نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکتری روانشناسی عمومی، گروه روانشناسی، واحد بجنورد، دانشگاه آزاد اسلامی، بجنورد، ایران
2 استادیار، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران
3 اﺳﺘﺎدﯾﺎر، ﮔﺮوه روانشناسی، واحد بجنورد، دانشگاه آزاد اسلامی، بجنورد، ایران
چکیده
زمینه و هدف: هدف از پژوهش حاضر، مقایسه تأثیر تحریک الکتریکی مستقیم از روی جمجمه و درمان شناختی رفتاری بر کارکردهای شناختی و بهزیستی روان‌شناختی بیماران وابسته به مت آمفتامین بود.
مواد و روشها: پژوهش نیمهتجربی از نوع پیشآزمون- پسآزمون با گروه کنترل بود. جامعه آماری پژوهش را بیماران مرد وابسته به مت‌آمفتامین مراجعه‌کننده به کلینیک ترک اعتیاد گام شهرستان قائم‌شهر در سال 1399 تشکیل دادند که از بین آن‌ها 45 نفر به شیوه نمونهگیری در دسترس به‌عنوان نمونه انتخاب شدند و به‌صورت تصادفی ساده به 3 گروه 15 نفره (دو گروه آزمایش و یک گروه کنترل) تقسیم شدند. برای گروه آزمایش اول از تحریک الکتریکی مستقیم از روی جمجمه و برای گروه آزمایش دوم نیز درمان شناختی رفتاری به مدت 12 جلسه انجام شد و گروه کنترل نیز هیچ درمانی دریافت نکرد. برای تجزیه‌وتحلیل داده‌ها از نرم‌افزارSPSS24 و از روش‌های آمار توصیفی و تحلیلی (تحلیل واریانس اندازهگیری مکرر و آزمون تعقیبی بنفرونی) استفاده شد.
یافته ها: نتایج نشان داد تحریک الکتریکی مستقیم از روی جمجمه و درمان شناختی رفتاری باعث افزایش کارکردهای شناختی و بهزیستی روان‌شناختی بیماران وابسته به مت‌آمفتامین میشود (0/05> P). همچنین درمان شناختی رفتاری نسبت به تحریک الکتریکی مستقیم از روی جمجمه بر کارکردهای شناختی و بهزیستی روان‌شناختی بیماران وابسته به مت‌آمفتامین اثربخشتر است.
نتیجه‌گیری: می‌توان از درمان شناختی رفتاری در راستای کاهش مشکلات روان‌شناختی و بهبود کارکرد شناختی بیماران وابسته به مت آمفتامین استفاده کرد.
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
Comparison of the Effect of Direct Electrical Stimulation from the Skull (TDCS) and Cognitive-Behavioral Therapy on Cognitive Functions and Psychological Well-Being of Methamphetamine-Dependent Patients
نویسندگان [English]
- masood rezaee 1
- abdollah mafakheri 2
- mahmoud jajarmi 3
1 Ph.D Student in General Psychology Department of Psychology, Bojnourd Branch, Islamic Azad University,Bojnourd, Iran
2 Assistant Professor, Department of Psycology, Payam-e Noor University, Tehran, Iran
3 Assistant Professor of Psychology Department of Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran
چکیده [English]
Introduction: The aim of this study was to compare the effect of direct cranial electrical stimulation and cognitive-behavioral therapy on cognitive functions and psychological well-being of methamphetamine-dependent patients.
Materials and Methods: This experimental study was a post-test pre-test by control group. The statistical population was all male patients dependent on methamphetamine referred to Gam Addiction Treatment Clinic in Ghaemshahr in 1399, from which 45 statistical samples were selected by convenience sampling method and randomly divided into 3 groups of 15 (Experiment 1, Experiment 2 and Control) were divided. Subjects in all three groups answered the Wechsler Form A (1945) and Reef (1989) psychological well-being questionnaires in three stages of pre-test, post-test and follow-up. For experimental group 1, direct electrical stimulation from the skull with a maximum current of 2 mA and a maximum voltage of 80 volts, and for the experimental group 2, sessions of cognitive-behavioral therapy on the protocol of cognitive-behavioral therapy (Bailing, McCabe, Anthony, 2011) It was performed for 12 sessions and the control group did not receive any treatment. SPSS24 software and descriptive and analytical statistics (Analyze of Covariance and Post-Hoc) were used to analyze the data.
Results: The analysis showed that direct electrical stimulation from the skull and cognitive-behavioral therapy had a positive and significant effect on cognitive functions and psychological well-being (p < 0.05). But the effectiveness of cognitive-behavioral therapy was greater (p < 0.05).
Conclusion: Cognitive-behavioral therapy can be used to reduce psychological problems cognitive functions and improvement in methamphetamine-dependent patients.
کلیدواژه‌ها [English]
- Electrical Stimulation
- Skull
- Cognitive-behavioral therapy
- Cognitive functions
- Psychological well-being
- Methamphetamine
- Perski O. Herd N. West R. Brown J. Perceived addiction to smoking and associations with motivation to stop, quit attempts and quitting success: a prospective study of English smokers. Addictive Behaviors. 2019; 1(90): 6-11. https://doi.org/10.1016/j.addbeh.2018.11.030
- Nikfarjam A. Shokoohi M. Shahesmaeili A. Haghdoost AA. Baneshi MR. Haji-Maghsoudi S. et al. National population size estimation of illicit drug users through the network scale-up method in 2013 in Iran. International Journal of Drug Policy. 2016; 1(31): 47-52. doi: 10.1016/j.drugpo.2016.01.013. (Persian)
- McKetin R. Dunlop AJ. Holland RM. Sutherland RA. Baker AL. Salmon AM. et al. Treatment outcomes for methamphetamine users receiving outpatient counselling from the Stimulant Treatment Program in Australia. Drug and alcohol review. 2013; 32(1):80-87. https://doi.org/10.1111/j.1465-3362.2012.00471.x
- Khammarnia M. Peyvand M. Role of sexual issues in relapse of substance abuse: a qualitative study . J Mazandaran Univ Med Sci. 2019; 29 (176) :140-150. http://jmums.mazums.ac.ir/article-1-12517-en.html (Persian)
- Yousefi M. Younesi S J. Farhoudian A. Safi M H. Effect of acceptance and commitment therapy on impulsivity of patients with methamphetamine use disorder. jrehab. 2020; 21 (3) :406-421. http://rehabilitationj.uswr.ac.ir/article-1-2637-en.html (Persian)
- Hadadi R. Ghorbani M. Rostami R. Keshavarz G. Farahani E. The outcome of matrix model of therapy on quality of life in methamphetamine abusers. Research on Addiction. 2016; 10(90):95-108. http://etiadpajohi.ir/article-1-943-en.html (Persian)
- Ghaffari-Nejad AR. Ziaadini H. Saffari-Zadeha S. Kheradmand A. Pouya F.(2014). A study of the phenomenology of psychosis induced by methamphetamine: a preliminary research. Addict Health. 2014; 6(4): 5- 11. (Persian)
- Tavakoli Banizi A. Asadzadeh Dehraei H. Nouhi S. The effect of neurofeedback on improving consumption symptoms psychological well-being and psychological state in men that consumers morphine. Neuropsychology. 2020; 6(3): 57-70. doi: 10.30473/clpsy.2020.51726.1519 (Persian)
- Mahmoud Alilou Bayat A. Hosseini E. Surveying the psychological well-being components of heart patients referred to Ekbatan Hospital of Hamedan, in association with gender, age and education in 2012. Razi Journal of Medical Sciences. 2016; 10(139):35-45. http://rjms.iums.ac.ir/article-1-3335-en.html (Persian)
- Ranjbar Noushari F.Basharpoor S. Hajloo N. Narimani M. The effect of positive psychology intervention and integrative training of emotional competencies on social emotional and psychological well-being: a comparative study. Social Cognition. 2018; 6(2):21-38. 1001.1.23223782.1396.6.2.2.1 (Persian)
- Ryff CD. Singer Dienberg G. Positive health: connecting well–being with biology. philosophical transactions of the royal society of london. Biological Sciences. 2004; 29(359): 83-94. https://doi.org/10.1098/rstb.2004.1521
- Lewis MD. Dopamine and the neural “now” essay and review of addiction: a disorder of choice. Perspectives on Psychological Science. 2011;6(2):5-15. https://doi.org/10.1177/174569161140023
- Hosseinzadeh The effectiveness of cognitive-behavior on well-being in addicts. Studies of Psychology and Educational Sciences. 2018;4(1): 32-39. (Persian)
- Lorkiewicz SA. Ventura AS. Heeren TC. Winter MR. Walley AY. Sullivan M. et al. Lifetime marijuana and alcohol use, and cognitive dysfunction in people with human immunodeficiency virus infection. Substance Abuse. 2018; 39(1): 16-23. https://doi.org/10.1080/08897077.2017.1391925
- Fogel Y. Rosenblum S. Hirsh R. Chevignard M. Josman N. Daily performance of adolescents with executive function deficits: a empirical study using a complex-cooking task. Occupational Therapy International. 2020; 1(1): 1-9. https://doi.org/10.1080/01942638.2022.2035038
- Potvin S. Stavro K. Rizkallah É. Pelletier Cocaine and cognition: a systematic quantitative review. Journal of Addiction Medicine. 2014; 8(5): 68-76. doi: 10.1097/ADM.0000000000000066.
