هم‌سنجی درمان فراشناختی و درمان مبتنی بر فعال‌سازی رفتاری بر ابعاد نشخوار فکری در زنان مبتلا به اختلال افسردگی اساسی
الموضوعات :
مجید جامه بزرگی
1
,
علی آل یاسین
2
,
حسن حیدری
3
,
حسین داودی
4
1 - دانشجوی دکتری روانشناسی عمومی، گروه روانشناسی، دانشکده علوم انسانی، واحد خمین، دانشگاه آزاد اسلامی، خمین، ایران
2 - استادیار، گروه روانشناسی بالینی، دانشکده علوم انسانی، واحد آشتیان، دانشگاه آزاد اسلامی، آشتیان، ایران (نویسنده مسئول) aleyasin_psychology@yahoo.com, tell: 09189872586
3 - دانشیار، گروه مشاوره و روانشناسی، دانشکده علوم انسانی، واحد خمین، دانشگاه آزاد اسلامی، خمین، ایران. heidarihassan@yahoo.com
4 - استادیار، گروه مشاوره و روانشناسی، دانشکده علوم انسانی، واحد خمین، دانشگاه آزاد اسلامی، خمین، ایران
الکلمات المفتاحية: اختلال افسردگی اساسی, درمان فراشناختی, درمان فعال‌سازی رفتاری, نشخوار فکری,
ملخص المقالة :
چکیده مقدمه: پژوهش‌های متعدد به بالا بودن نشخوار فکری در زنان مبتلا به اختلال افسردگی اساسی اشاره دارند. هدف پژوهش حاضر هم‌سنجی درمان فراشناختی و درمان مبتنی بر فعال‌سازی رفتاری بر ابعاد نشخوار فکری در زنان مبتلا به اختلال افسردگی اساسی بود. روش پژوهش: پژوهش حاضر مطالعه شبه‌آزمایشی با طرح پیش‌آزمون - پس‌آزمون - پیگیری با گروه گواه بود. جامعه آماری این پژوهش شامل کلیه زنان دارای اختلال افسردگی اساسی مراجعه‌کننده به کلینیک‌های روانشناسی مستقر در منطقه 8 شهر تهران بود که تعداد 45 نفر به شیوه هدفمند انتخاب و با گمارش تصادفی در دو گروه آزمایش و یک گروه گواه قرار گرفتند. ابزار این پژوهش پرسشنامه نشخوار فکری بود. برای گروه آزمایش اول درمان فراشناخت و برای گروه آزمایش دوم درمان فعال‌سازی رفتاری در 8 جلسه 90 دقیقه‌ای برگزار شد، اما گروه گواه مداخله‌ای دریافت نکرد. داده‌ها با بهره‌گیری از تحليل واریانس آميخته تجزیه‌وتحلیل شدند. یافته¬ها: نتایج حاکی از آن بود که درمان فراشناختی و درمان فعال‌سازی رفتاری باعث کاهش نشخوار فکری و مؤلفه‌های آن در پایان مداخلات و دوره پیگیری شده بودند (05/0p>). نتایج نشان داد درمان فعال‌سازی رفتاری در کاهش علائم نشخوار فکری، نسبت به درمان فراشناختی اثربخشی بیشتری را نشان می‌دهد (05/0p>). نتیجه‌گیری: درمان فعال‌سازی رفتاری به دلیل تأثیری که بر افسردگی دارد می‌تواند به تنهایی و یا با درمان مکمل در کاهش نشخوار فکری و علائم افسردگی در زنان مبتلا به اختلال افسردگی اساسی مؤثر باشد.
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