اثربخشی درمان تلفیقی تحریک الکتریکی غیرتهاجمی مغز با روش ذهن ‏آگاهی بر کاهش میزان ولع و عود مصرف سوءمصرف‏کنندگان مت ‏آمفتامین

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد کرمانشاه، دانشگاه آزاداسلامی، کرمانشاه، ایران.

2 استادیار، گروه روانشناسی و مشاوره، واحد کرمانشاه، دانشگاه آزاداسلامی، کرمانشاه، ایران.

3 استادیار، گروه روانشناسی و مشاوره، واحد کرمانشاه، دانشگاه آزاداسلامی ، کرمانشاه، ایران.

چکیده

مقدمه: سوءمصرف مت‏ آمفتامین مسئله‌ای است که در سال ‏های اخیر ابعاد وسیع ‏تری یافته و توجه و نگرانی جوامع را به خود جلب کرده است. این مطالعه با هدف تعیین اثربخشی درمان تلفیقی تحریک الکتریکی غیرتهاجمی مغز با روش ذهن‏ آگاهی بر کاهش میزان ولع و عود مصرف سوءمصرف‏ کنندگان مت‏ آمفتامین انجام شد.
مواد و روش‌ها: این پژوهش نیمه­ تجربی با طرح پیش ­­آزمون-پس­ آزمون و گروه کنترل با پیگیری 6 ماهه بود. جامعه آماری، تمامی مردان سوءمصرف‏ کننده مت ‏آمفتامین مراجعه‏ کننده به بخش ترک اعتیاد بیمارستان فارابی شهر کرمانشاه (از اول خرداد تا آخر مرداد 1398) بودند. با نمونه ‏گیری در دسترس، تعداد 30 نفر انتخاب شدند و در گروه‏ های آزمایش (15 نفر) و کنترل (15 نفر) قرار گرفتند و مقیاس پیشگیری از عود مصرف (Gorski، 1997) و ولع مصرف لحظه ‏ای مواد (Franken و همکاران، 2002) را در سه مرحله تکمیل کردند. در گروه آزمایش، درمان تلفیقی در 10 جلسه (هفته ‏ای 2 جلسه یک ساعته) اجرا گردید. داده‏ ها با استفاده از واریانس با اندازه‏ گیری‏ های تکراری تحلیل شد.
یافته‌ها: درمان تلفیقی به‏ طور معنی ‏داری موجب کاهش نمره پس ‏آزمون ولع مصرف و ابعاد آن در آزمودنی‏ های گروه آزمایش شد و این تأثیر در دوره پیگیری پایدار ماند (05/0>p). همچنین، تأثیر درمان تلفیقی بر کاهش نمره عود مصرف و ابعاد میل، باور و ادراک کنترل در آزمودنی‏ های گروه آزمایش در مراحل پس ‏آزمون و پیگیری معنی ‏دار بود (05/0>p).
نتیجه‌گیری: یافته ‏های مذکور گویای سودمندی درمان ترکیبی بر نشانگان مصرف در سوءمصرف‏ کنندگان مت ‏آمفتامین است. این یافته‏ ها ضمن یاری ‏رساندن در تبیین سبب‏ شناسی نشانگان مصرف معتادان، می‏تواند در طرح‏ریزی مداخلات توان‏بخشی و درمانی امیدبخش باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Integrating Transcranial Direct Current Stimulation with Mindfulness Method on Reducing Craving and Relapse in Methamphetamine Abusers

نویسندگان [English]

  • S Rahmani 1
  • H Amiri 2
  • K Afsharineya 3
1 PhD Student, Dept of psychology, Islamic Azad University, Kermanshah Branch, Kermanshah, Iran.
2 Assistant Prof, Dept of psychology, Islamic Azad University, Kermanshah Branch, Kermanshah, Iran.
3 Assistant Prof, Dept of psychology, Islamic Azad University, Kermanshah Branch, Kermanshah, Iran.
چکیده [English]

