اثر‌بخشی درمان فعال سازی رفتاری کوتاه مدت بر کاهش علایم افسردگی و افزایش کیفیت زندگی بیماران افسرده اساسی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد روان شناسی بالینی دانشگاه خوارزمی

2 استاد گروه روان شناسی دانشگاه خوارزمی

3 استادیار گروه روان شناسی دانشگاه خوارزمی

چکیده

زمینه: افسردگی یکی از شایع ترین اختلالات روانی می باشد، روش­های متنوعی جهت درمان آن وجود دارد. این مطالعه با هدف بررسی اثر بخشی درمان فعال­سازی رفتاری کوتاه مدت بر کاهش علایم و افزایش کیفیت زندگی بیماران مبتلاء به اختلال افسردگی اساسی انجام شده است.
روش: در یک طرح آزمایشی با پیش آزمون- پس آزمون توام با گروه کنترل، و با استفاده از روش نمونه گیری در دسترس، 22 آزمودنی زن، که براساس ملاک های DSM-IV-TR توسط روانپزشک افسرده اساسی تشخیص داده شدند به صورت تصادفی در دو گروه آزمایش و کنترل جایگزین شدند؛ گروه آزمایش درمان فعال سازی رفتاری دریافت کردند وگروه کنترل در لیست انتظار قرارگرفتند. هر دوگروه مقیاسهای (BDI-II)، (HRSD) و WHOQOL-BREF)) قبل و بعد از مداخله و در مرحله پیگیری (سه ماه پس از دریافت مداخله) را پر کردند. نتایج با استفاده از آزمون‌های آماری تحلیل کوواریانس تک متغیره،  و آزمون  Tوابسته تحلیل شد.
یافته‌ها: درمان تغییرات معنادار و قابل توجهی در کاهش علایم افسردگی و افزایش کیفیت زندگی بیماران ایجاد کرد. یافته ها موید اثر بخشی درمان فعال سازی رفتاری کوتاه مدت بر کاهش علایم و افزایش کیفیت زندگی بیمارن افسرده بودند و پایداری درمان در مرحله پیگیری نیز تأ­­­­یید شد.
نتیجه­گیری: درمان فعال­سازی رفتاری کوتاه مدت در کاهش علایم افسردگی اساسی اثر بخش بود که در چارچوب دیدگاههای رفتاری موج سوم قابل تفسیر می باشد  لذا به عنوان یک روش درمان موثر برای اختلال افسردگی اساسی توصیه می شود.

کلیدواژه‌ها


عنوان مقاله [English]

Effectiveness of Brief Behavioral Activation Treatment in Reducing Depression Symptoms and Improving Quality of Life in Patients with Major Depression

نویسندگان [English]

  • Hadi Parhoon 1
  • Alireza Moradi 2
  • Mohammad Hatami 3
  • Shiva Moshirpanahi 1
1 M.A. in Clinical Psychology, Kharazmi University
2 Assistant Professor, Faculty of Psychology, Kharazmi University
3 Assistant Professor, Faculty of Psychology, Kharazmi University
چکیده [English]

Abstract
Depression is one of the most common psychological disorders for
which numerous treatment methods have been developed. The aim of
the present study was to examine effect of brief behavioral activation
treatment on reducing depression symptoms and improving quality of
life in patients with depression. The study used a semi-experimental
design with pretest and posttest and a control group. Convenient
sampling was used in selecting 22 female patients who were
diagnosed with major depression by a psychiatrist. The diagnosis was
given using DSM-IV-TR. The 22 subjects were divided into an
experimental and a control group, and the experimental group
received a behavioral activation treatment. Both groups completed
BDI-II, HRSD, and WHOQOL-BREF in the pretest, posttest and
follow-up phases (the follow-up was three months after the
intervention). The results were analyzed using single-variable
covariance analysis and t-test. Results indicated that the treatment
effected considerable and significant changes in depression symptoms
and quality of life of the subjects, both in short-term and after a period
of three months. The study suggests that a brief behavioral activation
treatment is effective in reducing depression symptoms, a finding
which is consistent with findings of the third wave of cognitivebehavioral therapies. The treatment is therefore recommended as an
effective method for treating major depression.
Abstract
Depression is one of the most common psychological disorders for
which numerous treatment methods have been developed. The aim of
the present study was to examine effect of brief behavioral activation
treatment on reducing depression symptoms and improving quality of
life in patients with depression. The study used a semi-experimental
design with pretest and posttest and a control group. Convenient
sampling was used in selecting 22 female patients who were
diagnosed with major depression by a psychiatrist. The diagnosis was
given using DSM-IV-TR. The 22 subjects were divided into an
experimental and a control group, and the experimental group
received a behavioral activation treatment. Both groups completed
BDI-II, HRSD, and WHOQOL-BREF in the pretest, posttest and
follow-up phases (the follow-up was three months after the
intervention). The results were analyzed using single-variable
covariance analysis and t-test. Results indicated that the treatment
effected considerable and significant changes in depression symptoms
and quality of life of the subjects, both in short-term and after a period
of three months. The study suggests that a brief behavioral activation
treatment is effective in reducing depression symptoms, a finding
which is consistent with findings of the third wave of cognitivebehavioral therapies. The treatment is therefore recommended as an
effective method for treating major depression.

کلیدواژه‌ها [English]

  • major depression
  • behavioral activation
  • quality of life

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