نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روان‌شناسی،گروه روان‌شناسی، دانشکده علوم انسانی، دانشگاه آزاد اسلامی واحد سنندج، سنندج، ایران

2 دانشیار عصب روان‌شناسی، گروه روان‌شناسی، واحدگرمسار، دانشگاه آزاد اسلامی گرمسار، ایران

3 . استادیار نوروساینتیست، گروه روان‌شناسی، دانشکده علوم انسانی، دانشگاه آزاد اسلامی واحد کرج، کرج، ایران

4 گروه روانشناسی، دانشکده علوم انسانی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

10.30468/jsums.2024.7656.2982

چکیده

زمینه و هدف: اختلال افسردگی اساسی با نقایص شناختی و عملکرد اجرایی همراه است. هدف این مطالعه تعیین میزان اثربخشی آموزش مدل درمانی فرایند تثبیت مجدد بر کارکردهای اجرایی، انعطاف‌پذیری عصب‌شناختی و اصلاح طرحواره‌های مرتبط با اختلال افسردگی در جانبازان اعصاب و روان بالای 25 درصد بود.
مواد و روش­ها: روش مطالعه نیمه‌آزمایشی در قالب طرح پیش‌آزمون- پس‌آزمون و دوره پیگیری 45 روزه بود. از بین50 نفر جانباز اعصاب و روان بالای 25 درصد که سابقه بستری در بیمارستان نیایش تهران را داشتند، تعداد40 نفر پس از تخصیص تصادفی در گروه آزمایش و کنترل، به مدت 12 جلسه90 دقیقه‌ای در هفته یک بار به مدت 3 ماه تحت مداخله قرارگرفتند. ابزار پژوهش عبارت بودند از پرسش‌نامه افسردگی بک (1996)، طرح‌واره‌های هیجانی لیهی (2002)، کارت‌های ویسکانسین (2008)، آزمون استروپ رنگی (1935) و پرسش‌نامه انعطاف‌پذیری شناختی دنیس وندروال (2010). داده‌ها با استفاده از نرم‌افزار 24spss تجزیه و تحلیل شد.
یافته­ها: نتایج تحلیل واریانس مختلط با اندازه‌گیری مکرر نشان داد که آموزش مدل درمانی تثبیت مجدد بر کارکردهای اجرایی، انعطاف‌پذیری عصب‌شناختی و طرحواره‌های هیجانی افراد نمونه به‌طور معناداری اثربخش بوده است. این نتیجه در مرحله پیگیری نیز دوام داشت (0/05<P).
نتیجه‌گیری: مدل درمانی فرایند تثبیت مجدد با اصلاح حافظه آسیب‌زا و کاهش علایم افسردگی، موجب بهبود عملکرد ‌اجرایی، افزایش انعطاف‌پذیری عصب‌شناختی و اصلاح طرحواره‌های سازگار و ناسازگار در جانبازان بالای 25 درصد مؤثر واقع شد.

تازه های تحقیق

https://scholar.google.com/citations?hl=fa&user=jRIAyyIAAAAJ&view_op

https://www.ncbi.nlm.nih.gov/myncbi/

https://scholar.google.com/citations?user=5T9GhMUAAAAJ&hl=en

https://www.ncbi.nlm.nih.gov/myncbi/

https://scholar.google.com/scholar?as_ylo=2020&q

https://submit.ncbi.nlm.nih.gov/

https://scholar.google.com/citations?user=-8nuhmUAAAAJ&hl=en

https://www.ncbi.nlm.nih.gov/myncbi/ali.akbar.2

 

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Evaluation of the Effectiveness Therapeutic Reconsolidation Process Model (TRP) on Executive Functions, Neuroplasticity and Schemas Associated with Major depressive Disorder in Veterans Over 25% of Nerves

نویسندگان [English]

  • reza salmanipour noghlabary 1
  • Alireza Pirkhaefi 2
  • gavid peymani 3
  • Ali Akbar Foroghi 4

1 PhD student in Psychology Department of Psychology, Faculty of Humanities, Islamic Azad University, Sanandaj branch, Sanandaj, Iran

2 Associate Professor Neuropsychology, Associate Professor of Neuropsychology, Department of Psychology, Garmsar branch, Islamic Azad University, Garmsar, Iran

3 Assistant Professor Neuroscientist, Department of Psychology, Faculty of Humanities, Islamic Azad University, Karaj Branch, Karaj, Iran

4 Department of Psychology, Kermanshah University of Medical Sciences, Kermanshah, Iran

چکیده [English]

Introduction: Major depressive disorder is concomitant with cognitive deficits and executive function. This study aimed to determine the effectiveness therapeutic reconsolidation process model on executive functions, neuroplasticity, and schemas associated with major depressive disorder in veterans with over 25% of nerves.
Materials and Methods: The study method was semi-experimental in the form of pre-test, post-test, and 45-day follow-up. Among the 50 nerves veterans above 25%, who had a history of being admitted to Niayesh Hospital in Tehran, 40 people were randomly assigned to the experimental and control groups and underwent intervention for 12 sessions of 90 minutes once a week for 3 months. The research tools were: Beck Depression Questionnaire (1996), Leahy Emotional Schemas (2002), Wisconsin Cards (2008), Stroop Color Test (1935), and Dennis Vanderwaal's Cognitive Flexibility Questionnaire (2010). Data were analyzed using 24spss software.
Results: The results of mixed variance analysis with repeated measurement showed that the training of the therapeutic reconsolidation process model was significantly effective on the executive functions, neuroplasticity and emotional schemas of the sample people. This result also lasted in the follow-up phase (P<0.05).
Conclusion: the effective therapeutic reconsolidation process model was able to improve executive function, increase neuroplasticity, and compatible emotional schemas and maladaptive schemas in veterans over 25% of nerves by correcting traumatic memory and reducing depressive symptoms.

کلیدواژه‌ها [English]

  • memory consolidation
  • executive functions
  • neuroplasticity
  • schema
  • major depression
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