مقایسه درمان مبتنی بر پذیرش و تعهد و توان‌بخشی شناختی حافظه فعال بر اضطراب و افسردگی دختران

مقدمه: هدف پژوهش حاضر مقایسه درمان مبتنی بر پذیرش و تعهد و توان‌بخشی شناختی حافظه فعال بر اضطراب و افسردگی در دختران مجرد 25 تا 35 سال بود. روش کار: روش پژوهش نیمه‌ آزمایشی با طرح پیش‌ آزمون، پس‌‌ آزمون و پیگیری و با گروه گواه بود. جامعه آماری این پژوهش شامل تمام دختران مراجعه ‌کننده به مراکز روان شناختی و مشاوره شهرستان سبزوار در سال 1398 بودند که از این مراجعان 45 نفر به صورت در دسترس انتخاب و با تصادفی ‌سازی در 2 گروه آزمایش و 1 گروه گواه قرار گرفتند. شرکت‌ کنندگان در پژوهش حاضر برای پیش‌ آزمون_پس ‌آزمون، پیگیری مورد ارزیابی قرار گرفتند و به پرسشنامه چهار سامانه‌‌ ای اضطراب و پرسشنامه افسردگی بک پاسخ دادند. شرکت‌کنندگان دو گروه مداخله تحت 8 جلسه درمان مبتنی بر پذیرش و تعهد و 10 جلسه توان‌بخشی شناختی حافظه فعال قرار گرفتند. یافته‌ ها: نتایج به دست آمده در پژوهش حاضر نشان داد هر دو مداخله درمان مبتنی بر پذیرش و تعهد و توان‌بخشی شناختی حافظه فعال نسبت به گروه کنترل بر متغیر اضطراب (0.001=p) و متغیر افسردگی (0.001=p) اثر کاهنده داشته است. در مقایسه میان درمان مبتنی بر پذیرش و تعهد و توان‌بخشی شناختی حافظه فعال در تاثیر بر متغیر اضطراب مشاهده شد که درمان مبتنی بر پذیرش و تعهد اثربخشی بیشتری نسبت به توان‌بخشی شناختی حافظه فعال بر کاهش اضطراب دختران داشته است. نتیجه ‌گیری: نتایج حاصل از پژوهش حاضر نشان داد هر دو مداخله درمان مبتنی بر پذیرش و تعهد و توان بخشی شناختی حافظه فعال بر کاهش اضطراب و افسردگی دختران موثر هستند و درمان مبتنی بر پذیرش و تعهد اثربخشی بیشتری نسبت به توان‌بخشی شناختی حافظه فعال بر کاهش اضطراب دختران داشته است.

Comparison of the acceptance and commitment based therapy and cognitive rehabilitation of working memory on anxiety and depression of girls

Introduction: Severe anxiety and depression lead to deficits in executive functions and cognitive abilities have a detrimental effect on working memory capacity and reduce its efficiency. Also, cognitive dysfunction will lead to depression and anxiety. One of the indirect methods used to improve the level of various cognitive skills is cognitive computer games. Cognitive rehabilitation of working memory is a way to restore lost cognitive capacities, which is done by exercises and providing purposeful stimuli and its purpose is to improve the individualchr('39')s cognitive function. Acceptance and commitment therapy, which is used to treat depression and anxiety, focuses on accepting pain rather than avoiding and suppressing distressing factors based on personal values. This intervention aims to create more flexible responses to lifechr('39')s challenges, pain, and acceptance of symptoms instead of eliminating them themselves. This study aimed to compare the acceptance and commitmentbased therapy and cognitive rehabilitation of working memory on anxiety and depression in single girls aged 25 to 35. The research method was quasiexperimental with a pretestposttest design and followup with a control group.Methods: The statistical population of this study included all girls referred to psychological and counseling centers in Sabzevar in 2019. Fortyfive people were randomly selected and randomly divided into two experimental groups and one control group. Participants in the present study were evaluated for pretestposttestfollowup and answered the Four Anxiety Systems Questionnaire and the Beck Depression Inventory. Participants of the two intervention groups underwent eight acceptance and commitmentbased therapy sessions and ten sessions of rehabilitation cognitive rehabilitation of working memory.Results: The present study results showed that both therapies based on acceptance, and commitment and cognitive rehabilitation of working memory compared to the control group had a reducing effect on anxiety (P=0.001) and depression (P=0.001). In comparison between acceptance and commitmentbased therapy and cognitive rehabilitation of working memory in affecting the anxiety variable, it has been observed that acceptance and commitmentbased therapy has been more effective than cognitive rehabilitation of working memory in reducing anxiety in girls.Conclusion: The findings revealed that interventions, acceptance and commitmentbased therapy and cognitive rehabilitation of working memory are effective in reducing anxiety and depression in girls, and acceptance and commitmentbased therapy has been more effective than cognitive rehabilitation of working memory in reducing girlschr('39') anxiety. One of the practical implications of the present study is the effectiveness of commitment and acceptance therapy and cognitive rehabilitation of working memory on anxiety and depression and its correlations, so it is suggested that these therapies be used to treat anxious and depressed people. Today, cognitive rehabilitation of working memory is more widely used due to the side effects of taking drugs and their high cost. Also, it seems that cognitive computer games are a new chapter in developing the skills of anxious and depressed people in early interventions and can affect their cognitive, behavioral, and emotional skills. Therefore, enriching the environment and laying the groundwork for cognitive computer games will help grow and improve executive functionality.Keywords: