بررسی اثربخشی پیشگیری از عود مبتنی بر نوروفیدبک و توانبخشی شناختی بر افسردگی در مصرفکنندگان مت آمفتامین
کلمات کلیدی:
نوروفیدبک, توانبخشی شناختی, مت¬امفتامین, افسردگیچکیده
چکیده
هدف: هدف این پژوهش بررسی اثربخشی پیشگیری از عود مبتنی بر نوروفیدبک و توانبخشی شناختی بر افسردگی در مصرفکنندگان مت آمفتامین بوده است.
مواد و روشها: پژوهش حاضر از نظر هدف بنیادین، از نظر شیوه گردآوری دادهها پیمایشی و از نظر روش تحلیل کمی بوده است و برای گردآوری دادهها از پرسشنامه پرسشنامه افسردگی بک، پرسشنامه سنجش ولع مصرف فرانکن[1] و همکاران (2002) و پرسشنامه درد مک گیل استفاده شد. جامعهی آماری پژوهش شامل زنان 20 الی 40 سال دارای سابقه اعتیاد به مت آمفتامین در شهر تهران که ترک کرده و در کلاسهای قدم شرکت داشتند را شامل شد. مداخلات در دو گروه نوروفیدبک و توانبخشی شناختی صورت گرفت. از نمونهها قبل از ورود به پژوهش رضایت کتبی و آگاهانه اخذ شده و همچنین پژوهش حاضر در کمیته اخلاق ثبت شده است. جلسات نوروفیدبک به مدت 5 هفته و دو جلسه 40 دقیقهای در هفته انجام شد و همچنین توانبخشی شناختی در 14 جلسه 30 دقیقهای طی دو روز در هفته اجرا شد. به منظور آزمون فرضیههای پژوهش و مقایسه گروهها از آزمون تحلیل کوواریانس تک متغیرها (ANCOVA) و تحلیل کواریانس چندمتغیره (MANCOVA) استفاده شد. تجزیه و تحلیل دادهها با استفاده از SPSS 28 انجام شد.
یافتهها: نتایج تحلیل نشان داد که اثربخشی مداخله نوروفیدبک و توان بخشی شناختی بر متغیر افسردگی و ولع مصرف لحظهای تایید شد (05/0>p). همچنبن نتایج نشان داد که سطح معنیداری بدست آمده برای متغیر افسردگی کمتر از سطح خطای آلفای 05/0 بود که نشان از اثربخشی مداخله نوروفیدبک و توان بخشی شناختی بر بهبود متغیر افسردگی داشت. اندازه اثر برابر با 110/0 بود و نشان داد مداخله توانست به میزان 00/11 درصد بر تغییرات افسردگی موثر باشد.
نتیجهگیری: مداخلات مبتنی بر نوروفیدبک و توانبخشی شناختی به طور معناداری در کاهش افسردگی و ولع مصرف در مصرفکنندگان متآمفتامین مؤثر بودند و میتوانند به عنوان روشهایی مکمل در برنامههای درمانی مورد استفاده قرار گیرند.
[1] Franken
دانلودها
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