اثربخشی طرحوارهدرمانی تلفیقشده با تحریک مستقیم مغزی از طریق جمجمه(tDCS) بر تنظیم هیجان و کارکردهای اجرایی در افراد دارای نشانههای افسردگی
کلمات کلیدی:
طرحواره درمانی, tDCS, تنظیم هیجان, کارکردهای اجرایی, افسردگیچکیده
هدف: این مطالعه بررسی میکند که چگونه ترکیب طرحوارهدرمانی با تحریک مستقیم مغزی از طریق جمجمه (tDCS) میتواند این حوزهها را بهبود ببخشد.
مواد و روش: این پژوهش از طرح نیمهآزمایشی با ارزیابیهای پیشآزمون و پسآزمون استفاده کرد. در مجموع، ۴۵ شرکتکننده بهصورت تصادفی در یکی از سه گروه زیر قرار گرفتند: طرحوارهدرمانی، طرحوارهدرمانی + tDCS و گروه کنترل (بدون دریافت درمان) گروههای آزمایشی در ۱۰ جلسه گروهی طرحوارهدرمانی شرکت کردند، در حالی که یکی از گروهها ۵ جلسه فردی tDCS نیز دریافت کرد. گروه کنترل هیچگونه مداخلهای دریافت نکرد. دادهها با استفاده از مقیاس دشواری در تنظیم هیجان (DERS) و مقیاس نقص کارکردهای اجرایی بارکلی (BDEFS) جمعآوری و با استفاده از تحلیل کوواریانس چندمتغیره (MANCOVA) تحلیل شد.
یافتهها: یافتهها نشان داد که گروههای آزمایشی در مقایسه با گروه کنترل، پیشرفت معناداری در تنظیم هیجان و کارکردهای اجرایی داشتند (p<0.01). بهویژه، گروهی که هم طرحوارهدرمانی و هم tDCS دریافت کرده بود، بهبودهای چشمگیری در هر دو حوزه نشان داد، با اندازه اثر بزرگ. تحلیلهای پسهنگام نیز تأثیرگذاری بالای این مداخله ترکیبی را در رفع نقصهای هیجانی و شناختی تأیید کرد.
نتیجهگیری: این مطالعه بر اهمیت ترکیب تحریک عصبی با رواندرمانی برای دستیابی به نتایج بهینه تأکید دارد. پژوهشهای آینده باید بر بررسی ماندگاری تأثیرات این روش، مکانیزمهای احتمالی آن و کاربردهای بالینی گستردهتر این مداخله نوآورانه تمرکز کنند.
دانلودها
مراجع
Abbady, A. (2023). The effectiveness of emotional schema therapy on improving emotion regulation and reducing neurotic perfectionism among university students. Natural science, 12(4), 1853-1862. https://doi.org/10.18576/isl/120410 Aghaziarati, A., Fard, F. R., Rahimi, H., & Parsakia, K. (2023). Investigating the Effect of Electrical Stimulation (tDCS) of the Prefrontal Cortex of the Brain on the Improvement of Behavioral and Neurological Symptoms of Children with Specific Learning Disabilities. Health Nexus, 1(2), 44-50. https://doi.org/10.61838/kman.hn.1.2.6 Anastopoulos, A. D., Smith, T. F., Garrett, M. E., Morrissey-Kane, E., Schatz, N. K., Sommer, J. L., & Ashley-Koch, A. (2011). SelfRegulation of Emotion, Functional Impairment, and Comorbidity Among Children With AD/HD. Journal of Attention Disorders, 15(7), 583-592. https://doi.org/10.1177/1087054710370567 Barkley, R. A. (2001). Executive function and ADHD. Journal of the American Academy of Child & Adolescent Psychiatry, 40(5), 501-502. https://doi.org/10.1097/00004583-200105000- 00001 10.1097/00004583-200105000-00002 Barooti, M., Chinaveh, M., & Saedi, S. (2024). Comparison of the Effectiveness of Cognitive Behavioral Therapy and Schema Therapy on Cognitive Emotion Regulation in Patients with Major Depressive Disorder. Journal of Adolescent and Youth Psychological Studies (JAYPS), 5(3), 44-54. https://doi.org/10.61838/kman.jayps.5.3.5 Bishop, A., Younan, R., Low, J., & Pilkington, P. D. (2022). Early maladaptive schemas and depression in adulthood: A systematic review and meta-analysis. Clinical Psychology & Psychotherapy, 29(1), 111-130. https://doi.org/10.1002/cpp.2630 Bonfiglio, N. S., Renati, R., Patrone, L., Rollo, D., & Penna, M. P. (2021). The use of cognitive training with tDCS for the reduction of impulsiveness and improvement of executive functions: a case study. 2021 IEEE International Symposium on Medical Measurements and Applications (MeMeA), https://doi.org/10.1109/MeMeA52024.2021.9478704