- Pourmohseni Koluri F. Hazrati S. Comparison of cognitive impulsivity and planning ability between substance abusers and normal people. Etiad Pajohi. 2018; 12 (45) :189-208. http://etiadpajohi.ir/article-1-1589-en.html (Persian)
- Wenzel A. Basic strategies of cognitive behavioral therapy. Psychiatric Clinics. 2017; 1 (4):597-609.
- Mastroleo NR. Humm L. Williams CM. Kiluk Hoadley A. Magill M. Initial testing of a computer-based simulation training module to support clinicians' acquisition of cbt skills for substance use disorder treatment. Journal of Substance Abuse Treatment. 2020;1 (114):10-14. https://doi.org/10.1016/j.jsat.2020.108014.
- Roos CR. Carroll KM. Nich C. Frankforter T. Kiluk BD. Short-and long-term changes in substance-related coping as mediators of in-person and computerized cbt for alcohol and drug use disorders. Drug and Alcohol Dependence. 2020; 1(212):1-14. https://doi.org/10.1016/j.drugalcdep.2020.108044.
- Higgins ES. George MS. Brain stimulation therapies for clinicians. American Psychiatric Pub. 2019.
- Reti IM. Chang AD. Introduction to brain stimulation. Brain stimulation: methodologies and interventions. 2015; 18(1):1-2. https://doi.org/10.1002/9781118568323.ch1.
- Ghanbari E. Asgari P. Comparison of the effectiveness of tdcs and cbt treatments on attention Bias in overweight people. Medical Journal of Mashhad University of Medical Sciences. 2020; 63(1): 08-21. doi: 10.22038/mjms.2020.15653 (Persian)
- Ahmadizadeh M. Rezaei M. Effectiveness of transcranial direct current stimulation (tdcs) on depression, anxiety and rumination of patients with post-traumatic stress disorder symptoms (ptsd). Journal of Military Medicine. 2020; 22(3): 64-72. http://militarymedj.ir/article-1-2092-en.html (Persian)
- Verveer I. Remmerswaal D. Van Der Veen FM. Franken IH. Long-term tdcs effects on neurophysiological measures of cognitive control in tobacco smokers. Biological Psychology. 2020; 1(156):10-22. https://doi.org/10.1016/j.biopsycho.2020.107962.
- Martin DM. Liu R. Alonzo A. Green M. Player MJ. Sachdev P. et al. Can transcranial direct current stimulation enhance outcomes from cognitive training? a randomized controlled trial in healthy participants. International Journal of Neuropsychopharmacology. 2013;16(9): 27-36. https://doi.org/10.1017/S1461145713000539.
- Rafiei M. Naseri A. The efficiency of cognitive-behavioral treatment on psychological welfare and empowerment strategies based on cognitive-behavioral rehabilitation among Shiraz NA women. Quarterly Journal of Fars Police Science. 2019; 6(21): 19-36. http://far.jrl.police.ir/article_92343.html (Persian)
- Wechsler D. A standardized memory scale for clinical use. The Journal of Psychology. 2015;19(1):87-95. https://doi.org/10.1080/00223980.1945.9917223
- Ryff CD. Psychological well-being in adult life. Current Directions in Psychological Science. 2002;4(4):99-104. https://doi.org/10.1111/1467-8721.ep10772395.
- Ryff CD. Singer B. Ironies of the human condition: Well-being and health on the way to mortality.2009. https://doi.org/10.1037/10566-019
- Khanjani M. Shahidi S. Fatehabadi J. Mazaheri M. Shukri A. Factor structure and psychometric properties of short form (18 questions) Reef psychological well-being scale in male and female students. Thought and Behavior. 2015; 32(8): 3-27. https://jtbcp.riau.ac.ir/article_67.html? (Persian)
- Zubaran C. Foresti K. Quality of life and substance use: concepts and recent tendencies. Current Opinion in Psychiatry. 2009; 22(3): 1-6. doi: 10.1097/yco.0b013e328328d154.
- Bradbury CL. Christensen BK. Lau MA. Ruttan LA. Arundine AL. Green RE. The efficacy of cognitive behavior therapy in the treatment of emotional distress after acquired brain injury. Archives of Physical Medicine and Rehabilitation. 2008; 89(12): 1-8. https://doi.org/10.1016/j.apmr.2008.08.210
- Hazlett-Stevens H. Psychological approaches to generalized anxiety disorder: a clinician's guide to assessment and treatment. Springer Science & Business Media. 2008.
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