اثربخشی تحریک الکتریکی فراجمجمهای بر نظمجویی شناختی هیجان در افراد مبتلا به اضافه وزن و چاقی
محورهای موضوعی : تکتونواستراتیگرافیاصغر محمدزاده 1 , کیومرث بشلیده 2 , نجمه حمید 3 , نسرین ارشدی 4
1 - دانشجوی دکتری روانشناسی، گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه شهید چمران اهواز، اهواز، ایران
2 - استاد گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه شهید چمران اهواز، اهواز، ایران
3 - دانشیار گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه شهید چمران اهواز، اهواز، ایران
4 - استاد گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه شهید چمران اهواز، اهواز، ایران
کلید واژه: تحریک الکتریکی فراجمجمهای, نظمجویی شناختی هیجان, اضافه وزن,
چکیده مقاله :
پژوهش حاضر با هدف بررسی اثربخشی تحریک الکتریکی فراجمجمهای بر نظمجویی شناختی هیجانی در زنان مبتلا به اضافه وزن و چاقی در شهر اهواز بود. روش این پژوهش، آزمایشی با استفاده از پیشآزمون و پسآزمون بود. جامعه آماری شامل همه زنان مبتلا به اضافه وزن و چاقی مراجعهکننده به مراکز تغذیه شهر اهواز در سال 1398 بوده که تعداد 30 نفر از آنها به روش نمونهگیری در دسترس انتخاب شدند. سپس بهصورت تصادفی در دو گروه آزمایش و کنترل گمارش شدند و هر دو گروه در دو مقطع با پیشآزمون و پسآزمون از با استفاده از پرسشنامه نظمجویی شناختی هیجان گارنفسکی مورد ارزیابی قرار گرفتند. گروه آزمایش بعد از ارزیابی اولیه به تعداد سه جلسه تحریک آندی نقطه DLPFC راست دریافت نمود در حالیکه گروه کنترل هیچگونه مداخلهای دریافت ننمودند. دادهها با استفاده از از نرمافزار SPSS-23 تحلیل شدند. نتایج این پژوهش نشان داد که اثربخشی تحریک الکتریکی فراجمجمهای بهطور معنیداری بر تعدیل نظمجویی شناختی هیجان مؤثر بوده است. بهعلاوه، این مداخله میتواند موجب افزایش ارزیابی مجدد و کاهش نشخوار فکری در افراد مبتلا به چاقی و اضافه وزن گردد.
The present study was conducted aiming to determine the effectiveness of Transcranial direct current stimulation (TDCS) on emotional cognitive regulation in women with obesity and overweight in the city of Ahvaz. The statical method used in this study is A Experimental method using pre-test and post-test .The statistical population including all women with overweight and obesity which referred to nutrition clinics in Ahvaz city at 2019. A to 30 of overweight and obesity women were selected by available sampling among the referring to nutrition clinics in Ahvaz then randomly assigned to two experimental and control groups and both groups were evaluated with pre-test(before intervention) and post-test(after intervention).after the initial assessment by Garnfeski emotion cognitive regulation questionnaire. The experimental group received Three Sessions of Anod Stimulation Over right DLPFC Reigon, while the control group didn’t receive any intervention. The data were analysised by SPSS-23.The results of this research showed that TDCS Intervention have been significantly effective in modulating emotional cognitive regulation (p < 0.01). In addition, this intervention can increase reassessment and decrease Thought Rumination in people with obesity and overweight.
Amianto, F., Siccardi, S., Abbate-Daga, G., Marech, L., Barosio, M., & Fassino, S. (2012). Does anger mediate between personality and eating symptoms in bulimia nervosa?. Psychiatry Research, 200(2), 502-512. Araujo, C., Fitz, R. C., Nogara, D. A., Schestatsky, P., & Gerchman, F. (2018). Effect of transcranial direct current stimulation associated with hypocaloric diet on weight loss and metabolic profile in overweight or obesity: Study protocol for a double-blind, randomized controlled clinical trial. Trials, 19(1), 386-398.