Bulut, S., Bukhori, B., & Parsakia, K. (2024). Enhancing Selective Attention in Children with Learning Disorders: Efficacy of Executive Functions Training. KMAN Counseling & Psychology Nexus, 1(2), 86-93. https://doi.org/10.61838/kman.psychnexus.1.2.14 Carvalho, A. F., Sharma, M. S., Brunoni, A. R., Vieta, E., & Fava, G. A. (2016). The safety, tolerability and risks associated with the use of newer generation antidepressant drugs: A critical review of the literature. Psychotherapy and psychosomatics, 85(5), 270-288. https://doi.org/10.1159/000447034 de la Fuente, J., Martínez-Vicente, J. M., Pachón-Basallo, M., Peralta-Sánchez, F. J., Vera-Martínez, M. M., & AndrésRomero, M. P. (2022). Differential Predictive Effect of SelfRegulation Behavior and the Combination of Self- vs. External Regulation Behavior on Executive Dysfunctions and Emotion Regulation Difficulties, in University Students [Original Research]. Frontiers in psychology, 13. https://doi.org/10.3389/fpsyg.2022.876292 Eghdampanah Foumani, K., Moghtader, L., Asadi Mojreh, S., & Akbari, B. (2024). Comparison of the Effectiveness of Cognitive Hypnotherapy and Schema Therapy on Difficulty in Emotion Regulation in Substance-Dependent Individuals [Research]. Research on Addiction, 18(72), 145-168. https://doi.org/10.61186/etiadpajohi.18.72.7 Farrell, J., & Shaw, I. A. (2022). Schema therapy: Conceptualization and treatment of personality disorders. https://doi.org/10.1037/0000310-013 Farrell, J. M., & Shaw, I. A. (2012). The conceptual model of group schema therapy. https://doi.org/10.1002/9781119943167.ch2 Friedman, N. P., & Robbins, T. W. (2022). The role of prefrontal cortex in cognitive control and executive function. Neuropsychopharmacology, 47(1), 72-89. https://doi.org/10.1038/s41386-021-01132-0 Frith, C., & Dolan, R. (1996). The role of the prefrontal cortex in higher cognitive functions. Cognitive Brain Research, 5(1), 175-181. https://doi.org/10.1016/S0926-6410(96)00054-7 Ghafoor, U., Yang, D., & Hong, K. S. (2022). Neuromodulatory Effects of HD-tACS/tDCS on the Prefrontal Cortex: A RestingState fNIRS-EEG Study. Ieee Journal of Biomedical and Health Informatics, 26(5), 2192-2203. https://doi.org/10.1109/JBHI.2021.3127080 Gheisari, M. (2016). The effectiveness of schema therapy integrated with neurological rehabilitation methods to improve executive functions in patients with chronic depression. Health science journal, 10(4), 1. https://www.itmedicalteam.pl/articles/the-effectiveness-ofschema-therapy-integrated-with-neurologicalrehabilitation-methods-to-improve-executive-functions-inpatients.pdf Giordano, J., Bikson, M., Kappenman, E. S., Clark, V. P., Coslett, H. B., Hamblin, M. R., & Calabrese, E. (2017). Mechanisms and Effects of Transcranial Direct Current Stimulation. DoseResponse, 15(1), 1559325816685467. https://doi.org/10.1177/1559325816685467 