مقایسه اثربخشی درمان شناختی–رفتاری و واقعیت‌درمانی بر وسواس فکری–عملی و تاب‌آوری در مادران کودکان مبتلا به اختلال بیش‌فعالی/نقص توجه

یگانه  خانی سلطان احمد; فرناز  فرشباف مانی صفت; مهران  سلیمانی

Authors

Yeganeh Khani Soltan Ahmad Department of psychology,Ur.C., Islamic Azad University, Urmia, Iran Author https://orcid.org/0009-0005-7110-2906
Farnaz Farshbaf Manisefat Department of psychology,Ur.C., Islamic Azad University, Urmia, Iran Author https://orcid.org/0000-0003-1680-6837
Mehran Soleimani Department of psychology,Ur.C., Islamic Azad University, Urmia, Iran Author https://orcid.org/0000-0001-9075-4778

Keywords:

Cognitive-Behavioral Therapy, Hyperactivity, Obsession, Resilience

Abstract

Objective: The present study aimed to compare the effectiveness of Cognitive-Behavioral Therapy (CBT) and Reality Therapy in reducing obsessive-compulsive symptoms and enhancing resilience among mothers of children with Attention-Deficit/Hyperactivity Disorder (ADHD).

Methods and Materials: This study employed a quasi-experimental design with pretest, posttest, and follow-up phases. The statistical population consisted of all mothers of children with ADHD in Urmia during 2025. A total of 45 participants were selected through convenience sampling and randomly assigned to three groups of 15 participants, including a CBT group, a Reality Therapy group, and a control group. The first experimental group received eight sessions of Cognitive-Behavioral Therapy based on Wildemuth’s model, whereas the second experimental group received eight sessions of Reality Therapy based on Glasser’s approach. The control group received no intervention. Data collection instruments included the Hodgson and Rachman Obsessive-Compulsive Inventory and the Connor–Davidson Resilience Scale. Data were analyzed using mixed analysis of variance and Bonferroni post hoc tests.

Findings: The findings demonstrated that both Cognitive-Behavioral Therapy and Reality Therapy significantly reduced obsessive-compulsive symptoms and significantly increased resilience among mothers of children with ADHD. Significant differences were observed across the pretest, posttest, and follow-up stages in both variables (p < .01). Bonferroni post hoc analysis revealed a significant reduction in obsessive-compulsive symptoms and a significant increase in resilience scores during the posttest and follow-up stages compared to the pretest. Furthermore, Cognitive-Behavioral Therapy showed greater effectiveness than Reality Therapy in reducing obsessive-compulsive symptoms and improving resilience, with higher effect sizes reported for the CBT intervention.

Conclusion: The results indicate that both Cognitive-Behavioral Therapy and Reality Therapy are effective interventions for improving the psychological well-being of mothers of children with ADHD. However, Cognitive-Behavioral Therapy demonstrated superior effectiveness due to its direct focus on cognitive restructuring, emotional regulation, and coping-skills training.

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