Obsesif Kompulsif Bozukluğu ve Kabul ve Kararlılık Terapisi Üzerine Derleme
A Review on Obsessive Compulsive Disorder and Acceptance and Commitment Therapy
DOI:
https://doi.org/10.5281/zenodo.18006796Anahtar Kelimeler:
Derleme, Kabul ve Kararlılık Terapisi, Obsesif-Kompulsif Bozukluk, Obsesyonlar ve KompulsiyonlarÖzet
Bu derleme çalışması, obsesif kompulsif bozukluk (OKB) yaşayan bireylerde Kabul ve Kararlılık Terapisi’nin (KKT) etkililiğini incelemek amacıyla gerçekleştirilmiştir. Derleme makalesi, belirli bir konuyla ilgili daha önce yapılmış araştırmaları inceleyip, bu çalışmaların bulgularını bir araya getirerek konuya dair genel bir değerlendirme yapan bir yazı türüdür. Bu tür makaleler, mevcut literatürdeki eğilimleri, çelişkileri ve araştırma boşluklarını belirleyerek, alandaki yeni araştırmalar için bir temel oluşturmaktadır. Bu bağlamda, 2019-2024 yılları arasında yayımlanmış ve Amerika Birleşik Devletleri, Türkiye, Çin, İran ve Güney Kore gibi farklı ülkelerde yürütülmüş altı çalışma incelenmiştir. Çalışmalarda herhangi bir ölçek kullanılmamış, yalnızca literatür taramasına dayalı içerik analizi yöntemiyle bulgular değerlendirilmiştir. OKB, bireyin kontrol etmekte zorlandığı, tekrar eden düşünceler (obsesyonlar) ve bu düşüncelerle başa çıkmak amacıyla yapılan yineleyici davranışlar (kompulsiyonlar) ile karakterize edilen bir ruhsal bozukluktur. KKT ise bireyin içsel deneyimlerini bastırmak yerine kabul etmesini ve kendi değerlerine uygun eylemler gerçekleştirmesini esas alan üçüncü dalga bir terapi yaklaşımıdır. Derleme kapsamında ulaşılan bulgular, KKT’nin OKB semptomlarını azaltmada etkili olduğunu, bireylerin psikolojik esnekliklerini artırarak tedaviye uyumlarını güçlendirdiğini göstermektedir. Özellikle obsesyonların kabullenilmesi ve bu düşüncelerle savaşmaktan vazgeçilmesi, bireylerin yaşam kalitesini olumlu yönde etkilemektedir. Ayrıca, KKT’nin diğer terapi yöntemleriyle birlikte kullanıldığında sinerjik etkiler yaratarak tedavi başarısını artırdığı görülmüştür. Sonuç olarak, KKT OKB tedavisinde umut vadeden ve etkili bir terapi yöntemi olarak değerlendirilmektedir. Gelecekte yapılacak araştırmalarda farklı kültürel bağlamlar ve geniş örneklemlerle KKT’nin etkililiğinin daha derinlemesine incelenmesi önerilmektedir.
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