اثربخشی مداخله شناختی رفتاری مبتنی بر ذهن آگاهی بر حافظه فعال در بیماران مبتلا به مالتیپل اسکلروزیس و افراد سالم

فصلنامه علمی روش ها و مدل های روانشناختی

مقاله 7، دوره 10، شماره 38، بهمن 1398، صفحه 125-146   

نوع مقاله: مقاله پژوهشی

نویسندگان

عاطفه فخرمند¹؛ حسینعلی ابراهیمی نژاد²؛ مسعود فضیلت پور^{* 3}

¹ارشد روانشناسی بالینی بخش روانشناسی دانشگاه شهید باهنر کرمان ایران

²متخصص بیماری های مغز و اعصاب، مرکز تحقیقات بیماری های مغز و اعصاب کرمان، دانشگاه علوم پزشکی کرمان

³دانشیار روانشناسی شناختی دانشگاه شیراز

تاریخ دریافت: 23 آذر 1398،  تاریخ بازنگری: 24 خرداد 1399،  تاریخ پذیرش: 29 خرداد 1399 

چکیده

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

کلیدواژه‌ها

درمان شناختی رفتاری مبتنی بر ذهن آگاهی؛ حافظه فعال؛ مالتیپل اسکلروزیس؛ افراد سالم

عنوان مقاله [English]

The Effectiveness of Mindfulness integrated Cognitive Behaviour Therapy on Working Memory in Patients with Multiple Sclerosis and Healthy People

نویسندگان [English]

atefeh fakhrmand¹؛ Hossein Ali Ebrahimi Meimand²؛ masuod fazilatpoor³

¹MA Clinical Psychology, Shahid Bahonar University, Kerman, Iran

²Neurology specialist ,Neurology Research Centre, Kerman University of Medical Sciences

³Associat Professor of Cognitive Psychology, Faculty of Educational Sciences and Psychology, Shiraz University,

چکیده [English]

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.

کلیدواژه‌ها [English]

MiCBT, working memory, Multiple Sclerosis, Healthy people

مراجع

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