The Mediating Role of Emotional Regulation in the Relationship Between Cognitive Ability, Worry, and Rumination and Obsessive-Compulsive in Those Who Pray with Many Doubts
DOI:
https://doi.org/10.63053/ijhes.139Keywords:
Obsessive-compulsive disorder, pray with a lot of doubts, emotional regulation, cognitive ability, worry, ruminationAbstract
Introduction: Obsessive-compulsive disorder (OCD) is characterized by intrusive thoughts and repetitive behaviors that interfere with daily functioning. Pray with Many Doubts are a specific group of obsessive-compulsive disorder sufferers whose symptoms manifest in a religious context (doubts about purity, repetition of religious acts). This study examined the mediating role of emotion regulation in the relationship between cognitive abilities, worry, rumination, and the severity of obsessive-compulsive symptoms in this group.
Method: This descriptive-correlational study was conducted using structural equation modeling. The statistical population included worshippers of Kathisarashk in 2023, of whom 148 were selected by simple random sampling. Data were collected with five standard questionnaires (Yale-Brown Scale, PSWQ, Rumination Questionnaire, Nejati Cognitive Ability, and Gross and John Emotion Regulation) and analyzed with SPSS and Smart-PLS software.
Findings: Analysis of the results showed that worry (β = 0.52), rumination (β = 0.60), and cognitive impairment (β = 0.56) had a direct and significant effect on obsessive-compulsive disorder. Also, emotional regulation as a mediating variable moderated the relationship between worry (β = 0.007), cognitive impairment (β = 0.002), and rumination. The model fit indices (GFI = 0.95 and RMSEA = 0.058) indicated a good fit of the model to the data.
Conclusion: Dysfunctional emotion regulation is the link between cognitive deficits, repetitive thought processes, and the exacerbation of obsessions. Therapeutic interventions should focus on strengthening emotion regulation skills (such as mindfulness and distress tolerance) and correcting maladaptive metacognitive beliefs. Designing cultural-religious protocols for frequent worshippers is suggested.
References
• Aldahadha, B. (2024). The effect of reverence ('Khushoo') in Muslim prayer on cardiovascular responses. Islamic Guidance and Counseling Journal, 7(2).
• Breit, M., Scherrer, V., Tucker-Drob, E. M., & Preckel, F. (2024). The stability of cognitive abilities: A meta-analytic review of longitudinal studies. Psychological Bulletin, 150(4), 399.
• Callaghan, T., Greene, D., Shafran, R., Lunn, J., & Egan, S. J. (2024). The relationships between perfectionism and symptoms of depression, anxiety and obsessive-compulsive disorder in adults: A systematic review and meta-analysis. Cognitive Behavior Therapy, 53(2), 121–132.
• de Filippis, R., Aguglia, A., Costanza, A., Benatti, B., Placenti, V., Vai, E., ... & Amerio, A. (2024). Obsessive-compulsive disorder as an epiphenomenon of comorbid bipolar disorder? An updated systematic review. Journal of Clinical Medicine, 13(5), 1230.
• De Prisco, M., Tapoi, C., Oliva, V., Possidente, C., Strumila, R., Lageborn, C. T., ... & Fico, G. (2024). Clinical features in co-occurring obsessive-compulsive disorder and bipolar disorder: A systematic review and meta-analysis. European Neuropsychopharmacology, 80, 14–24.
• Doufesh, H., Faisal, T., Lim, K. S., & Ibrahim, F. (2012). EEG spectral analysis on Muslim prayers. Applied Psychophysiology and Biofeedback, 37, 11–18.
• Doufesh, H., Ibrahim, F., Ismail, N. A., & Wan Ahmad, W. A. (2014). Effect of Muslim prayer (Salat) on α electroencephalography and its relationship with autonomic nervous system activity. The Journal of Alternative and Complementary Medicine, 20(7), 558–562.
• El-Hosseiny, M. H., & Shaban, E. (2009, December). Muslim prayer actions recognition. In 2009 Second International Conference on Computer and Electrical Engineering (Vol. 1, pp. 460–465). IEEE.
• Grubov, V. V., Khramova, M. V., Goman, S., Badarin, A. A., Kurkin, S. A., Andrikov, D. A., ... & Hramov, A. E. (2024). Open-loop neuroadaptive system for enhancing students' cognitive abilities in learning. IEEE Access.
• Hermida-Barros, L., Primé-Tous, M., García-Delgar, B., Forcadell, E., Lera-Miguel, S., de la Cruz, L. F., ... & Fullana, M. A. (2024). Family accommodation in obsessive-compulsive disorder: An updated systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, 105678.
• Kim, J., Leonte, K. G., Chen, M. L., Torous, J. B., Linos, E., Pinto, A., & Rodriguez, C. I. (2024). Large language models outperform mental and medical health care professionals in identifying obsessive-compulsive disorder. NPJ Digital Medicine, 7(1), 193.
• Micula, A., Holmer, E., Ning, R., & Danielsson, H. (2025). Relationships between hearing status, cognitive abilities, and reliance on visual and contextual cues. Ear and Hearing, 46(2), 433–443.
• Milička, J., Marklová, A., VanSlambrouck, K., Pospíšilová, E., Šimsová, J., Harvan, S., & Drobil, O. (2024). Large language models are able to downplay their cognitive abilities to fit the persona they simulate. PLOS ONE, 19(3), e0298522.
• Nazish, N., & Kalra, N. (2018). Muslim prayer—A new form of physical activity: A narrative review. International Journal of Health Sciences and Research, 8(7), 337–344.
• Provenza, N. R., Reddy, S., Allam, A. K., Rajesh, S. V., Diab, N., Reyes, G., ... & Sheth, S. A. (2024). Disruption of neural periodicity predicts clinical response after deep brain stimulation for obsessive-compulsive disorder. Nature Medicine, 30(10), 3004–3014.
• Reis, A., Westhoff, M., Quintarelli, H., & Hofmann, S. G. (2024). Mindfulness as a therapeutic option for obsessive-compulsive disorder. Expert Review of Neurotherapeutics, 24(8), 735–741.
• Sackett, P. R., Demeke, S., Bazian, I. M., Griebie, A. M., Priest, R., & Kuncel, N. R. (2024). A contemporary look at the relationship between general cognitive ability and job performance. Journal of Applied Psychology, 109(5), 687.
• Shaverdi, Y., Jahromi, G. P., Meftahi, G. H., Sharif, M. S., Mojabi, N., & Hatef, B. (2024). The effect of Islamic praying on heart rate variation in adult Muslims. Journal of Modern Rehabilitation, 18(2), 179–188.
• Suseno, B. (2024). Muslim prayer (salah), and its restorative effect: Psychophysiological explanation. Asian Journal of Islamic Psychology, 1–7.
• Zhai, C., Wibowo, S., & Li, L. D. (2024). The effects of over-reliance on AI dialogue systems on students' cognitive abilities: A systematic review. Smart Learning Environments, 11(1), 28.
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