اثربخشی مداخله شناختی رفتاری مبتنی بر ذهن آگاهی بر حافظه فعال در بیماران مبتلا به مالتیپل اسکلروزیس و افراد سالم

الموضوعات :

عاطفه فخرمند ¹ (ارشد روانشناسی بالینی بخش روانشناسی دانشگاه شهید باهنر کرمان ایران)
حسینعلی ابراهیمی نژاد ² (متخصص بیماری های مغز و اعصاب، مرکز تحقیقات بیماری های مغز و اعصاب کرمان، دانشگاه علوم پزشکی کرمان)
مسعود فضیلت پور ³ (دانشیار روانشناسی شناختی دانشگاه شیراز)

تاريخ الإرسال : 17 السبت , ربيع الثاني, 1441 تاريخ التأكيد : 26 الخميس , شوال, 1441 تاريخ الإصدار : 26 الثلاثاء , جمادى الأولى, 1441

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

المصادر:

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