The Relationship between Child Abuse and Cognitive Distortions with Clinical Symptoms of Obsessive-Compulsive Disorder: The Mediating Role of Emotion Dysregulation

Introduction: The present study has aimed to investigate the relationship between child abuse and cognitive distortion with clinical symptoms of obsessive-compulsive disorder moderated with emotion dysregulation.Method: This study made use of descriptive correlational research design. Structural equation modeling was used to explore the relationships between variables. The statistical population included all students of Urmia University in April ۲۰۱۹ (N=۱۷۰۰۰). The sample included ۲۰۱ students who were selected by multi-stage cluster sampling. In this study, the Obsessive-Compulsive Inventory-Revised (OCI-R) (۲۰۰۲), the Child Abuse Scale (CAS) (۱۳۹۲), the Cognitive Distortions Scale (CDS) (۱۳۸۹) and Difficulty in Emotion Regulation Scale (DERS) (۲۰۰۴) were used to collect data. In order to analyze the data, descriptive and inferential statistics and used SPSS-۲۱ and AMOS software were used.Results: Pearson correlation coefficient and structural equations modeling showed that the structural model has a good fit with data. In this research, the direct effect of child abuse on emotion dysregulation (β=۰/۴۶, P=۰/۰۰۲), child abuse on clinical symptoms of Obsessive-Compulsive Disorder (OCD) (β=۰/۴۳, P=۰/۰۰۳), cognitive distortions on emotion dysregulation (β=۰/۵۷, P=۰/۰۰۱), and cognitive distortions on clinical symptoms of OCD (β=۰/۵۱, P=۰/۰۰۱) were approved. The bootstrap test results showed significant indirect effects of child abuse and cognitive distortion on clinical symptoms of OCD which operate via emotion dysregulation.Conclusion: It seems that emotion dysregulation has a mediating role in the incidence of OCD. As a result, it is recommended to attend to OCD patient’s emotion dysregulation problems and educate them on the adaptive skills of emotion regulation.

کلیدواژه ها:

child abuse ، Cognition Disorders ، emotion regulation ، Obsessive-compulsive disorder