Ayyad, C., & Andersen, T. (2001). Long term efficacy of dietary treatment of obesity: A systematic review of studies published between 1931 and 1999. Obesity Reviews, 2(1), 113-119.
Ballard, K., & Knutson, B. )2009(. Dissociable neural representations of future reward magnitude and delay during temporal discounting. Neuroimage, 45(1), 143-150.
Bas, M., & Donmez, S. (2009). Self-efficacy and restrained eating in relation to weight loss among overweight men and women in Turkey. Appetite, 52(1), 209-216.
Beaver, J. D., Lawrence, A. D., Ditzhuijzen, J., Davis, M. H., Woods, A., & Calder, A. J. (2006). Individual differences in reward drive predict neural responses to images of food. Neurosci, 26(19), 5160-5166.
Bohon, C., & Stice, E. (2012). Negative affect and neural response to palatable food intake in bulimia nervosa. Appetite, 58(3), 964-970.
Bucchianeri, M. M., & Newmark-Sztainer, D. (2014). Body dissatisfaction: An overlooked public health concern. Journal of Public Mental Health, 13(2), 64-69.
Byrne, S., Barry, D., & Petry, N. M. )2012(. Predictors of weight loss success, Exercise vs. dietary, self-efficacy and treatment attendance. Appetite, 58(2), 695-698.
Cai, X. Y., Kim, S., & Lee, D. (2011). Heterogeneous coding of temporally discounted values in the dorsal and ventral striatum during intertemporal choice. Neuron, 69(1), 170-182.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56(2), 267-283.
Cooney, R. E., Joormann, J., Eugene, F., Dennis, E. L., & Gotlib, I. H. (2010). Neural correlates of rumination in depression. Cognitive Affective & Behavioral Neuroscience, 10(4), 470-478. Cruz Gonzalez, P., Fong, K. N. K., & Brown, T. (2018). The effects of transcranial direct current stimulation on the cognitive functions in older
93 )52- روشها و مدلهای روانشناختی/سال دهم/شماره سی و هفتم/ پاییز 8931 )صص 44
adults with mild cognitive impairment: A pilot study. Behavioral Neurology, 5971385: 1-14.
Evers, C., Stok, F. M., & DeRidder, D. T. (2010). Feeding your feelings: Emotion regulation strategies and emotional eating. Personality and Social Psychology Bulletin, 36(6), 792-804.
Fagundo, A. B., Torre, R., Jimenez-Murcia1, S., Agüera, Z., Granero, R., Tarrega, S., Botella, C., Banos, R., Ferandez-Real, J. M., Rodriguez, R., Forcano, L., Frühbeck, G., Gomez-Ambrosi, J. J. Tinahones, F., FernandezGarc.a, J. C., Casanueva, F. F., & Fernandez-Aranda, F. (2012). Executive functions profile in extreme eating/weight conditions: From anorexia nervosa to obesity, PLoS ONE, 7(8), 43382-43391.
Fahimi, M., Arjmandnia, A. A., & Athabadi, J. (2014). Investigate ng efficacy of “working memory training software” on students working memory. Applied Psychological Research Quarterly, 5(2), 65-80. (Persian)
Fairburn, C., Cooper, Z., & Shafran. R. (2003). Cognitive behavior therapy for eating disorders: A “Trance-diagnostic” theory and treatment. Behavior Research and Therapy, 41(5), 509-518.
Fallahzadeh, H., Saadati, H., & Keyghobadi, N. (2017). Estimating the prevalence and trends of obesity in Iran populations from 2000 to 2011: A meta-analysis study. Journal of Shahid Sadoughi University of Medical sciences, 25(9), 681-689. (Persian)
Farmer, R. F., Nash, H. M., & Field, C. E. (2001). Disordered eating behaviors and reward sensitivity. Journal of Behavior Therapy and Experimental Psychiatry, 32(4), 211-219.
