تأثیر آموزش حافظه کاری هیجانی برکنش‌های اجرایی نوجوانان مبتلا به اختلال تنیدگی پس ضربه‌ای
محورهای موضوعی : روان درمانگری
زبیر صمیمی
1
,
جعفر حسنی
2
,
مسلم کردتمینی
3
,
مهدی پارویی
4
1 - دانشجو دکترا
2 - دانشیار
3 - کارشناس ارشد
4 - کارشناس ارشد
کلید واژه: حافظه کاری, اختلال تنیدگی پسضربهای, بازداری, آموزش حافظه کاری هیجانی,
چکیده مقاله :
هدف این پژوهش تعیین میزان تأثیر آموزش حافظه کاری هیجانی در کنش‌های اجرایی نوجوانان مبتلا به اختلال تنیدگی پس ضربه‌ای بود. بدین منظور، در چهارچوب طرح تجربی تکآزمودنی خطوط پایه چندگانه با ورود پلکانی، 3 نوجوان (2 دختر و 1 پسر) از مراکز آموزش کودکان کار شهر کرج با استفاده از ابزارهای تشخیصی (مصاحبه بالینی ساختاریافته و مقیاس تأثیر رویداد) به‌صورت نمونه‌برداری دردسترس انتخاب شدند. افراد انتخاب‌شده به‌صورت تکی، طی 20 جلسه تحت آموزش حافظه کاری هیجانی قرار گرفتند و همه افراد در سه مرحله (قبل از آموزش، مراحل آموزش و دو ماه پیگیری) به‌وسیله پاره تست فراخنای ارقام وکسلر(مستقیم و معکوس) و آزمون برو/نرو ارزیابی شدند. به‌منظور تحلیل داده‌ها از شاخص‌های تغییر روند، شیب، بازبینی نمودارها و برای تعیین معناداری بالینی از شاخص کوهن، درصد بهبودی و اندازه اثر استفاده شد. نتایج نشان داد آموزش حافظه کاری هیجانی به افزایش توانایی شرکت‌کنندگان در توانایی حافظه کاری و بازداری از مرحله پیشازآموزش تا پیگیری منجر شده است. با توجه به نتایج پژوهش، می‌توان گفت آموزش حافظه کاری هیجانی، گزینه مناسبی برای افزایش توانایی کنش‌های اجرایی نوجوانان مبتلابه اختلال تنیدگی پسضربهای است.
T The aim of this study was to investigate the effect of emotional working memory training on execution functions in adolescent with posttraumatic stress disorders (PTSD). Based on a single case multiple-baselines design, 3 adolescents (1 male, 2 females) were selected from one of the educational child center of city of Karaj by available sampling using SCID-I and IES-R. The participants received 20 sessions of emotional working memory training. The participants were assessed during three stages (pre-training, training, and 2- month follow up) by the Wechsler Digit Span Test (direct and reverse) and the Go/No Go Task. The data were analyzed using the indices for trend changes, slope and the visual inspection of the charts. The Cohen's d, recovery percent index, and effect size were used to determine the clinical significance. The results indicated that emotional working memory training increased the participants’ working memory and inhibition abilities from pre-training stage to follow up stage. The findings suggest that emotional working memory training may be an appropriate choice for increasing the execution functions of adolescents with PTSD.
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