Gross, J. J. (2015). Emotion regulation: Current status and future prospects. Psychological Inquiry, 26(1), 1-26. https://doi.org/10.1080/1047840X.2014.940781 Hassas, O., Mashhadi, A., Shamloo, Z. S., & Bordbar, M. R. F. (2024). Emotional Schema Therapy for Bipolar Disorder: Improving Emotional Schemas, Quality of Life, Cognitive Emotion Regulation, and Symptom Management. International Journal of Cognitive Therapy, 17(3), 347-368. https://doi.org/10.1007/s41811-023-00196-8 Imburgio, M. J., & Orr, J. M. (2018). Effects of prefrontal tDCS on executive function: Methodological considerations revealed by meta-analysis. Neuropsychologia, 117, 156-166. https://doi.org/10.1016/j.neuropsychologia.2018.04.022 Kamradt, J. M., Nikolas, M. A., Burns, G. L., Garner, A. A., Jarrett, M. A., Luebbe, A. M., & Becker, S. P. (2021). Barkley Deficits in Executive Functioning Scale (BDEFS): Validation in a Large Multisite College Sample. Assessment, 28(3), 964-976. https://doi.org/10.1177/1073191119869823 Kopf-Beck, J., Zimmermann, P., Egli, S., Rein, M., Kappelmann, N., Fietz, J., & Keck, M. E. (2020). Schema therapy versus cognitive behavioral therapy versus individual supportive therapy for depression in an inpatient and day clinic setting: study protocol of the OPTIMA-RCT. BMC psychiatry, 20(1), 506. https://doi.org/10.1186/s12888-020-02880-x Lu, H., Gong, Y., Huang, P., Zhang, Y., Guo, Z., Zhu, X., & You, X. (2021). Effect of Repeated Anodal HD-tDCS on Executive Functions: Evidence From a Pilot and Single-Blinded fNIRS Study [Original Research]. Frontiers in human neuroscience, 14. https://doi.org/10.3389/fnhum.2020.583730 Maali Mehrabani, E., Hobi, M., & Moradi, H. (2024). Effectiveness of schema therapy on emotional regulation in married women with military spouses. Military Psychology, 14(4), 115-131. https://doi.org/10.18869/acadpub.jmp.14.4.2 Mashhadi, A., Maleki, Z. H., Hasani, J., & Rasoolzadeh Tabatabaei, S. K. (2021). Psychometric properties of Persian version of the Barkley deficits in executive functioning scale-children and adolescents. Applied Neuropsychology: Child, 10(4), 369-376. https://doi.org/10.1080/21622965.2020.1726352 Masley, S. A., Gillanders, D. T., Simpson, S. G., & Taylor, M. A. (2012). A Systematic Review of the Evidence Base for Schema Therapy. Cognitive behaviour therapy, 41(3), 185-202. https://doi.org/10.1080/16506073.2011.614274 Mazaheri, M. (2015). Psychometric Properties of the Persian Version of the Difficulties in Emotion Regulation Scale (DERS6 & DERS-5-Revised) in an Iranian Clinical Sample. Iran J Psychiatry, 10(2), 115-122. https://pmc.ncbi.nlm.nih.gov/articles/PMC4752524/ Mosilhy, E. A., Alshial, E. E., Eltaras, M. M., Rahman, M. M. A., Helmy, H. I., Elazoul, A. H., & Mohammed, H. S. (2022). Noninvasive transcranial brain modulation for neurological disorders treatment: A narrative review. Life Sciences, 307, 120869. https://doi.org/10.1016/j.lfs.2022.120869 Murray, C. J. L. (2024). Findings from the Global Burden of Disease Study 2021. The lancet, 403(10440), 2259-2262. https://doi.org/10.1016/S0140-6736(24)00769-4 Nejati, V., Majidinezhad, M., & Nitsche, M. (2022). The role of the dorsolateral