اثربخشی درمان ترکیبی فعال سازی رفتاری کوتاه مدت و شناخت درمانی مبتنی بر ذهن آگاهی در کاهش نشخوار فکری
محورهای موضوعی :المیرا آریانا کیا 1 , علیرضا مرادی 2 , محمد حاتمی 3
1 - گروه روان شناسی بالینی دانشگاه خوارزمی، تهران، ایران
2 - گروه روان شناسی بالینی دانشگاه خوارزمی، تهران، ایران
3 - گروه روانشناسی بالینی، دانشگاه خوارزمی، تهران، ایران
کلید واژه: فعال سازی رفتاری کوتاه مدت, شناختدرمانی مبتنی بر ذهن آگاهی, اختلال افسردگی اساسی, نشخوار فکری,
چکیده مقاله :
پژوهش حاضر با هدف تعیین اثربخشی درمان ترکیبی فعال سازی رفتاری کوتاه مدت و شناخت درمانی مبتنی بر ذهن آگاهی در کاهش نشخوار فکری صورت گرفت. این پژوهش در قالب یک طرح تک آزمودنی اجرا شد. نمونۀ این پژوهش شامل چهار بیمار (1 مرد، 3 زن، بین 62 تا 83 ساله) مبتلا به اختلال افسردگی اساسی بود که در چهار روش درمانی به صورت تصادفی جایگزین شدند (شناخت درمانی مبتنی بر ذهن آگاهی، فعال سازی رفتاری کوتاه مدت، درمان های ترکیبی فعال سازی رفتاری کوتاه مدت و شناخت درمانی مبتنی بر ذهن آگاهی با ترتیب معکوس). برای جمع آوری داده ها، از پرسش نامۀ نشخوار فکری (RRS) در جلسات پیش آزمون، 2، 4، 6، 8 و پیگیری 1 ماهه استفاده شد. بازبینی دیداری نمودارها و اندازۀ ضريب تاثير کاهش معناداری را در نمرات نشخوار شرکت کنندگان نشان داد.این یافته های مقدماتی از نقش درمان ترکیبی فعال سازی رفتاری کوتاه مدت و شناخت درمانی مبتنی بر ذهن آگاهی در کاهش نشخوار فکری بیماران مبتلا به اختلال افسردگی اساسی حمایت می کند.
The aim of the present study was to examine the effectiveness of combined effects of brief behavioral activation therapy (BATD) and mindfulness -based cognitive therapy (MBCT) in reduction of rumination. This research was administrated by a single subject design framework. Four patients (1 male, 3 female, ages 26-38) who met criteria for major depressive disorder participated in the study. The participants were randomly assigned to four treatments. One of the patients received MBCT and another on BATD and other two patients received combinations of BATD and MBCT to reverse sequence. To collect data Ruminative Responses Subscale (RRS), were administered on pretreatment, during treatment at Sessions 2, 4 and 6, at end of treatment [Session 8], and at 1-month follow-up. The visual inspection of charts and effect size indicated significant decrease in rumination of participants. These preliminary findings provided support for the role of Combined of BATD and MBCT in reducing rumination patients with major depressive disorder.
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