اثربخشی مداخله شناختی رفتاری مبتنی بر ذهن آگاهی بر حافظه فعال در بیماران مبتلا به مالتیپل اسکلروزیس و افراد سالم
محورهای موضوعی : تکتونواستراتیگرافی
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)
کلید واژه: درمان شناختی رفتاری مبتنی بر ذهن آگاهی, حافظه فعال, مالتیپل اسکلروزیس, افراد سالم,
چکیده مقاله :
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
Background and purpose: Multiple Sclerosis is a disease of young age. Cognitive problems are among the problems that people with disabilities are faced with. Most of the cognitive disorders in patients with MS are related to working memory and attention retention. Mindfulness-integrated Cognitive Behaviour Therapy [MiCBT] is a non-pharmacological psychotherapeutic approach. Non-pharmacological treatment along with drug therapy seems necessary in dealing with the MS condition.
Materials and methods: This study is designed to investigate the effectiveness of MiCBT on working memory in adults with multiple sclerosis and healthy people using subscales from the PCAP and Wechsler adult intelligence scale. The design of the study was semi-experimental. The study population included patients who referred to the Kerman MS society with a disability rating of 3 to 6 and healthy were companions of these patients. 24 patients and 24 healthy were selected as study sample using a convenience sampling method, then they were randomly divided into two intervention groups (n=14), MiCBT, and two control groups (n=10). Pre and post-intervention data subjected to descriptive and inferential statistics using SPSS.
Results: Results of repeated measure ANOVA have shown that the working memory was significantly increased in the MiCBT group when compared to the MS control and healthy people.
Conclusion: Hence, MICBT is suggested as a suitable intervention in improving the working memory.
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