and ventromedial prefrontal cortex in emotion regulation in females with major depressive disorder (MDD): A tDCS study. Journal of psychiatric research, 148, 149-158. https://doi.org/10.1016/j.jpsychires.2022.01.030 Nigg, J. T. (2017). Annual Research Review: On the relations among self-regulation, self-control, executive functioning, effortful control, cognitive control, impulsivity, risk-taking, and inhibition for developmental psychopathology. Journal of Child Psychology and Psychiatry, 58(4), 361-383. https://doi.org/10.1111/jcpp.12675
Nooripour, R., Ghanbari, N., Mozaffari, N., Ghahari, S., & Hosseini, S. R. (2023). The Persian Version of the Difficulties in Emotion Regulation Scale (DERS-18): Psychometric Properties and Its Role in Predicting Aggression in Iranian Adolescents. Psychological studies, 68(2), 236-246. https://doi.org/10.1007/s12646-023-00713-x Nuño, L., Gómez-Benito, J., Carmona, V. R., & Pino, O. (2021). A Systematic Review of Executive Function and Information Processing Speed in Major Depression Disorder. Brain Sciences, 11(2), 147. https://doi.org/10.3390/brainsci11020147 Palmieri, A., Fernandez, K. C., Cariolato, Y., Kleinbub, J. R., Salvatore, S., & Gross, J. J. (2022). Emotion Regulation in Psychodynamic and Cognitive-Behavioural Therapy: An Integrative Perspective. Clin Neuropsychiatry, 19(2), 103-113. https://pmc.ncbi.nlm.nih.gov/articles/PMC9112990/ Parsakia, K. (2024). Emotional and Cognitive Effects of Long-Term Antipsychotic Medication Use: A Qualitative Study. Psychological Research in Individuals with Exceptional Needs, 2(2), 12-19. https://doi.org/10.61838/kman.prien.2.2.3 Pizzagalli, D. A., & Roberts, A. C. (2022). Prefrontal cortex and depression. Neuropsychopharmacology, 47(1), 225-246. https://doi.org/10.1038/s41386-021-01101-7 Pluck, G., Cerone, A., & Villagomez-Pacheco, D. (2023). Executive Function and Intelligent Goal-Directed Behavior: Perspectives from Psychology, Neurology, and Computer Science. Software Engineering and Formal Methods - SEFM 2022 Collocated Workshops, https://doi.org/10.1007/978-3- 031-26236-4_27 Rahbar Karbasdehi, F., Hosseinkhanzadeh, A. A., & Shakerinia, I. (2021). The Effectiveness of Schema Therapy on Cognitive Emotion Regulation and Social Self-Efficacy in Adolescents with Epilepsy [Research - Open Access, CC-BY-NC]. The Neuroscience Journal of Shefaye Khatam, 9(3), 64-72. https://doi.org/10.52547/shefa.9.3.64 Remes, O., Mendes, J. F., & Templeton, P. (2021). Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature. Brain Sciences, 11(12), 1633. https://doi.org/10.3390/brainsci11121633 Reyhani, S., & Ahovan, M. (2024). The Effectiveness of Emotional Schema Therapy on Regulating Emotions and Reducing HighRisk Behaviors in Female Adolescents [Research]. Journal of Research in Behavioural Sciences, 22(1), 137-149. https://doi.org/10.29252/rbs.22.1.137 Schäfer, J., Reuter, T., Leuchter, M., & Karbach, J. (2024). Executive functions and problem-solving: The contribution of inhibition, working memory, and cognitive flexibility to science problem-solving performance in elementary school students. Journal of Experimental Child Psychology, 244, 