlar OKB gibi bireylerin işlevselliğini olumsuz yönde etkilemektedir. Romantik ilişki içerikli obsesif kompulsif semptomlarla ilişkili değişkenlere bireysel ve ilişkisel bağlamda bakıldığında psikopatolojiler, bağlanma stilleri, benlik ve ilişki doyumu gibi birçok faktörle ilişkilidir. Bu bağlamda romantik ilişki içerikli obsesif kompulsif semptomlara ilişkin klinik örneklemlerle yürütülen, psikoterapi etkililiğinin incelendiği ve kültürlerarası yürütülen görgül araştırmalara ihtiyaç olduğu görülmektedir.

Relationship Obsessive Compulsive Disorder: A Systematic Review

Obsessive Compulsive Disorder (OCD) is a disorder characterized by obsessions and compulsions and negatively affects the functionality of individuals. OCD symptoms with romantic relationship content have been investigated in the literature for the last 10 years. OCD symptoms with romantic relationship content are divided into two types: relationship-centered and partner-focused. The aim of this systematic review was to examine the relationship between OCD symptoms with romantic relationship content and individual and relational variables. Studies in the literature were reviewed in detail in order to evaluate the results regarding the relationship between OCD symptoms in romantic relationships and individual and relational factors. In the national and international literature, no systematic review study on this subject was found. Accordingly, studies published between 2012 and 2022 in internationally accepted electronic databases using the terms "relationship obsessive compulsive disorder", "relationship centered obsessive compulsive symptoms" and "partner focused obsessive compulsive symptoms" were reviewed. As a result of the search, according to the inclusion criteria, 12 empirical studies on the relationship between OCD in romantic relationships and individual and relational variables with full-text access and written in English were analyzed. The methodological characteristics and results of the 12 included studies are presented in this systematic review study. The results of the studies suggest that symptoms related to romantic relationships negatively affect the functioning of individuals similar to OCD. When the variables associated with obsessive-compulsive symptoms in romantic relationships are analyzed in individual and relational context, they are related to many factors such as psychopathologies, attachment styles, self and relationship satisfaction. In this context, there is a need for empirical studies carried out with clinical samples, exploring the effectiveness of psychotherapy and cross-cultural studies on obsessive-compulsive symptoms related to romantic relationships. Keywords:

___

  • Abramowitz JS, Baucom DH, Boeding S, Wheaton MG, Pukay-Martin ND, Fabricant LE et al. (2013) Treating obsessive-compulsive disorder in intimate relationships: A pilot study of couple-based cognitive-behavior therapy. Behav Ther, 44:395-407.
  • Abramowitz JS, McKay D, Taylor S (2008) Clinical Handbook of Obsessive-Compulsive Disorder and Related Problems. Baltimore, Johns Hopkins University Press.
  • Abramowitz JS, Wheaton MG, Storch EA (2008) The status of hoarding as a symptom of obsessive–compulsive disorder. Behav Res Ther, 46:1026-1033.
  • Akkaya G, Yılmaz T (2021) Romantik ilişkide görülen obsesif kompulsif belirtiler ve risk faktörleri. Ayna Klinik Psikoloji Dergisi, 8:376-395.
  • APA (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington DC, American Psychiatric Association.
  • Brickman P (1987) Commitment, Conflict, and Caring. Englewood Cliffs, Prentice-Hall.
  • Cerea S, Ghisi M, Bottesi G, Carraro E, Broggio D, Doron G (2020) Reaching reliable change using short, daily, cognitive training exercises delivered on a mobile application: The case of relationship obsessive compulsive disorder (ROCD) symptoms and cognitions in a subclinical cohort. J Affect Disord, 276:775-787.
  • Çilli AS, Telcioǧlu M, Aşkın R, Kaya N, Bodur S, Kucur R. (2004) Twelve-month prevalence of obsessive-compulsive disorder in Konya, Turkey. Compr Psychiatry, 45:367-374.