Ferdek, M. A., Van Rijn, C. M., & Wyczesany, M. (2016). Depressive rumination and the emotional control circuit: An EEG localization and effective
connectivity study. Cognitive, Affective, & Behavioral Neuroscience, 16(6), 1099-1113.
Fitzgerald, P. B., Laird, A. R., Maller, J., & Daskalakis, Z. J. (2008). A meta.analytic study of changes in brain activation in depression. Human Brain Mapping, 29(6), 683-695.
Fregni, F., Orsati, F., Pedrosa, W., Fecteau, S., Tome, F. A. M., Nitsche, M. A., Mecca, T., Macedo, E. C., Pascual-Leone, A., & Boggio, P. S. (2008). Transcranial direct current stimulation of the prefrontal cortex modulates the desire for specific foods, Appetite, 51(1), 34-41.
Ganley, R. M. (1989). Emotion and eating in obesity: A review of the literature. International Journal of Eating Disorders, 8(3), 343-361.
Garnefski, N., Kraaij, V., & Spinhoven, P. (2002) CERQ: Manual for the use of the Cognitive Emotion Regulation Questionnaire. The Netherlands: DATEC, Leiderdorp.
43 اثربخشی تحریک الکتریکی فراجمجمهای بر نظمجویی شناختی هیجان. . .
Goss, K., & Allan, S. (2010). Compassion focused therapy for eating disorders. International Journal of Cognitive Therapy, 971385, 1-14.
Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation. New York, NY: Guilford Press.
Guerrieri, R., Nederkoorn, C., & Jansen, A. (2008). The effect of an impulsive personality on overeating and obesity: Current state of affairs. Psychological Topics, 17(2), 265-286.
Hasani, J. (2010). The psychometric properties of the Cognitive Emotion Regulation Questionnaire (CERQ). Journal of Clinical Psychology, 2(3), 73-84. (Persian)
Hassanzadeh, S., & Ahmadi, A. (2015). Meta-analysis of working memory training and its generalization effect. Applied Psychological Research Quarterly, 6(1), 25-46. (Persian)
Hausmann, A., Mangweth, B., Walpoth, M., Hoertnagel, C., Kramer-Reinstadler, K., Rupp, C. I., & Hinterhuber, H. (2004). Repetitive transcranial magnetic stimulation (rTMS) in the double-blind treatment of a depressed patient suffering from bulimia nervosa: A case report. The International Journal of Neuropsychopharmacology, 7(3), 371-373.
Hawkins, M. A. W., & Stewart, J. C. (2012). Do negative emotional factors have independent associations with excess adiposity? Journal of Psychosomatic Research, 73(4), 243-250.
Iraqi, F. (2015). Evaluation of the effect of direct electrical stimulation of the skull in the posterior prefrontal cortex posterior prefrontal cortex on the amount of craving control in amphetamine-dependent patients. M.A. thesis of General Psychology, Payame Noor University, Tehran. (Persian)
Kable, J. W., & Glimcher, P. W. (2009). The neurobiology of decision: Consensus and controversy. Neuron, 63(6), 733-745. Kazemi, R., Ghazanfari, F., & Gholamrezaei, S. (2019). The effect of bilateral repetitive transcranial magnetic stimulation on rumination in patients with major depressive disorder: A clinical trial. Journal of Rafsanjan University of Medical Sciences, 17(10), 961-974. (Persian)
Kekic, M., McClelland, J., Bartholdy, S., Boysen, E., Musiat, P., Dalton, B., Tiza, M., David, A. S., Campbell, I. C., & Schmidt, U. (2017). Single-session transcranial direct current stimulation temporarily improves symptoms, mood, and self-regulatory control in bulimia nervosa: A randomized controlled trial. PLoS ONE 12(1), 0167606-0167631.
