Iranian Journal of Psychiatry and Clinical Psychology
مجله روانپزشكي و روانشناسي باليني ايران
IJPCP
Medical Sciences
http://ijpcp.iums.ac.ir
18
journal18
1735-4315
2228-7515
10.32598/ijpcp
fa
jalali
1393
11
1
gregorian
2015
2
1
20
4
online
1
fulltext
fa
مقایسه اثربخشی درمان شناختی مبتنی بر حضور ذهن با درمان فعالسازی رفتاری در کاهش علایم، بهبود کیفیت زندگی و کاهش افکار خودکشی افراد مبتلا به افسردگی
Comparison of the Effectiveness of Mindfulness-Based Cognitive Therapy and Behavioral Activation Treatment for Depression in Reducing Symptoms, Improving Quality of Life and Decreasing Suicidal Thoughts in Depressed Individuals
روانپزشکی و روانشناسی
Psychiatry and Psychology
پژوهشي اصيل
Original Research
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<p style="line-height: 18pt" dir="rtl" class="a"><span style="position: absolute z-index: -1 left: 0px margin-left: -59px margin-top: 186px width: 32px height: 47px"> </span></p><b><u><span lang="AR-SA">هدف</span></u><span lang="AR-SA">:</span></b><span lang="AR-SA"> این پژوهش با هدف مقایسهاثربخشی
درمان شناختی مبتنی بر حضور ذهن با درمان فعالسازی رفتاری در کاهش علایم، <span> </span>بهبود کیفیت زندگی و کاهش افکار خودکشی افراد افسرده
صورت گرفت. </span><b><u><span lang="AR-SA">روش</span></u><span lang="AR-SA">:</span></b><span lang="AR-SA"> پژوهش حاضر با طرح تحلیل واریانس
مختلط بین- درونگروهی اجرا شد. جامعه آماری، دانشجویان دانشگاه آزاد اسلامی واحد
ملایر بود.</span><span lang="AR-SA"> </span><span lang="AR-SA">از
بین 364 نفر<span style="letter-spacing: -0.1pt">، 45 دانشجویی که در آزمون افسردگی
بک نمره بالاتر از 20 داشتند انتخاب و در نهایت بر اساس مصاحبه بالینی ساختاریافته
(</span></span><span dir="ltr">SCID</span><span dir="rtl"></span><span lang="FA"><span dir="rtl"></span>)، 34 نفر که تشخیص دیستایمیا داشتند، </span><span lang="AR-SA">بهعنوان نمونه پژوهش انتخاب شدند و
بهطور تصادفی در دو گروه شناختدرمانی مبتنی بر حضور ذهن و درمان فعالسازی
رفتاری قرار گرفتند. گروههای آزمایش در هشت جلسه مداخلههای درمانی دریافت کردند.
اندازهگیریها با استفاده از پرسشنامه افسردگی بک</span><span dir="ltr"></span><span lang="AR-SA" dir="ltr"><span dir="ltr"></span>
</span><span dir="rtl"></span><span lang="AR-SA"><span dir="rtl"></span><span> </span>(</span><span dir="ltr">BDI-II</span><span dir="rtl"></span><span lang="AR-SA"><span dir="rtl"></span>) و پرسشنامه
کیفیت زندگی سازمان بهداشت جهانی (</span><span dir="ltr">WHO-QOL</span><span dir="rtl"></span><span lang="AR-SA"><span dir="rtl"></span>)، طی چهار مرحله
پیش آزمون، ارزیابی هفته چهارم، پس آزمون و پیگیری دوماهه انجام شد. تحلیل دادهها
با استفاده از آزمون آماری تحلیل واریانس آمیخته صورت گرفت. </span><b><u><span lang="AR-SA">یافتهها</span></u><span lang="AR-SA">:</span></b><span lang="AR-SA"> نتایج نشان داد هر دو مداخله شناختدرمانی مبتنی بر حضور ذهن
و فعالسازی رفتاری در بهبود علایم افسردگی، کیفیت زندگی و افکار خودکشی به یک
اندازه تغییر ایجاد میکند. بهعبارتی اثر زمان (اثر درون گروهی) معنادار (05/0</span><span dir="ltr">p<</span><span dir="rtl"></span><span lang="AR-SA"><span dir="rtl"></span>) بود، <span> </span>اما اثر بین گروهی
معنادار مشاهده نشد.<b> </b></span><u><span lang="AR-SA"><b>ن</b>تیجهگیری</span></u><span lang="AR-SA">:</span><span lang="AR-SA"> درمان شناختی مبتنی بر حضور ذهن و فعالسازی
رفتاری برکیفیت زندگی و افکار خودکشی افراد مبتلا به افسردگی اثربخشی یکسانی
دارد.</span>
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<p style="text-align: justify line-height: 14pt direction: ltr unicode-bidi: embed" class="MsoNormal"><b><u><span style="font-size: 9pt">Objectives</span></u></b><b><span style="font-size: 9pt">:</span></b><span style="font-size: 9pt"> </span><span class="hps"><span lang="EN" style="font-size: 9pt">This</span></span><span lang="EN" style="font-size: 9pt"> <span class="hps">study
was aimed</span> <span class="hps">to compare the effectiveness</span> <span class="hps">of</span> <span class="hps">mindfulness</span>-based <span class="hps">cognitive