Introduction: The issue of methamphetamine abuse has become more widespread in recent years, which has attracted increasing attention and caused growing concern in the community. Therefore, this study aimed to examine the effectiveness of integrating transcranial direct current stimulation with mindfulness method on reducing craving and relapse in methamphetamine abusers.
Materials and Methods: The present research is a quasi-experimental study with a pre-test-post-test design and a control group with a 6-month follow-up. The statistical population of the study consisted of all male methamphetamine abusers referred to the addiction treatment ward of Farabi Hospital in Kermanshah in a period of three months (from May 22 to August 22) in 2020. Using an available sampling method, 30 people were selected and randomly assigned to either the experimental (n=15) or the control (n=15) groups and completed the Relapse Prevention Scale (Gorski, 1997) and Desire for Drug Questionnaire (Franken et al, 2002) in three steps. In the experimental group, combined therapy was performed in 10 sessions twice a week, each session lasting one hour. Data analysis was performed using repeated measures variance.
Results: The results showed that the combined treatment significantly reduced the post-test scores for craving and its dimensions for the subjects in the experimental group, and this effect remained stable during the follow-up period (p<0.05). Also, the effect of combined treatment on reducing the recurrence scores and dimensions of desire, belief and control perception in the experimental group in the post-test and follow-up stages was significant (p<0.05).
Conclusion: These findings show the usefulness of integrated therapy on consumption symptoms in methamphetamine abusers. In addition to helping to explain the etiology of use syndrome in addicts, the findings of the study can be promising in planning rehabilitation and treatment interventions.

کلیدواژه‌ها [English]

  • Transcranial direct current stimulation
  • Mindfulness
  • Relapse
  • Craving
  • Methamphetamine

