مقایسه اثر بخشی درمان شناختی- رفتاری و درمان مبتنی بر پذیرش و تعهد برافسردگی و علائم مثبت و منفی در بیماران اختلال دو قطبی
محورهای موضوعی : تکتونواستراتیگرافی
فرزانه محمدی
1
(دانشگاه آزاد اسلامی مرودشت،ایران)
حسین بقولى
2
(عضو هیئت علمى)
امیر هوشنگ مهریار
3
(اعضاء تحریریه)
سیامک سامانی
4
(هیات علمی)
کلید واژه: افسردگی, درمان شناختی-رفتاری, درمان مبتنی بر پذیرش و تعهد, اختلال دوقطبی, علائم مثبت و منفی,
چکیده مقاله :
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.
Abstract
The purpose of this study was to compare the effectiveness of cognitive-behavioral therapy and admission-and-acceptance therapy on depression and positive and negative symptoms of bipolar disorder patients. In this quasi-experimental study, 36 pre-test and post-test posttest students were randomly selected using available sampling method and 36 psychiatric hospitals referring to diagnostic and statistical guidelines for psychiatric disorders , Diagnosed with bipolar disorder, were randomly divided into three groups of 12. The first group received 10 sessions of cognitive-behavioral therapy, the second group received no intervention during 12 sessions of acceptance and commitment therapy, and the control group received no intervention and were placed on the waiting list. Data were collected through questionnaires of bipolar depression and positive and negative symptoms of schizophrenia. For data analysis, covariance analysis was used. The findings showed that cognitive-behavioral therapy and admission and commitment therapy in the experimental groups reduced depression and positive and negative symptoms. While no change was observed in the control group.
There was also no significant difference between cognitive-behavioral therapy and acceptance-based treatment and commitment to reduce depression. But the ACT approach has been more effective in regulating both positive and negative symptoms. The results of these treatments will reduce the symptoms of bipolar disorder. Therefore, the development of these therapeutic interventions along with drug therapy can control and prevent recurrence of symptoms of bipolar disorder.
Keywords: Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, Bipolar Disorder, Positive and Negative Symptoms, Depression
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