Genç Yetişkinlerde İlişki Merkezli Obsesif Kompulsif Semptomlar ve Duygu Düzenleme Güçlüğünün Psikolojik İyi Oluş Üzerindeki Etkileri

Öz

Bu çalışmanın amacı duygu düzenleme güçlüğü, ilişki merkezli obsesif kompulsif semptomlar ve psikolojik iyi oluş arasındaki ilişkilerin incelenmesidir. Çalışmanın ikinci amacı ise ilişki merkezli obsesif kompulsif semptomlar ile psikolojik iyi oluş arasındaki ilişkide, duygu düzenleme güçlüğünün aracı rolünün incelenmesidir. Katılımcılar 2021-2022 yılları arasında Türkiye’de yaşayan, en az bir aydır romantik ilişkisi olan 18-25 yaş aralığındaki (X̄= 21,96; SS= 1,78) 191 kişiden (152 kadın ve 39 erkek) oluşmaktadır. Çalışma kapsamında katılımcılara Kişisel Bilgi Formu, Duygu Düzenleme Güçlüğü Ölçeği Kısa Form, Romantik İlişki Obsesyon ve Kompulsiyonları Ölçeği ve Çok Boyutlu Psikolojik İyi Oluş Ölçeği uygulanmıştır. Sonuçlara göre, ilişki merkezli obsesif kompulsif semptomların duygu düzenleme güçlüğüyle arasındaki pozitif yönlü ilişki anlamlı bulunmuştur. Bununla birlikte duygu düzenleme güçlüğü ve ilişki merkezli obsesif kompulsif semptomlar ile psikolojik iyi oluş arasında negatif yönde anlamlı ilişki bulunmuştur. Ayrıca değişkenlerin psikolojik iyi oluşu negatif yönde anlamlı düzeyde yordadığı ve varyansın %22’sini açıkladığı bulunmuştur. Aracılık analizine göre, ilişki merkezli obsesif kompulsif semptomlar ile psikolojik iyi oluş arasında duygu düzenleme güçlüğünün kısmi aracı rolü olduğu görülmüştür. Bu çalışmanın romantik ilişki içerikli obsesif kompulsif bozukluğun etiyolojisinin anlaşılması ve tedavisine yönelik çalışmalara katkı sağlayacağı düşünülmektedir.

Anahtar Kelimeler

• duygu düzenleme güçlüğü
• ilişki merkezli obsesyon
• obsesif kompulsif bozukluk
• psikolojik iyi oluş
• romantik ilişki

Effects of Relationship-Centered Obsessive Compulsive Symptoms and Difficulty in Emotion Regulation on Psychological Well-Being in Young Adults

Abstract

This study aims to examine the relationships between emotion regulation difficulties, relationship-centered obsessive-compulsive symptoms, and psychological well-being. The study's second objective is to investigate the mediating role of emotion regulation difficulties in the relationship between relationship-centered obsessive-compulsive symptoms and psychological well-being. The participants comprised 191 individuals (152 females and 39 males) aged 18 to 25 (M=21.96, SD=1.78) who lived in Turkey and had been in a romantic relationship for at least one month between 2021 and 2022. In the study, participants were administered a Personal Information Form, the Short Form of the Emotion Regulation Difficulties Scale, the Relationship Obsessive Compulsive Inventory, and the Multidimensional Psychological Well-Being Scale. The results indicate a significant positive relationship between relationship-centered obsessive-compulsive symptoms and emotion regulation difficulties. Moreover, a significant negative relationship was found between emotion regulation difficulties and relationship-centered obsessive-compulsive symptoms and psychological well-being. Additionally, the variables were found to significantly predict psychological well-being in a negative direction, explaining 22% of the variance. According to the mediation analysis, emotion regulation difficulties play a partial mediating role in the relationship between relationship-centered obsessive-compulsive symptoms and psychological well-being. This study is expected to contribute to understanding the etiology and treatment of romantic relationship-centered obsessive-compulsive disorder.

Keywords

• difficulty in emotion regulation
• relationship
• relationship centered obsession
• obsessive compulsive disorder
• psychological well-being

Kaynakça

1. APA (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington DC, American Psychiatric Association.
2. Allen LB, Barlow DH (2009) Relationship of exposure to clinically irrelevant emotion cues and obsessive-compulsive symptoms. Behav Modif, 33:743–762.
3. Ayan, BE (2019) Erken dönem uyumsuz şemalar ile psikolojik iyi oluş arasındaki ilişkide bilişsel çarpıtmalar ve duygu düzenleme güçlüğünün aracı rolü (Uzmanlık tezi). İstanbul, İstanbul Medipol Üniversitesi.
4. Berking M, Wupperman P (2012) Emotion regulation and mental health. Curr Opin Psychiatry, 25:128–134.
5. Doron G, Derby DS, 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.
6. Doron G, Derby DS, Szepsenwol O, Talmor D (2012b) Flaws and all: Exploring partner-focused obsessive-compulsive symptoms. J Obsessive Compuls Relat Disord, 1:234-243.
7. Doron G, Szepsenwol O, Derby D, Nahaloni E (2012c) Relationship-related obsessive–compulsive phenomena: The case of relationship-centered and partner-focused obsessive compulsive symptoms. Psicoterapia Cognitiva e Comportamentale, 18:71-82.
8. Doron G, Derby DS, Szepsenwol O (2014) Relationship obsessive compulsive disorder (ROCD): A conceptual framework. J Obsessive Compuls Relat Disord, 3:169-180.

