اثربخشی درمان مبتنی بر آموزش یادآوری خاص در کاهش علایم افسردگی پس از زایمان زنان شهر تهران
محورهای موضوعی : تربیتی
افتخار حمیدی
1
(دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان)، ایران)
حمید طاهر نشاط دوست
2
(عضو هیأت علمی دانشگاه اصفهان، ایران)
هوشنگ طالبی
3
(عضو هیأت علمی دانشگاه اصفهان، ایران)
کلید واژه: افسردگی پس از زایمان, مقیاس سنجش افسردگی ادینبورگ, درمان مبتنی بر آموزش یادآوری خاص, زنان مراجعه‌کننده برای مراقبت پس از زایمان به بخش زنان و زایمان شهر تهران,
چکیده مقاله :
هدف این پژوهش اثربخشی درمان مبتنی بر آموزش یادآوری خاص در کاهش علایم افسردگی پس از زایمان زنان است. این پژوهش نیمه‌آزمایشی از نوع کاربردی و طرح پژوهش از نوع پیش‌آزمون ـ پس‌آزمون با گروه گواه است. تعداد اعضای جامعۀ پژوهش 315 زن مراجعه‌کننده برای مراقبت پس از زایمان به بخش زنان و زایمان شهر تهران بودند. نمونه‌گیری به‌صورت غیراحتمالی بود. تعداد اعضای نمونه 30 نفر (15 نفر در گروه آزمایش که 7 جلسه مداخله دریافت کردند، و 15 نفر در گروه گواه) بودند. پرسشنامۀ مربوط به مقیاس سنجش افسردگی ادینبورگ (1987) اجرا شد. روش آماری تحلیل کواریانس استفاده شد. نتایج پژوهش حاکی از آن است که درمان مبتنی بر آموزش یادآوری خاص در کاهش علایم افسردگی پس از زایمان تأثیر داشت (005/0>P ).
This study aimed to investigate the effect of specific recall training on recovery of symptoms of postpartum depression of women in Tehran. The research used a quasi-experimental study with a pretest-posttest design with the control group. The population consisted of 315 women seeking postpartum care in Tehran. Non-probability sampling was used to select the participants. The sample, then, included 30 women of whom 15 received 7 sessions of specific recall training and 15 were in the control group. The Edinburgh Depression Scale Questionnaire (1987) was administered. To analyze the data, analysis of covariance was applied. The results showed that treatment based on the specific recall training has significant effect on recovery of symptoms of postpartum depression (P<0.005).
Cox, J.L., Holden, J.M., Sagovsky, R. (1987). Detection of postnatal depression. Development of 10- item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150: 782-786.
Dalgleish, T., Spinaks, H., Yiend, J., Kuyken, W. (2001). Autobiographical memory style in seasonal affective disorder and its relationship to future symptom remission. Journal of Abnormal Psychology, 10: 335-340.
Dennis, C.L. (2004). Psychosocial and psychological interventions for prevention of postnatal depression: systematic review. British Medical Journal, 331: 7507, 15-18.
Field, T., Diego, M., Hernandez-Reif, M. (2009). Depressed mothers’ infants are less responsive to faces and voices. Infant Behavior and Development, 32: 3, 239-244.
Guendency, N., Fermanian, J. (1998). Validation study of the French version of the Edinburgh postnatal depression scale (EPDS): new results about use and psychometric properties. Eur psychiatry, 13: 2, 83-89.
Mackinger, H.F., Pachinger, M.M., Leibetseder, M.M., Fartacek, R.R. (2000). Autobiographical memories in women remitted from major depression. Journal of Abnormal Psychology, 109: 331-334.
Montazeri, A., Torkan, B., Omidvar, S. (2007). The Edinburgh postnatal depression scale (EPDS): translation and validation study of the Iranian version. BMC Psychiatry, 11: 293-7.
Moradi, A.R., Taghavi, R., Neshat-Doost, H.T., Yule, W., Dalgleish, T. (2000). Memory bias for emotional information in children and adolescents with posttraumatic stress disorder: A primary study. Journal of Anxiety Disorders, 14: 5, 521–534.
Nandrino, L.J., Pezard, L., Poste, A., Reveillere, C., Beaune, D. (2002). Autobiographical Memory in Major Depression: A Comparison between First-Episode and Recurrent Patients Psychopathology, 35: 335–340.
Neshat-Doost, H.T., Dalgleish, T., Yule, W., Kalantari, M., Ahmadi, S.J., Dyregrov, A., Jobson, A.L. (2012). Enhancing Autobiographical memory specificity through cognitive training An intervention for depression Translated from basic science. Clinical Psychological Science.165: 170-178.
Raes, F., Hermans, D., Williams, J.M.G., Demyttenaere, K., Sabbe, B., Pieters, G., et al. (2005). Reduced specificity of autobiographical memories: a mediator between rumination and ineffective problem solving in major depression? Journal of Affective Disorders, 87: 331-335.
Raes, F., Williams, J.M.G., Hermans, D. (2009). Reducing cognitive vulnerability to depression: A preliminary investigation of memory specificity training (MEST) in patients with depressive symptomatology. Journal of Behavior Therapy, 40: 24-38.
Serrano, J.P., Latorre, J.M., Gatz, M. (2007). Autobiographical memory in older adults with and without depressive symptoms. International Journal of Clinical and Health Psychology, 7: 1, 41-57.
Tulving, E. (1983). Elements of Episodic Memory. Oxford, Clarendon Press.
Usefi, N., Etemadi, Williams, J.M., Broadbent, K. (1986). Autobiographical memory in suicide attempters. Journal of Abnormal Psychology, 95: 2, 144-149.
Williams, J.M.G., Scott, J. (1988). Autobiographical memory in depression. Psychological Medicine, 18: 3, 689-695.
Williams, J.M.G., Teasdale, J.D., Segal, Z.V., Soulsby, J. (2000). Mindfulness-based cognitive therapy reduce overgeneral autobiographical memory in formerly depressed individuals. Journal of Abnormal Psychology, 109: 150-155.
Williams, J.M.G., Barnhofer, T., Crane, C., Hermans, D., Raes, F., Watkins, E., Dalgleish, T. (2007). Autobiographical memory specificity and emotional disorder. Psychological Bulletin, 133: 122-148.
Tomlinson, M., Cooper, P.J., Stein, A., Swarts, L., Molteno, C. (2006). Postpartum depression and infant growth in a South African peri-urbansettlement. Blackwell publishing Ltd, child: Care, Health & Development, 32: 81-86.
Vrielynck, N., Deplus, S., Philippot, P. (2007). Over general autobiographical memory and depressive disorder in children. Journal of Clinical Child and Adolescent Psychology, 36: 95-105.
Yamashita, H., Yoshida, K. (2003). Screening and intervention for depression mothers of new-born infants. Seishin Shinkeigak Zasshi, 105: 9, 1129-1135.