مقایسه اثر بخشی درمان شناختی- رفتاری و درمان مبتنی بر پذیرش و تعهد برافسردگی و علائم مثبت و منفی در بیماران اختلال دو قطبی
الموضوعات :
فرزانه محمدی
1
,
حسین بقولى
2
,
امیر هوشنگ مهریار
3
,
سیامک سامانی
4
1 - دانشگاه آزاد اسلامی مرودشت،ایران
2 - عضو هیئت علمى
3 - اعضاء تحریریه
4 - هیات علمی
الکلمات المفتاحية: افسردگی, درمان شناختی-رفتاری, درمان مبتنی بر پذیرش و تعهد, اختلال دوقطبی, علائم مثبت و منفی,
ملخص المقالة :
پژوهش حاضر با هدف مقایسه اثربخشی درمان شناختی- رفتاری و درمان مبتنی بر پذیرش و تعهد بر افسردگی و علائم مثبت و منفی بیماران اختلال دو قطبی انجام پذیرفت. در این پژوهش آزمایشی، که با استفاده از روش نمونه گیری در دسترس به صورت پیش آزمون- پس آزمون با گروه کنترل انجام گرفت، 36 نفر از مراجعه کنندگان به بیمارستانهای اعصاب و روان، که بر اساس ملاک های راهنمای تشخیصی و آماری اختلالات روانی، تشخیص اختلال دو قطبی دریافت می کردند به طور تصادفی به سه گروه 12 نفری تقسیم شدند. گروه اول تحت 10 جلسه درمان شناختی-رفتاری، گروه دوم تحت 12 جلسه درمان مبتنی بر پذیرش و تعهد و گروه کنترل هیچ مداخله ای دریافت نکردند و در لیست انتظار قرار گرفتند. داده ها از طریق پرسشنامه های افسردگی دوقطبی و مقیاس علائم مثبت و منفی اسکیزوفرنی جمع آوری گردید. برای تحلیل داده ها از تحلیل کوواریانس استفاده شد. یافته ها نشان داد درمان شناختی-رفتاری و درمان مبتنی بر پذیرش و تعهد در گروههای آزمایش باعث کاهش افسردگی و علائم مثبت و منفی شده است. در حالیکه در گروه کنترل چنین تغییری مشاهده نشد. همچنین بین درمان شناختی-رفتاری و درمان مبتنی بر پذیرش و تعهد در کاهش افسردگی، اختلاف معناداری مشاهده نشد. اما رویکرد اکت، بر تنظیم علائم مثبت و منفی اثربخشی بیشتری داشته است. بنابر نتایج این درمانها در کاهش علائم اختلال دوقطبی اثر بخشند. لذا تدوین این مداخلات درمانی در کنار دارو درمانی می تواند سبب کنترل و جلوگیری از عود علائم اختلال دوقطبی شود.
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