9. Doron G, Derby D, Szepsenwol O, Nahaloni E, Moulding R (2016) Relationship Obsessive–compulsive Disorder: Interference, symptoms, and maladaptive beliefs. Front Psychiatry, 7:58.
10. Faul F, Erdfelder E, Buchner A, Lang AG (2009) Statistical power analyzes using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods, 41:1149-1160.
11. Ferreira S, Couto B, Sousa M, Vieira R, Sousa N, Pico-Perez M, Morgado P (2021) Stress influences the effect of obsessive-compulsive symptoms on emotion regulation. Front Psychiatry, 11:594541.
12. Gratz KL, Roemer L (2004) Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess, 26:41–54.
13. Hayes AF (2013) Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, Guilford Press.
14. Hayes AF ve Rockwood NJ (2017) Regression-based statistical mediation and moderation analysis in clinical research: Observations, recommendations and implementation. Behav Res Ther, 98:39-57.
15. İmamoğlu EO (2004) Çok Boyutlu Psikolojik Esenlik (İyi Oluş) ölçeği-Türkçe uyarlaması (Uzmanlık tezi). Ankara, Orta Doğu Teknik Üniversitesi.
16. Kring AM, Sloan DM (2010) Emotion regulation and psychopathology. New York, Guilford Press.
17. Kumar S, Mohanty S, Kumar R (2018) Emotional dysregulation of affect in persons with obsessive-compulsive disorder. Indian J Clin Psychol, 45:28-32.
18. Mancini F, Gangemi A (2004) Fear of guilt from behaving irresponsibly in obsessive-compulsive disorder. J Behav Ther Exp Psychiatry, 35:109-120.
19. McLaughlin KA, Hatzenbuehler ML, Mennin DS, Nolen-Hoeksema S (2011) Emotion dysregulation and adolescent psychopathology: A prospective study. Behav Res Ther, 49:544-54.
20. Naji Meydani F, Doos Ali Vand H, Abasi I, Noori M (2022) Mediating role of difficulties in emotion regulation and experiential avoidance in the relationship between attachment styles and severity of relationship obsessive -compulsive disorder symptoms. Iranian Journal of Psychiatry and Clinical Psychology, 28:328-345.
21. Nutt D, Malizia A (2006) Anxiety and OCD-The chicken or the egg? J Psychopharmacol, 20:729-731.
22. Preacher KJ, Kelley K (2011) Effect size measures for mediation models: Quantitative strategies for communicating indirect effects. Psychol Methods, 16:93 – 115.
23. Ryan RM, Deci EL (2001) On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annu Rev Psychol, 52:141-166.
24. Ryff CD (1989) Beyond Ponce de Leon and life satisfaction: New well-being among the elderly. Psychol Aging, 1:91-102.
25. Ryff CD, Keyes CLM (1995) The structure of psychological well-being revisited. J Pers Soc Psychol, 69:719-727.
26. Ryff CD, Singer BH (2008) Know thyself and become what you are: A eudaimonic approach to psychological well-being. J Happiness Stud, 9:13-39.
27. Salkovskis PM, Forrester E (2002) Responsibility. Cognitive approaches to obsessions and compulsions: Theory, assessment and treatment (Eds RO Frost, G Steketee):45-61. Oxford, Pergamon Press.
28. See CCH, Tan JM, Tan VSY, Sündermann O (2022) A systematic review on the links between emotion regulation difficulties and obsessive-compulsive disorder. J Psychiatr Res, 154:341–353.
29. Smith AH, Wetterneck CT, Hart JM, Short MB, Björgvinsson T (2012) Differences in obsessional beliefs and emotion appraisal in obsessive compulsive symptom presentation. J Obsessive Compuls Relat Disord, 1:54-61.
30. Şanal Karahan F (2016) Üniversite öğrencilerinde çözüm odaklı düşünmenin depresyon, anksiyete, stres ve psikolojik iyi oluş ile ilişkisi (Doktora tezi). Konya, Necmettin Erbakan Üniversitesi.
31. Thompson RA (1994) Emotion regulation: A theme in search of definition. Monogr Soc Res Child Dev, 59:25-52.
32. Trak E, İnözü M (2017) Yeni bir obsesif-kompulsif semptom içeriği: Romantik ilişki obsesyon ve kompulsiyonları ölçeği ile partnere ilişkin obsesif-kompulsif belirti ölçeğinin Türkçe formlarının psikometrik özellikleri. Klinik Psikiyatri Dergisi, 20:171-185.
33. Yap K, Mogan C, Moriarty A, Dowling N, Blair West S, Gelgec C, Moulding R (2018) Emotion regulation difficulties in obsessive‐compulsive disorder. J Clin Psychol, 74:695-709.
34. Yiğit İ, Guzey Yiğit M (2019) Psychometric properties of Turkish version of difficulties in emotion regulation scale-brief form (DERS-16). Curr Psychol, 38:1503-1511.
35. Whitehead MR, Suveg C (2016) Difficulties in emotion regulation differentiate depressive and obsessive-compulsive symptoms and their co-occurrence. Anxiety Stress Coping, 29:507-518