اثربخشی مداخله شناختی رفتاری مبتنی بر ذهن آگاهی بر حافظه فعال در بیماران مبتلا به مالتیپل اسکلروزیس و افراد سالم
الموضوعات :عاطفه فخرمند 1 , حسینعلی ابراهیمی نژاد 2 , مسعود فضیلت پور 3
1 - ارشد روانشناسی بالینی بخش روانشناسی دانشگاه شهید باهنر کرمان ایران
2 - متخصص بیماری های مغز و اعصاب، مرکز تحقیقات بیماری های مغز و اعصاب کرمان، دانشگاه علوم پزشکی کرمان
3 - دانشیار روانشناسی شناختی دانشگاه شیراز
الکلمات المفتاحية: درمان شناختی رفتاری مبتنی بر ذهن آگاهی, حافظه فعال, مالتیپل اسکلروزیس, افراد سالم,
ملخص المقالة :
چکیده بیماری مالتیپل اسکلروزیس (MS) بیماری سنین جوانی است. از میان مشکلاتی که افراد مبتلا، با آن روبه رو هستند میتوان به مشکلات شناختی اشاره کرد. اغلب اختلالات شناختی در بیماران MS مربوط به حافظه فعال و حفظ توجه میباشد. درمان شناختی-رفتاری مبتنی بر ذهن آگاهی (MiCBT) یکی از رویکردهای روان درمانگرانه غیر دارویی است. وجود درمانی غیر دارویی در کنار دارودرمانی، ضروری به نظر میرسد. این پژوهش به منظور بررسی تاثیر مداخله به روش MiCBT بر عملکرد حافظه فعال از طریق تعدادی از خرده آزمونهای پکیج PCAP و آزمون هوش وکسلر بزرگسالان بر بیماران بزرگسال مبتلا به مالتیپل اسکلروزیس و افراد سالم انجام شده است. پژوهش حاضر جز پژوهش های نیمه تجربی است. جامعه در پژوهش حاضر شامل بیماران مراجعهکننده به انجمن ام اس کرمان با ضریب ناتوانی 3 تا 6 و افراد سالم از همراهان این بیماران بودند. 28 نفر بیمار و 28 نفر سالم با استفاده از روش نمونهگیری هدفمند انتخاب شدند، سپس به طور تصادفی به دو گروه مداخله MiCBT (14 نفر) و دو گروه کنترل (14 نفر) تقسیم شدند. داده های پیش و پس از مداخله به کمک روشهای آماری توصیفی و استنباطی در محیط نرم افزار آماری SPSS تحلیل شدند. نتایج تحلیل اندازه گیری مکرر، نشاندهنده تاثیر مثبت مداخله MiCBT بر بهبود حافظه فعال بیماران MS و افراد سالم بوده است (P≤0.05). به عبارت دیگر نتایج تحلیل اندازه گیری مکرر، افزایش معناداری در حافظه فعال بیماران ام اس و افراد سالم در گروه مداخله نسبت به گروه کنترل نشان داد. بنابراین مداخله شناختی رفتاری تلفیق شده با ذهن آگاهی MiCBT به عنوان یک درمان مناسب در بهبود حافظه فعال پیشنهاد می شود
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