اثر توان‌بخشی شناختی بر بهبود نشانگان افسردگی و الگوی امواج مغزی در بیماران مبتلا به اختلال افسردگی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه علوم شناختی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران.

2 استادیار،گروه روانشناسی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران.

10.22123/chj.2020.197555.1337

چکیده

مقدمه: افسردگی رایج‌ترین اختلال روانی است که به شدت رو به افزایش است و به آن سرماخوردگی روانی نیز می‌گویند. توان‌بخشی شناختی یکی از درمان‌های مؤثر برای این اختلال می‌باشد. پژوهش حاضر با هدف تعیین اثر توان‌بخشی شناختی بر بهبود نشانگان افسردگی و الگوی امواج مغزی در بیماران مبتلا به اختلال افسردگی شهر تبریز انجام شد .
مواد و روش‌ها: پژوهش حاضر از نوع نیمه تجربی با طرح پیش­آزمون- پس­آزمون و گروه کنترل است. جامعه آماری پژوهش را کلیه بیماران افسرده اساسی مراجعه­کننده به کلینیک‌های روان‌پزشکی شهر تبریز در سال 1397 تشکیل دادند. 30 بیمار به شیوه نمونه‌گیری در دسترس انتخاب و به صورت تصادفی در دو گروه آزمایش و کنترل جایگزین شدند. ابزار پژوهش شامل بسته آموزشی توان‌بخشی شناختی، پرسشنامه افسردگی بک و دستگاه الکتروانسفالوگرافی کمی بود. گروه آزمایش طی 12 جلسه 60 دقیقه‌ای، تحت توان‌بخشی شناختی قرار گرفت. داده‌ها توسط آزمون تحلیل کوواریانس چند متغیره تجزیه و تحلیل گردیدند.
یافته‌ها: نتایج پژوهش حاضر نشان داد که توان‌بخشی شناختی باعث کاهش افسردگی شد و همچنین امواج آلفای مغزی را در ناحیهF3  کاهش و امواج بتای مغزی را در ناحیه F4 افزایش داد (01/0p<). به نحوی که نمره گروه آزمایش در پیش­آزمون و پس­آزمون برای افسردگی از 86/30 به 20/22 و برای امواج آلفا F3 از 33/11 به 60/8 کاهش یافت. امواج  بتا F4 از 23/20 به 80/28 افزایش پیدا کرد.
نتیجه‌گیری: نتایج نشان داد توان‌بخشی شناختی افسردگی را کاهش، و امواج مغزی را تغییر می‌دهد. مبتنی بر یافته‌های این پژوهش می‌توان از توان‌بخشی شناختی به عنوان درمانی مؤثر برای کاهش افسردگی استفاده نمود.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Cognitive Rehabilitation on the Improvement of Depression Symptoms and Brain Wave Pattern in Patients with Depression Disorder

نویسندگان [English]

  • R Jafari 1
  • H Bafandeh 2
1 MSc, Dept of Cognitive Science, Azarbaijan Shahid Madani University, Tabriz, Iran.
2 Assistant Prof, Dept of Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran.
چکیده [English]

Introduction: This study aimed to determine the effectiveness of cognitive rehabilitation on the improvement of depression syndrome and brain wave pattern in patients with major depressive disorder.
Materials and Methods: The present study was semi-experimental. The statistical population of the study was all depressed patients referring to psychiatric centers of Tabriz in 2018. A total of 30 depressed patients were selected after the diagnosis of a psychiatrist and randomly assigned to two groups of experimental and control. Then, the experimental group received cognitive rehabilitation for 12 sessions of 60 minutes, as well as related training. Finally, the data were analyzed using Neuroguid software and SPSS version 23.
Results: The results of this study showed that in the experimental group, cognitive rehabilitation reduced depression together with brain alpha in the F3 region, and increased brain beta in the F4 region p<0/01. The experimental group pre-test and post-test scores decreased for depression from 30/86 to 22/20 and alpha F3 from 11.33 to 8.60; however, they increased for beta F4 from 20/23 to 28/80.
Conclusion: Based on the findings of this study, cognitive rehabilitation can be used as an effective treatment to reduce depression.

کلیدواژه‌ها [English]

  • Cognitive rehabilitation
  • depression
  • alpha
  • beta
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