بررسی اثربخشی برنامه آموزش ذهن آگاهی مبتنی بر کاهش استرس بر کاهش علائم افسردگی و اضطراب بیماران مبتلا به کبد چرب غیرالکلی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران.

2 استاد، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران.

3 کارشناس ارشد، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران.

10.22123/chj.2021.218124.1434

چکیده

مقدمه: افسردگی و اضطراب در بیماران مبتلا به کبد چرب غیرالکلی شیوع بالایی دارد که باعث کاهش سلامت روانی و اختلال عملکرد آن‌ها می‌شود. با توجه به نقش قابل‌توجه عوامل روان‌شناختی در فرآیند درمان و بهبود بیماران، این پژوهش با هدف تعیین اثربخشی برنامه آموزش ذهن­آگاهی مبتنی بر کاهش استرس بر کاهش علائم افسردگی و اضطراب بیماران مبتلا به کبد چرب غیرالکلی انجام شد. 
مواد و روش‌ها: این کارآزمایی بالینی تصادفی شده در سال 1397 بر روی 30 نفر از بیماران مبتلا به کبد چرب غیرالکلی مراجعه‌کننده به کلینیک تخصصی غدیر شهرستان الیگودرز انجام شد. افراد به صورت تصادفی در دو گروه آزمایش و کنترل (هر گروه 15 نفر) قرار گرفتند. آموزش ذهن­آگاهی مبتنی بر کاهش استرس طی 8 جلسه‌ هفتگی (هر جلسه به مدت 45 تا 90 دقیقه) برای گروه آزمایش به اجرا در آمد. گروه کنترل مداخله‌ای دریافت نکردند. ابزار گردآوری داده‌ها مقیاس ارزیابی افسردگی، اضطراب و استرس بود. داده‌ها توسط آنالیز واریانس دو طرفه با اندازه‌گیری مکرر تجزیه و تحلیل شدند.
یافته‌ها: تفاوت معنی‌داری بین میانگین نمرات دو گروه آزمایش و کنترل در نمره افسردگی (001/0>p، 125/74 F= و 726/0=η ) و اضطراب (001/0>p، 015/158 F= و 849/0=η ) مشاهده شد. نمره افسردگی و اضطراب در گروه آزمایش پس از آموزش ذهن­آگاهی نسبت به گروه کنترل کاهش معنی­دار یافت.
نتیجه‌گیری: استفاده از برنامه آموزش ذهن­آگاهی مبتنی بر کاهش استرس به عنوان یک مداخله روان‌شناختی مؤثر و مکمل در بیماران مبتلا به کبد چرب غیرالکلی به منظور ارتقای سلامت روان آن‌ها پیشنهاد می‌گردد. 

کلیدواژه‌ها

عنوان مقاله [English]

Evaluation of the Effectiveness of Mindfulness-based Stress-reduction Training Program on Decreasing Depression and Anxiety Symptoms in Patients with Non-alcoholic Fatty liver

نویسندگان [English]

  • M Rahmanian 1
  • A Alipour 2
  • SH Mokhtari 3
1 Assistance Prof, Dept of Psychology, Payame Noor University, Tehran, Iran.
2 Prof, Dept of Psychology, Payame Noor University, Tehran, Iran.
3 MSc, Dept of Psychology, Payame Noor University, Tehran, Iran.
چکیده [English]

Introduction: Depression and anxiety are highly prevalent in patients with non-alcoholic fatty liver disease, reducing mental health and leading to dysfunction in various dimensions. Due to the significant role of psychological factors in the process of treatment and recovery of patients, this study was conducted to determine the effectiveness of the mindfulness-based stress-reduction training program on decreasing depression and anxiety symptoms in patients with non-alcoholic fatty liver.
Materials and Methods: This randomized clinical trial study was performed in 2018 on 30 patients with non-alcoholic fatty liver disease referred to Ghadir specialized clinic in Aligudarz city. Subjects were randomly divided into two experimental and control groups (15 people in each). Mindfulness-Based Stress-Reduction (MBSR) training was conducted for the experimental group during 8 weekly sessions (each lasting 45 to 90 minutes). The control group did not receive any intervention. The data collection tool was Depression, Anxiety, and Stress Scale (DASS). Data were analyzed using two-way repeated-measures ANOVA by SPSS software version 24.
Results: The results of two-way repeated-measures ANOVA showed a significant difference between the mean scores of the experimental and control groups in depression (p<0.001, F = 74.125 and η = 0.726) and anxiety (p<0.001, F = 015/158 and η = 0.849). Thus, the score of depression and anxiety of people with fatty liver in the experimental group after mindfulness training significantly decreased compared to the control group.
Conclusion: According to the obtained results, the mindfulness-based stress-reduction training program is recommended as an effective and complementary psychological intervention in patients with the non-alcoholic fatty liver to promote their mental health.

کلیدواژه‌ها [English]

  • Depression
  • Anxiety
  • Mindfulness
  • Non-alcoholic fatty liver disease

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