therapy</span> with behavioral <span class="hps">activation</span> <span class="hps">treatment</span> in reducing symptoms, improving quality of life <span class="hps">and decreasing suicidal thoughts</span>. <span class="hps"><b><u>Method</u>:</b>
A</span> <span class="hps">quasi-</span>experimental method and<span class="hps">
mixed analysis of variances</span> <span class="hps">between-within group was
conducted. The population included students of Islamic Azad University, Malayer
Branch. Out of 364 individuals, 45 students with minimum</span> score of 20 in<span class="hps"> Beck Depression Inventory</span> were selected for the next stage in
which <span class="hps">though</span> </span><span style="font-size: 9pt">Structured Clinical Interview based
on DSM-IV-TR (SCID-I) </span><span lang="EN" style="font-size: 9pt">34 ones with diagnosis of dysthymia <span class="hps">were selected as study samples and randomly divided into two groups
of</span> <span class="hps">mindfulness-based</span> <span class="hps">cognitive
therapy</span> <span class="hps">and</span> <span class="hps">behavioral activation
therapy. The experimental group received</span> <span class="hps">therapeutic
interventions for eight sessions.</span> <span class="hps">The measurements</span>
<span class="hps">were carried out</span> using Beck Depression Inventory (BDI-II)
and World Helth Organization of Quality of Life (WHO-QOL<span class="hps">) in</span>
<span class="hps">four</span> <span class="hps">phases</span> <span class="hps">including</span>
<span class="hps">pre</span>test, <span class="hps">fourth week evaluation,</span> <span class="hps">posttest, and</span> two-month <span class="hps">follow-up. <b><u>Results</u>:</b>
The</span> <span class="hps">findings showed that</span> both m<span class="hps">indfulness-based
cognitive therapy</span> <span class="hps">and</span> <span class="hps">behavioral
activation</span> <span class="hps">have similar effects on </span>improving <span class="hps">depressive symptoms, life quality and suicidal thoughts</span>.<span class="hps"> In other words, time effect (the</span> within-group <span class="hps">effect)</span> <span class="hps">was significant</span> <span class="hps">(p<0.05),</span> <span class="hps">but the between-group effect was
not significant. <b><u>Conclusion</u>:</b> Mindfulness</span>-based <span class="hps">cognitive therapy</span> and behavioral <span class="hps">activation</span>
<span class="hps">have the same</span> <span class="hps">effectiveness</span> <span class="hps">on the quality of life</span> <span class="hps">and</span> <span class="hps">suicidal thoughts</span> of depressed subjects</span><span style="font-size: 9pt">.</span></p>
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شناخت درمانی مبتنی بر حضور ذهن؛ درمان فعالسازی رفتاری؛ کیفیت زندگی؛ افکار خودکشی
mindfulness-based cognitive therapy, behavioral activation therapy for depression, quality of life, suicidal thoughts
297
308
http://ijpcp.iums.ac.ir/browse.php?a_code=A-10-1-752&slc_lang=fa&sid=1
Davood
Jafari
داود
جعفری
E-mail: davood_jafari5361@yahoo.com
180031947532846009881
180031947532846009881
Yes
Malayer Branch, Islamic Azad University (IAU), Malayer, Iran, IR. Fax: +98851-2228236
دکترای روانشناسی، دانشگاه آزاد اسلامی، واحد ملایر،گروه روانشناسی. ملایر، بالاتر از پارک سیفیه، دانشگاه آزاد اسلامی واحد ملایر. دورنگار: 08512228236
Mahdieh
Salehi
مهدیه
صالحی
180031947532846009882
180031947532846009882
No
Central Tehran Branch, Islamic Azad University (IAU), Tehran, Iran, Tehran, Iran;
دکترای روانشناسی، استادیار دانشگاه آزاد اسلامی، واحد تهران مرکزی،گروه روانشناسی
Parvaneh
Mohmmadkhani
پروانه
محمدخانی
180031947532846009883
180031947532846009883
No
University of Social Wafer and Rehabilitation Sciences, Tehran, Iran.
دکترای روانشناسی، استاد دانشگاه علوم بهزیستی و توانبخشی، گروه روانشناسی بالینی.