Khodapanah, M., Moradi, A. R., Vosough, S., & Khodapanah, M. (2010). Executive function of performance (inhibition) in obesity patients. Journal of Clinical Psychology, 2(1), 51-58. (Persian)
Lazarus, R. S. (1991). Emotion and adaptation. New York: Oxford University Press.
Loxton, N. J., & Dawe, S. (2001). Alcohol abuse and dysfunctional eating in adolescent girls: The influence of individual differences in sensitivity to reward and punishment. The International Journal of Eating Disorder, 29(4), 455-462.
Mancuso, S. G. (2016). Body image inflexibility mediates the relationship between body image evaluation and maladaptive body image coping strategies. Body Image, 16, 28-31.
Mandell, D., Siegle, G. J., Shutt, L., Feldmiller, J., & Thase, M. E. (2014). Neural substrates of trait ruminations in depression. Journal of Abnormal Psychology, 123(1), 35-48.
Marsh, R., Horga, G., Wang, Z., Wang, P., Klahr, K. W., Berner, L. A., Walsh, B. T., & Peterson, B. S. (2011). An FMRI study of self-regulatory control and conflict resolution in adolescents with bulimia nervosa. American Journal of Psychiatry, 168(11), 12101220.
Marsh, R., Steinglass, J. E., Gerber, A. J., Graziano O'Leary, K., Wang, Z., Murphy, D., Walsh, B. T., & Peterson, B. S. (2009). Deficient activity in the neural systems that mediate self-regulatory control in bulimia nervosa. Archives of General Psychiatry, 66(1), 51-63.
Martin, P. D., Dutton, G. R., & Brantley, P. J. (2004). Self-efficacy as a predictor of weight change in African-American women. Obesity Research, 12(4), 646-651.
McClelland, J., Bozhilova, N., Campbell, I., Schmidt, U. (2013). A systematic review of the effects of neuromodulation on eating and body weight: Evidence from human and animal studies. European Eating Disorders Review, 21(6), 436-55.
Meule, A., Papies, E. K., & Kübler, A. (2012). Differentiating between successful and unsuccessful dieters. Validity and reliability of the perceived self-regulatory success in dieting scale. Appetite, 58(3), 822-826.
Miller, E. K. (2000). The pre frontal cortex and cognitive control. Nature Reviews Neuroscience. 1(1), 59-65.
Neli, N., Maribel, P., Antoni, G., Jose, S., & Guillem, F. (2017). Emotional eating and cognitive conflicts as predictorsof binge eating disorder in patients with obesity. International Journal of Clinical and Health Psychology, 1(18), 52-59.
Nitsche, M. A., Liebetanz, D., Antal, A., Lang, N., Tergau, F., & Paulus, W. (2003). Modulation of cortical excitability by weak direct current stimulation-technical, safety and functional aspects. Supplement Clinical Neurophysiology, 56, 255–276.
45 اثربخشی تحریک الکتریکی فراجمجمهای بر نظمجویی شناختی هیجان. . .
Pearson, A. N., Follette, V. M., & Hayes, S. C. (2012). A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive and Behavioral Practice, 19(1), 181-197.
Pena-Gomez, C., Vidal-Pineiro, D., Clemente, I. C., Pascual-Leone, A., & Bartres-Faz, D. (2011). Down-regulation of negative emotional processing by transcranial direct current stimulation: effects of personality characteristics. PLoS ONE, 6(7): 22812-22821.
Rabbani Parsa1, M. J. Mashhadi, A., & Bigdeli, I. (2018). The effectiveness of group motivational interviewing in reducing emotional eating and anxiety in obese people: the moderator role of impulsiveness. Health Psychology, 7(2), 44-61. (Persian)
Reinert, K., R., S., Po’e, E., K., & Barkin, S., L. (2013). The relationship between executive function and obesity in children and adolescents: A systematic literature review. Journal of Obesity, 820956, 1-10.
Rottenberg, J., & Gross, J. J. (2003). When emotion goes wrong: Realizing the promise of affective science. Clinical Psychology Science and Practice, 10(2), 227-232.