  • De Mathis MA, Alvarenga PD, Funaro G, Torresan RC, Moraes I, Torres AR et al. (2011) Gender differences in obsessive-compulsive disorder: A literature review. Braz J Psychiatry, 33:390-399.
  • Demet MM, Deveci A, Deniz F, Taşkın EO, Şimşek E, Yurtsever F (2005) Obsesif kompulsif bozuklukta sosyodemografik özellikler ve fenomenoloji. Anadolu Psikiyatri Derg, 6:133-144.
  • Doron G, Derby D (2017) Assessment treatment of relationship-related OCD symptoms (ROCD): A modular approach. In Handbook of Obsessive-Compulsive Disorder Across The Lifespan. (Eds J Abramowitz, D McKay, E Storch):547-564. New Jersey, NY, Wiley.
  • Doron G, Derby DS, Szepsenwol O (2014a) Relationship obsessive compulsive disorder (ROCD): A conceptual framework. J Obsessive Compuls Relat Disord, 3:169-180.
  • Doron G, Derby D, Szepsenwol O, Nahaloni E, Moulding R (2016) Relationship obsessive–compulsive disorder: Interference, symptoms, and maladaptive beliefs. Front Psychiatry, 7:58.
  • Doron G, Derby D, Szepsenwol O, Talmor D (2012a) Tainted love: Exploring relationship-centered obsessive compulsive symptoms in two non-clinical cohorts. J Obsessive Compuls Relat Disord, 1:16-24.
  • Doron G, Derby D, Szepsenwol O, Talmor D (2012b) Flaws and all: Exploring partner focused obsessive-compulsive symptoms. J Obsessive Compuls Relat Disord, 1:234-243.
  • Doron G, Mizrahi M, Szepsenwol O, Derby D (2014b) Right or flawed: Relationship obsessions and sexual satisfaction. J Sex Med, 11:2218-2224.
  • Doron G, Szepsenwol O (2015) Partner-focused obsessions and self-esteem: An experimental investigation. J Behav Ther Exp Psychiatry, 49:173-179.
  • Doron G, Szepsenwol O, Karp E, Gal N (2013) Obsessing about intimate-relationships: Testing the double relationship-vulnerability hypothesis. J Behav Ther Exp Psychiatry, 44:433-440.
  • Epstein NB, Zheng L (2017) Cognitive-behavioral couple therapy. Curr Opin Psychol, 13:142-147.
  • Fernandez S, Sevil C, Moulding R (2021) Feared self and dimensions of obsessive compulsive symptoms: Sexual orientation-obsessions, relationship obsessions, and general OCD symptoms. J Obsessive Compuls Relat Disord, 28:100608.
  • Fireman B, Koran LM, Leventhal JL, Jacobson A (2001) The prevalence of clinically recognized obsessive-compulsive disorder in a large health maintenance organization. Am J Psychiatry, 158:1904-1910.
  • Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, et al. (1989) The Yale–Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry, 46:1006–11.
  • Heyman I, Fombonne E, Simmons H, Ford T, Meltzer H, Goodman R (2001) Prevalence of obsessive-compulsive disorder in the British nation wide survey of child mental health. Br J Psychiatry, 179:324-329.
  • Kabiri M, Neshat-Doost HT, Mehrabi HA (2017) The mediating role of relationship obsessive-compulsive disorder in relation to attachment styles and marital quality in women. Journal of Research & Health, 7:1065-1073.
  • Kılıç N, Altınok A (2021) Obsession and relationship satisfaction through the lens of jealousy and rumination. Pers Individ Dif, 179:110959.
  • Lochner C, Stein DJ (2003) Heterogeneity of obsessive-compulsive disorder: A literature review. Harv Rev Psychiatry, 11:113-132.
  • Markus H, Nurius P (1986) Possible selves. Am Psychol, 41:954-969.
  • McKay D, Abramowitz JS, Calamari JE, Kyrios M, Radomsky A, Sookman D et al. (2004) A critical evaluation of obsessive–compulsive disorder subtypes: Symptoms versus mechanisms. Clin Psychol Rev, 24:83-313.
