مقایسه اثر بخشی روش های درمان شناختی رفتاری و نوروفیدبک بر افسردگی اساسی زنان بزرگسال

ﻫﺪف اﯾﻦ ﭘﮋوﻫﺶ ﻣﻘﺎﯾﺴﻪ اﺛﺮﺑﺨﺸﯽ روشﻫﺎی درﻣﺎن ﺷﻨﺎﺧﺘﯽ - رﻓﺘﺎری و ﻧﻮروﻓﯿﺪﺑﮏ ﺑﺮ اﻓﺴﺮدﮔﯽ اﺳﺎﺳﯽ زﻧﺎن ﺑﺰرﮔﺴﺎل ﺷﻬﺮ ﺗﻬﺮان ﺑﻮد. روش ﭘﮋوﻫﺶ ﻧﯿﻤﻪ آزﻣﺎﯾﺸﯽ از ﻧﻮع ﭘﯿﺶآزﻣﻮن - ﭘﺲآزﻣﻮن ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﻪ آﻣﺎری ﮐﻠﯿﻪ زﻧﺎن دارای اﻓﺴﺮدﮔﯽ اﺳﺎﺳﯽ ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه ﺑﻪ ﭼﻬﺎرﮐﻠﯿﻨﯿﮏ ﻣﺸﺎوره ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان در ﺗﺎﺑﺴﺘﺎن و ﭘﺎﯾﯿﺰ 1397 ﺑﻮد، ﮐﻪ ﺑﺮ اﺳﺎس ﻣﺼﺎﺣﺒﻪ رواﻧﭙﺰﺷﮏ و ﻣﻼکﻫﺎی ﺗﺸﺨﯿﺼﯽ اﺧﺘﻼل را داﺷﺘﻨﺪ. اﻧﺘﺨﺎب آزﻣﻮدﻧﯽ ﻫﺎ ﺑﻪ ﺻﻮرت داوﻃﻠﺒﺎﻧﻪ و ﺟﺎﯾﮕﺰﯾﻨﯽ آنﻫﺎ در ﺳﻪ ﮔﺮوه 15 ﻧﻔﺮه ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﯽ ﺑﺮ ﻣﺒﻨﺎی ﺟﺪول اﻋﺪاد ﺗﺼﺎدﻓﯽ اﻧﺠﺎم ﺷﺪ. ﮔﺮوه ﺗﺤﺖ درﻣﺎن ﻧﻮروﻓﯿﺪﺑﮏ، ﮔﺮوه درﻣﺎن ﺑﺎ ﭘﺮوﺗﮑﻞ ﺷﻨﺎﺧﺘﯽ - رﻓﺘﺎری وﮔﺮوه ﮐﻨﺘﺮل ﮐﻪ ﺑﺪون ﻣﺪاﺧﻠﻪ ﻫﺎ ی درﻣﺎﻧﯽ ﺑﻮدﻧﺪ. دادهﻫﺎ ﺑﺎ ﭘﺮﺳﺸﻨﺎﻣﻪ اﻓﺴﺮدﮔﯽ ، اﺿﻄﺮاب و اﺳﺘﺮس ﮔﺮدآوری ﺷﺪ و ﺑﺎ اﺳﺘﻔﺎده از آزﻣﻮن ﺗﺤﻠﯿﻞ وارﯾﺎﻧﺲ ﻣﻮرد ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﻗﺮار ﮔﺮﻓﺖ. ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﮐﻪ ﺑﯿﻦ ﺳﻪ ﮔﺮوه در اﻓﺴﺮدﮔﯽ ﺗﻔﺎوت ﻣﻌﻨﺎدار وﺟﻮد دارد (p<0/05). ﻫﻤﭽﻨﯿﻦ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻧﺘﺎﯾﺞ آزﻣﻮن ﺑﻮﻧﻔﺮوﻧﯽ و ﻣﻘﺎﯾﺴﻪ زوﺟﯽ ، ﺑﯿﻦ دو ﮔﺮوه درﻣﺎن ﺷﻨﺎﺧﺘﯽ - رﻓﺘﺎری و ﻧﻮروﻓﯿﺪﺑﮏ در اﻓﺴﺮدﮔﯽ ﺗﻔﺎوت ﻣﻌﻨﺎدار وﺟﻮد داﺷﺖ (p<0/05). ﻧﻈﺮ ﺑﻪ ﺗﺄﺛﯿﺮ ﺑﯿﺸﺘﺮ درﻣﺎن ﻧﻮروﻓﯿﺪﺑﮏ، اﯾﻦ روش ﻣﺎﻧﻨﺪ دارو درﻣﺎﻧﯽ ، رواندرﻣﺎﻧﯽ و ﺳﺎﯾﺮ ﺗﮑﻨﯿﮏ ﻫﺎی درﻣﺎﻧﯽ و آراﻣﺶ ﺑﺨﺶ ﺑﺮای درﻣﺎن زﻧﺎن ﺑﺰرﮔﺴﺎل ﺑﺎ اﻓﺴﺮدﮔﯽ اﺳﺎﺳﯽ ﭘﯿﺸﻨﻬﺎد ﻣﯽ ﺷﻮد.

Comparison of the Effectiveness of Cognitive-Behavioral Therapy and Neurofeedback Techniques on Women’s DepressionAdult

Abstractcognitivebehavioral therapy and neurofeedback are used as a treatment technique for disease and disorders. The present study aimed to compare effectiveness of these two techniques in women with major depression from Tehran. This study was a semiexperimental design with pretestposttest and control group. The study was conducted on women referring four counseling clinics in Tehran during summer and autumn of 1397, and based on psychiatrists interviews and DSM 5 criteria, had major depression disorder. Subjects took part in this study voluntarily and their replacement in two groups of neurofeedback method and cognitivebehavioral therapy was done randomly using random numbers. Participants were in three groups: group of neurofeedback treatment (15 patients), cognitive therapy protocol group (15 patients), and control group (15 patients) who didn’t receive treatment interventions. Lovibond and Lovibond depression anxiety stress scale (DASS) questionnaire was used for data collection. The data were analyzed using descriptive statistics, variance analysis and dependent T test.  After intervention in cognitivebehavioral group, the mean score for cognitivebehavioral treatment group had 26 reduction (recovery of patients). While scores in neurofeedback grouphad 22 grades reduction (recovery of patients).  Neurofeedback is an effective therapeutic option for reducing depression in treatment center. Therefore, psychologists can use neurofeedback treatment for reducing depression. Keywords: cognitivebehavioral therapy, neurofeedback, major depression, adult women