مراجع

  1. Snijder M, Sptainski L, Lees B, Ward J, Conrod P, Mushquash C, et al. Preventing substance use among indigenous adolescents in the USA, Canada, Australia and New Zealand: a systematic review of the literature. Prevention Science 2020;21(1):65-
  2. Bennett AC, Gibson C, Rohan AM, Howland JF, Rankin KM. Mental health and substance use-related hospitalizations among women of reproductive age in illinois and wisconsin. PHR 2019; 134(1):17-
  3. Khodadost M, Maajani K, Abbasi-Ghahramaniloo A, Naserbakht M, Ghodusi E, Saravi F, et al. Prevalence of hookah smoking among university students in Iran: a meta-analysis of observational studies. IJPH 2020;49(1):1-[Persian]
  4. Anderson-Carpenter KD, Fletcher JB, Swendeman D, Reback CJ. Associations between sociodemographic characteristics and substance use disorder severity among methamphetamine-using men who have sex with men. Substance Use & Misuse 2019;54(11):1763-
  5. Ameri A, Keshvardoost S, Bahaadinbeigy K. Impact of mobile phone-based interventions on methamphetamine use and high-risk sexual behaviors in men who have sex with men: a systematic review. Addict Health 2020;12(1):58-
  6. Kevil CG, Goeders N, Woolard MD, Bhuiyan MS, Dominic P, Kolluru GK, et al. Methamphetamine use and cardiovascular disease: in search of answers. ATVB 2019;39(9):1739-
  7. Venniro M, Russell TI, Ramsey LA, Richie CT, Leaacher HB, Giovanetti SM, et al. Abstinence-dependent dissociable central amygdala microcircuits control drug craving. PNAS 2020;117(14):8126-
  8. Huhn AS, Sweeney MM, Brooner RK, Kidorf MS, Tompkins DA, Ayaz H, et al. Prefrontal cortex response to drug cues, craving, and current depressive symptoms are associated with treatment outcomes in methadone-maintained patients. Neuropsychopharmacology 2019; 44(4):826-
  9. Reiner DJ, Fredriksson I, Lofaro OM, Bossert JM, Shaham Y. Relapse to opioid seeking in rat models: behavior, pharmacology and circuits. Neuropsychopharmacology 2019;44(3):465-
  10. Kozak K, Lucatch AML, Lowe DJE, Balodis IM, MacKillop J, George TP. The Neurobiology of impulsivity and substance use disorders: implications for Annals of the New York Academy of Sciences  2019;1451(1):71-91.
  11. Hsiao YY, Tofighi D, Kruger ES, Van Horn ML, MacKinnon DP, Witkiewitz K. The (lack of) replication of self-reported mindfulness as a mechanism of change in mindfulness-based relapse prevention for substance use disorders. Mindfulness 2019;10(4):724-
  12. Spears CA, Li L, Wu C, Vinci C, Heppner WL, Hoover DS, et al. Mechanisms linking mindfulness and early smoking abstinence: an ecological momentary assessment study. Psychology of Addictive Behaviors  2019;33(3):197-
  13. Liu CS, Herrmann N, Gallagher D, Rajji TK, Kiss A, Vieira D, et al. A Pilot study comparing effects of bifrontal versus bitemporal transcranial direct current stimulation in mild cognitive impairment and mild alzheimer disease. JECT 2020;36(3):211-
  14. Hajiloo N, Pouresmali A, Alizadeh Goradel J, Mowlaie M. The Effects of transcranial direct current stimulation of dorsolateral prefrontal cortex on reduction of craving in daily and social smokers. Iranian Journal of Psychiatry 2019;14(4):291- [Persian]
  15. Eskandari Z, Dadashi M, Mostafavi H, Armani Kia A, Pirzeh R. Comparing the efficacy of anodal, cathodal, and sham transcranial direct current stimulation on brain-derived neurotrophic factor and psychological symptoms in opioid-addicted patients. BCN 2019;10(6):641-
  16. Davis JP, Barr N, Dworkin ER, Dumas TM, Berey M, DiGuiseppi G, et al. Effect of mindfulness-based relapse prevention on impulsivity trajectories among young adults in residential substance use disorder treatment. Mindfulness 2019;10(10):1997-
  17. Schwebel FJ, Korecki JR, Witkiewitz Addictive behavior change and mindfulness-based interventions: current research and future directions. Current Addiction Report 2020;7(2):117-24.
  18. Hanlon CA, Dowdle LT, Henderson Modulating neural circuits with transcranial magnetic stimulation: implications for addiction treatment development. Pharmacological Review 2018;70(3):661-83.
  19. Mars SG, Ondocsin J, Ciccarone D. Sold as Heroin: Perceptions and use of an evolving drug in baltimore, MD. Journal Psychoactive Drugs 2017;50(2):167-
  20. Trull TJ, Prinstein M. Clinical Psychology (Introduction to Clinical Psychology).8nd ed. New York: Publisher Wadsworth 2012: 97-
  21. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. BRM 2009;41(4):1149-
  22. Mikaili N, Rahbari Ghazani N. The Effectiveness of a mindfulness-based program on procrastination and metacognitive beliefs in substance-dependent individuals. Scientific Quarterly of Research on Addiction 2021;15(59):157-172. [Persian]
  23. Dargahi H, Darrudi A, Zalvand R. Family medicine program in Iran: SWOT Analysis and TOWS Matrix Model. IJPH 2019;48(6):1140- [Persian]
  24. Bowen S, Chawala N, Grow J, Marlatt GA. Mindfulness-based relapse prevention for addictive behaviors: a clinician's guide.2nd ed. New York: Publisher The Guilford 2011:132-36.
  25. Ting W, Hart J, DeRidder D, Vanneste S. Considering the influence of stimulation parameters on the effect of conventional and high-definition transcranial direct current stimulation. Expert Review of Medical Devices 2016;13(4):391-
  26. Gorski TT. Passages through Recovery: an action plan for preventing relapse.1nd ed. Center City, MN: Hazelden Press 1997:47-
  27. Niknam M, Madahi ME, Shafiabadi A. Comparing the effectiveness of marlatt cognitive behavioral model and logotherapy on craving and relapse prevention in females with substance dependency. Applied Psychological Research 2017;8(2):1- [Persian]
  28. Franken IH, Hendricks VM, Van-den Brink W. Initial validation of two opiate craving questionnaires the Obsessive Compulsives Drug Use Scale and Desires for Drug Questionnaire. Addiction Behaviors 2002;27(5):675-
  29. Niknam M, Madahi ME, Shafiabadi A. Investigating the effectiveness of logo-therapy on craving and relapse prevention in females with substance dependency. Health Psychology 2018;7(1):56- [Persian]
  30. Alizadehgoradel J, Imani S, Nejati V, Fathabadi J. Comparison of the effectiveness of mindfulness-based substance abuse treatment (MBSAT) and transcranial direct current stimulation (tDCS) improve executive functions in adolescents with substance use disorders. RJMS 2019;26(7):99- [Persian]
  31. den Uyl TE, Gladwin TE, Lindenmeyer J, Wiers A Clinical trial with combined transcranial direct current stimulation and attentional bias modification in alcohol‐dependent Patients. Alcoholism: Clinical and Experimental Research 2018;42(10):1961-69.
  32. Martinotti G, Chillemi E, Lupi M, De Risio L, Pettorruso M, Di Giannantonio Gambling disorder and bilateral transcranial direct current stimulation: a case report. Journal Behavioral Addictions 2018;7(3):834-37.
  33. Lee SH, Im JJ, Oh JK, Choi EK, Yoon S, Bikson M, et al. Transcranial direct current stimulation for online gamers: a prospective single-arm feasibility study. Journal Behavioral Addictions 2018;7(4):1166-
  34. Luigjes J, Segrave R, de Joode N, Figee M, Denys Efficacy of Invasive and Non-Invasive Brain Modulation Interventions for Addiction. Neuropsychology Review 2019;29(1):116-38.

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