پديد آورندگان :
حسني اردكاني، هاجر دانشگاه آزاد اسلامي واحد مرودشت - گروه روانشناسي , جاويدي، حجت الله دانشگاه آزاد اسلامي واحد مرودشت - گروه روانشناسي , مهريار، اميرهوشنگ دانشگاه آزاد اسلامي واحد مرودشت - گروه روانشناسي , حسيني، ابراهيم دانشگاه آزاد اسلامي واحد مرودشت - گروه روانشناسي
كليدواژه :
ذهن آگاهي , رفتاردرماني شناختي , افسردگي دوقطبي , شيدايي , اختلال دوقطبي
چكيده فارسي :
هدف
اختلال دوقطبي يكي از بيماري هاي مزمن روان پزشكي است كه با فازهاي شيدايي و افسردگي همراه است. لذا هدف از اين پژوهش مقايسه شناخت درماني مبتني بر ذهن آگاهي و رفتاردرماني شناختي متمركز بر بهبودي بر افسردگي دوقطبي و شيدايي بود.
روش بررسي
پژوهش حاضر طرحي نيمه آزمايشي از نوع پيش آزمون و پس آزمون با گروه گواه بود. جامعه آماري شامل تمامي بيماران مبتلا به اختلال دوقطبي در شهر شيراز بودند. تعداد 36 بيمار مبتلا به اختلال دوقطبي داوطلب براي شركت در تحقيق، به صورت تصادفي در دو گروه آزمايش و يك گروه گواه قرار گرفتند. گروه آزمايش (12 نفر: 4 زن، 8 مرد) آموزش رفتاردرماني- شناختي مبتني بر ذهن آگاهي و گروه آزمايش دوم (12 نفر: 4 زن، 8 مرد) آموزش رفتاردرماني-شناختي متمركز بر بهبودي را دريافت و گروه گواه (12نفر: 5 زن، 7مرد) هيچ مداخله اي دريافت نكرد. شركت كنندگان مقياس درجه بندي افسردگي دوقطبي (برك، 2007) و مقياس درجه بندي شيدايي (يانگ و همكاران، 1978) را در پيش آزمون و پس آزمون تكميل كردند. تجزيه و تحليل داده ها با استفاده از تحليل كوواريانس چندمتغيره در سطح معناداري 0٫05 و نرم افزار SPSS-23 انجام گرفت.
يافته ها
نتايج نشان داد هر دو مداخله شناخت درماني مبتني بر ذهن آگاهي و رفتاردرماني شناختي متمركز بر بهبودي به شكل معناداري باعث كاهش افسردگي دوقطبي و شيدايي در بيماران دوقطبي شدند (0٫001>p).
نتيجه گيري
براساس يافته هاي پژوهش، هر دو مداخله شناخت درماني مبتني بر ذهن آگاهي و رفتاردرماني- شناختي متمركز بر بهبودي در كاهش نشانگان در بيماران دوقطبي موثرند.
چكيده لاتين :
Background & Objective: Bipolar disorder (BD) is one of the chronic psychiatric disorders that accompany depression and mania phases. This
study aimed to compare the effectiveness of mindfulness-based cognitive therapy (MBCT) and recovery-focused cognitive behavioral therapy
(RFCBT) on bipolar depression and mania in patients with BD.
Methods: This study was a semi-experimental design with pre-test and post-test type with a control group. The statistical population of this
study included all patients with bipolar disorder in psychiatric hospitals of Mohariri, Ibn Sina, and Hafez in Shiraz. Out of this sample population,
36 bipolar patients were selected to participate in the study. After obtaining informed consent from them, samples matched in terms of sex, age,
illness, and drug therapy (all patients received lithium). Then, they randomly assigned to two experimental groups and one control group. The
criteria for entering the study include the definitive diagnosis of bipolar disorder by a psychiatrist; having a DSM-5 diagnostic criterion for
having mania, semi-mania, major depression, or mixed-age; age over 18; having a minimum reading and writing literacy and the ability to
complete questionnaires; ; Absence from the acute phase of illness or hospitalization in the hospital during the past 2 months due to the intolerance
of psychological treatment in the critical period of the disease (at least two months from the last recurrence period) and willingness to participate
in the study. Exit criteria include spinal bipolar disorder (more than four periods of depression and mania less than one month that occurred
during the past year), secondary bipolar disorder due to organic causes, and history of substance abuse during the past and present, the past or
current history of other psychiatric disorders was in the first and second axis. A test group (12 people: 4 women, eight men) received cognitivebased
Mindfulness Therapy. The second trial group (12 people: 4 women, eight men) received cognitive behavioral therapy focused on recovery,
and the control group (12 people: 5 women, seven men) received no intervention and placed on the waiting list. Participants completed the
Bipolar Depression Scale and Yang Mania Scale in pre-test and post-test. Data were analyzed by SPSS-22 software using covariance analysis.
Results: The results of this study showed that both cognitive-based cognitive therapy interventions focused on recovery significantly decreased
bipolar depression and mania in bipolar patients (p< 0.01). However, among There were no significant differences in the effectiveness of these
two interventions on these variables.
Conclusion: In general, according to the findings of this research, it can be concluded that depression and mania which are the symptoms of
patients with bipolar disorder can be as a result of the use of psychological interventions such as cognitive therapy based on mind-awareness and
focused cognitive behavior therapy Improve on recovery. Also, since the sample of this study was under medical treatment, these two treatments
can be used in conjunction with drug therapy for patients with bipolar disorder. On the other hand, these two treatments did not have any effect
on depression and mania, and both treatments were equally effective.