Salehi Fadardi, J. (2011). A comparison of motivational structure and eating behaviors between overweight and obese and normal weight women. Journal of Fundamentals of Mental Health, 13(2), 170-81. (Persian)
Santonja, F. J., Morales, A., Villanueva, R. J., & Cortes, J. C. (2012). Analyzing the effect of public health campaigns on reducing excess weight: A modeling approach for the Spanish autonomous region of the community of Valencia. Evaluation and Program Planning, 35(1), 34-39.
Sevincer, G. M., & Konuk, N. (2013). Emosyonel yeme. Journal of Mood Disorders, 3(4), 171-178.
Shin, H., Shin, J., Liu, P. Y., Dutton, G. R., Abood, D. A., & Ilich, J. Z. (2011). Self-efficacy improves weight loss in overweight/obese postmenopausal women during a 6-month weight loss intervention. Nutrition Research, 31(11), 822-828.
Shomalizadeh, M. (2016). The effect of bilateral frontal cortex stimulation by TDCS on reducing craving. M.A. Thesis of Clinical Psychology, Faculty of Education and Psychology, University of Rehabilitation Sciences and Social Welfare, Tehran. (Persian)
Sodersten, P., Bergh, C., Leon, M., Brodin, U., & Zandian, M. (2017). Cognitive behavior therapy for eating disorders versus normalization of eating behavior. Physiology & Behavior, 174, 178-190.
Spoor, S. T. P., Bekker, M. H. J., Van Strien, T; & Van Heck, G. L. (2007). Relations between negative affect, coping, and emotional eating. Journal of Appetite, 48(3), 368-376.
Stanton, M. P., Houser, R. A., Kiper Riechel, M. E., Burnham, J. J., & McDougall, G. (2015). The effect of transcranial direct current stimulation (tDCS) on resilience, compassion fatigue, stress and empathy in professional nurses. Advances in Research, 5(2), 1-11.
Van den Bos, W., & McClure, S. M .(2013). Towards a general model of temporal discounting. Journal of the Experimental Analysis Behavior,
99(1), 58-73.
Van den Bos, W., Rodriguez, C. A., Schweitzer, J. B., & McClure, S. M .(2014).
Connectivity strength of dissociable striatal tracts predict individual differences in temporal discounting. The Journal of Neuroscience, 34(31), 10298-10310.
Vanderhasselt, M. A., De Raedt, R., Namur, V., Lotufo, P. A., Bensenor, I. M., & Boggio, P. S. (2015). Transcranial electric stimulation and neurocognitive training in clinically depressed patients: a pilot study of the effects on rumination. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 57(34), 93-99.
Waller, G., Gray, E., Hinrichsen, H., Mountford, V., Lawson, R., & Eloise, P. (2014). Cognitive-behavioral therapy for bulimia nervosa and atypical bulimic nervosa: Effectiveness in clinical settings. International Journal of Eating Disorder, 47(1), 13-17.
Whiteside, U., Chen, E., Neighbors, C., Hunter, D., Lo, T., & Larimer, M. (2007). "Difficulties regulating emotions: Do binge eaters have fewer strategies to modulate and tolerate negative affect?. Journal of Eating Behaviors, 8(2), 162-169.
Wierenga, C. E., Ely, A., Bischoff-Grethe, A., Bailer, U. F., Simmons, A. N., & Kaye, W. H. (2014). Are extremes of consumption in eating disorders related to an altered balance between reward and inhibition?. Frontiers in Behavioral Neuroscience, 8: 410.
World Health Organization. (2015). Obesity and over-weight. Retrieved From http://www.who.int/mediacentre/factsheets/fs.
Zilabi Sindegani, E. (2016). Effect of direct skull electrical stimulation on food craving reduction and food-related implicit memory bias. M.A. Thesis of Clinical Psychology, Semnan University, Semnan. (Persian)