105962. https://doi.org/10.1016/j.jecp.2024.105962 Sepúlveda-Lizcano, L., Arenas-Villamizar, V. V., Jaimes-Duarte, E. B., García-Pacheco, H., Paredes, C. S., Bermúdez, V., & RiveraPorras, D. (2023). Metabolic Adverse Effects of Psychotropic Drug Therapy: A Systematic Review. European Journal of Investigation in Health, Psychology and Education, 13(8), 1505-1520. https://doi.org/10.3390/ejihpe13080110 Shah, A. (2024). Executive Function, Dysfunction and Solutions: A Review. Alliant International University. Solbakken, O. A., Ebrahimi, O. V., Hoffart, A., Monsen, J. T., & Johnson, S. U. (2023). Emotion regulation difficulties and interpersonal problems during the COVID-19 pandemic: predicting anxiety and depression. Psychological medicine, 53(5), 2181-2185. https://doi.org/10.1017/S0033291721001987 Sörman, K., Garke, M. Å., Isacsson, N. H., Jangard, S., Bjureberg, J., Hellner, C., & Jayaram-Lindström, N. (2022). Measures of emotion regulation: Convergence and psychometric properties of the Difficulties in Emotion Regulation Scale and Emotion Regulation Questionnaire. Journal of Clinical Psychology, 78(2), 201-217. https://doi.org/10.1002/jclp.23206 Strawn, J. R., Mills, J. A., Poweleit, E. A., Ramsey, L. B., & Croarkin, P. E. (2023). Adverse Effects of Antidepressant Medications and their Management in Children and Adolescents. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 43(7), 675-690. https://doi.org/10.1002/phar.2767 Strobach, T., & Antonenko, D. (2017). tDCS-Induced Effects on Executive Functioning and Their Cognitive Mechanisms: a Review. Journal of Cognitive Enhancement, 1(1), 49-64. https://doi.org/10.1007/s41465-016-0004-1 Sudbrack-Oliveira, P., Razza, L. B., & Brunoni, A. R. (2021). Chapter One - Non-invasive cortical stimulation: Transcranial direct current stimulation (tDCS) International Review of Neurobiology (Vol. 159). https://doi.org/10.1016/bs.irn.2021.01.001 Vanderlind, W. M., Everaert, J., & Joormann, J. (2022). Positive emotion in daily life: Emotion regulation and depression. Emotion, 22(7), 1614. https://doi.org/10.1037/emo0000944 Villalobos, D., Pacios, J., & Vázquez, C. (2021). Cognitive Control, Cognitive Biases and Emotion Regulation in Depression: A New Proposal for an Integrative Interplay Model [Review]. Frontiers in psychology, 12. https://doi.org/10.3389/fpsyg.2021.628416 Wang, S. M., Han, C., Bahk, W. M., Lee, S. J., Patkar, A. A., Masand, P. S., & Pae, C. U. (2018). Addressing the Side Effects of Contemporary Antidepressant Drugs: A Comprehensive Review. CMJ, 54(2), 101-112. https://doi.org/10.4068/cmj.2018.54.2.101 Young, J. E., Klosko, J. S., & Weishaar, M. E. (2006). Schema therapy: A practitioner's guide. Guilford Press. https://books.google.ch/books/about/Schema_Therapy.htm l?id=vScjGGgJEZgC&redir_esc=y Zainal, N. H., & Newman, M. G. (2022). Depression and worry symptoms predict future executive functioning impairment via inflammation. Psychological medicine, 52(15), 3625-3635. https://doi.org/10.1017/S0033291721000398
دانلود
چاپ شده
ارسال
بازنگری
پذیرش
شماره
نوع مقاله
مجوز
حق نشر 2024 فصلنامه روانشناسی تجربی و شناختی

این پروژه تحت مجوز بین المللی Creative Commons Attribution-NonCommercial 4.0 می باشد.