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ORIGINAL RESEARCH article

Front. Psychol.

Sec. Cognitive Science

Volume 16 - 2025 | doi: 10.3389/fpsyg.2025.1527933

Effects of Group Cognitive Behavior Therapy on Cognitive Flexibility in College Students with High Obsessivecompulsive Symptoms

Provisionally accepted
  • Anhui Medical University, Hefei, China

The final, formatted version of the article will be published soon.

Objective: To explore the effect of group cognitive behavior therapy on cognitive flexibility in college students with high obsessive-compulsive symptoms. Methods: Fifty-eight college students were randomly divided into an experimental group and control group (29 in each group). The experimental group was treated with group cognitive behavior therapy (twice a week for four weeks) whereas the control group was untreated. Before and after the intervention, the two groups of students were tested with the obsessive-compulsive scale OCI-R, cognitive flexibility scale CFI, acceptance and action questionnaire AAQ-II, and the cognitive fusion questionnaire CFQ to evaluate the effect after the intervention. Results: In the total score of obsessive-compulsive scale, the interaction between measurement time and groups was significant (F(1,56)=17.563,p<0.001). The post-test score of the experimental group was significantly lower than that of the pre-test score, and there was no significant difference in the control group before and after the intervention. In the total score of the cognitive flexibility scale, the interaction between measurement time and groups was significant (F(1,56)=6.616, p<0.05). The post-test score of the experimental group was significantly higher than the pre-test score, and there was no significant difference in the control group before and after the intervention. In the second edition of the action questionnaire and the cognitive fusion questionnaire, the interaction between measurement time and groups was significant(F(1,56)=18.887,p <0.001. The post-test score of the experimental group was significantly lower than that of the pre-test, and there was no significant difference in the control group before and after the intervention. Conclusion: Taken together, our results show that group cognitive-behavioral therapy significantly improved the cognitive flexibility of college students with high obsessive-compulsive symptoms, resulting in a significant reduction of these symptoms.

Keywords: cognitive behavioral therapy, College students with high obsessive-compulsive symptoms, Cognitive flexibility Conceptualization, Data Curation, Formal Analysis, Investigation,Methodology,Software, Visualization,Writing-Original Draft, Writing-Review & Editing, Author 2: Methodology,Supervision, Author 3: Supervision, Data Curation, Investigation Conceptualization, Funding Acquisition, Resources,Supervision,Validation,Writing-Review & Editing

Received: 14 Nov 2024; Accepted: 10 Jul 2025.

Copyright: © 2025 Sifan, Lu, Wei and Kongliang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: He Kongliang, Anhui Medical University, Hefei, China

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