  • Melli G, Bulli F, Doron G, Carraresi C (2018a) Maladaptive beliefs in relationship obsessive compulsive disorder (ROCD): Replication and extension in a clinical sample. J Obsessive Compuls Relat Disord, 18:47-53.
  • Melli G, Carraresi C, Pinto A, Caccico L, Micheli E (2018b) Valutare il disturbo ossessivo compulsivo da relazione: Proprietà psicometriche della versioneitalianadi ROCI e PROCSI. Psicoterapia Cognitiva e Comportamentale, 24:251-269.
  • Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med, 6:e1000097.
  • Morrison J (2017) DSM-5’i Kolaylaştıran: Klinisyenler Için Tanı Rehberi (Çev. HU Kural). Ankara, Nobel Akademik Yayıncılık.
  • Osland S, Arnold PD, Pringsheim T (2018) The prevalence of diagnosed obsessive compulsive disorder and associated comorbidities: A population-based Canadian study. Psychiatry Res, 268:137-142.
  • Porgalı-Zayman E (2016) DSM-5'te obsesif kompulsif bozukluk. Çukurova Üniversitesi Tıp Fakültesi Dergisi, 41:360-362.
  • Rachman S, De Silva P (2009) Obsessive-Compulsive Disorder: The Facts, 4th ed. New York, Oxford University Press.
  • Rasmussen SA, Eisen JL (1989) Clinical features and phenomenology of obsessive compulsive disorder. Psychiatr Ann, 19:67-73.
  • Salkovskis PM (1985) Obsessional-compulsive problems: A cognitive-behavioural analysis. Behav Res Ther, 23:571-583.
  • Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E (1998) The Mini International Neuropsychiatric Interview (MINI): the development and validation of a structured psychiatric diagnostic interview for DSM-IV and ICD-10. J Clin Psychiatry, 59(Suppl 20):23–33.
  • Spiegler MD, Guevremont DC (1993) Contemporary Behavior Therapy. Belmont, CA, Wadsworth Press.
  • Steketee GS (1993) Treatment of Obsessive Compulsive Disorder. New York, Guilford Press.
  • Stengler-Wenzke K, Kroll M, Matschinger H, Angermeyer MC (2006) Quality of life of relatives of patients with obsessive-compulsive disorder. Compr Psychiatry, 47:523-527.
  • Szepsenwol O, Shahar B, Doron G (2016) Letting it linger: Exploring the longitudinal effects of relationship-related obsessive-compulsive phenomena. J Obsessive Compuls Relat Disord, 11:101-104.
  • Thompson-Hollands J, Edson A, Tompson M, Comer JS (2014) Family in volvement in the psychological treatment of obsessive-compulsive disorder: A meta-analysis. J Fam Psychol, 28:287–298.
  • Toroslu B, Çırakoğlu OB (2022) Do perfectionism and intolerance of uncertainty mediate the relationship between early maladaptive schemas and relationship and partner related obsessive–compulsive symptoms?. Curr Psychol, doi:10.1007/s12144-022-03050-w.
  • Trak E (2016) Hatırlanan ebeveyn ilgisi, yetişkin bağlanma biçimleri ve partnere bağlı benlik değerinin romantik ilişki ve partner temalı obsesif kompulsif bozukluk semptomları ile ilişkisi (Yüksek lisans tezi). Ankara, Hacettepe Üniversitesi.
  • Trak E, Inozu M (2019) Developmental and self-related vulnerability factors in relationship-centered obsessive compulsive disorder symptoms: A moderated mediation model. J Obsessive Compuls Relat Disord, 21:121-128.
  • Yoosefi A, Rajezi-Esfahani S, Pourshahbaz A, Dolatshahee B, Assadi A, Maleki F et al. (2016) Early maladaptive schemas in obsessive-compulsive disorder and anxiety disorders. Glob J Health Sci, 8:167-177.
Psikiyatride Güncel Yaklaşımlar-Cover
  • ISSN: 1309-0658
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2009
  • Yayıncı: Psikiyatride Güncel Yaklaşımlar